{
  "description": null,
  "_filename": "ExampleScenario-Scen1ExercisePrescriptionScenario.json",
  "package_name": "hl7.fhir.us.physical-activity",
  "date": "2023-08-25T15:35:25+00:00",
  "publisher": "HL7 International - Patient Care WG",
  "instance": [ {
    "name": "Query for patient physical activity care plans",
    "resourceId": "Scen1query1",
    "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`",
    "resourceType": "Binary"
  }, {
    "name": "Query for patient physical activity goals",
    "resourceId": "Scen1query2",
    "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`",
    "resourceType": "Binary"
  }, {
    "name": "Query for patient exercise prescriptions and referrals",
    "resourceId": "Scen1query3",
    "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`",
    "resourceType": "Binary"
  }, {
    "name": "Patient physical activity care plan",
    "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": "Scen1CarePlan",
    "description": "CarePlan describing proposed exercise regime",
    "resourceType": "CarePlan"
  }, {
    "name": "Physical Activity weekly target",
    "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"
    } ],
    "resourceId": "Scen1Goal",
    "description": "Goal indicating target number of minutes/week of moderate-vigorous physical activity",
    "resourceType": "Goal"
  }, {
    "name": "Updated goal",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Goal/Scen1Goal2"
      }
    } ],
    "resourceId": "Scen1Goal2",
    "description": "Updated value of 150 mins/week",
    "resourceType": "Bundle"
  }, {
    "name": "Initial care plan search response bundle",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen1CarePlanBundle1"
      }
    } ],
    "resourceId": "Scen1CarePlanBundle1",
    "description": "Only contains 1 plan, though in practice, more than one is possible",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "versionId": "1",
      "resourceId": "Scen1CarePlan"
    } ]
  }, {
    "name": "Second care plan search response bundle",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen1CarePlanBundle2"
      }
    } ],
    "resourceId": "Scen1CarePlanBundle2",
    "description": "In a real system, the id would be the same as the original",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "versionId": "2",
      "resourceId": "Scen1CarePlan"
    } ]
  }, {
    "name": "Initial goal search response bundle",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen1GoalBundle1"
      }
    } ],
    "resourceId": "Scen1GoalBundle1",
    "description": "There could be multiple goals, but in the scenario there's only one.",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "versionId": "1",
      "resourceId": "Scen1Goal"
    } ]
  }, {
    "name": "Second goal search response bundle",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen1GoalBundle2"
      }
    } ],
    "resourceId": "Scen1GoalBundle2",
    "description": "In a real system, the id would be the same as the original",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "resourceId": "Scen1Goal2"
    } ]
  }, {
    "name": "Prescription for exercise",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "ServiceRequest/Scen1ExerciseRx"
      }
    } ],
    "resourceId": "Scen1ExerciseRx",
    "description": "Expressed as a ServiceRequest with performer of the patient",
    "resourceType": "ServiceRequest"
  }, {
    "name": "Search result of exercise prescriptions and referrals",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen1ExerciseRxBundle"
      }
    } ],
    "resourceId": "Scen1ExerciseRxBundle",
    "description": "There could be a mix of an exercise prescription plus referrals, but in this case there's only the prescription.",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "resourceId": "Scen1ExerciseRx"
    } ]
  }, {
    "name": "Example physical activity days per week record",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen1ObservationDaysPerWeek"
      }
    } ],
    "resourceId": "Scen1ObservationDaysPerWeek",
    "description": "Average days per week of moderate-to-vigorous physical activity.",
    "resourceType": "Observation"
  }, {
    "name": "Example physical activity minutes per day record",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen1ObservationMinsPerDay"
      }
    } ],
    "resourceId": "Scen1ObservationMinsPerDay",
    "description": "Average minutes per day of moderate-to-vigorous physical activity.",
    "resourceType": "Observation"
  }, {
    "name": "Example physical activity minutes per week record",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen1ObservationMinsPerWeek"
      }
    } ],
    "resourceId": "Scen1ObservationMinsPerWeek",
    "description": "Average minutes per week of moderate-to-vigorous physical activity.",
    "resourceType": "Observation"
  }, {
    "name": "Example strength days per week record",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen1ObservationStrengthDaysPerWeek"
      }
    } ],
    "resourceId": "Scen1ObservationStrengthDaysPerWeek",
    "description": "Average days per week of muscle-strengthening physical activity.",
    "resourceType": "Observation"
  } ],
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "ExercisePrescription",
  "process": [ {
    "step": [ {
      "operation": {
        "name": "Query CarePlan",
        "type": "search-type",
        "number": "1",
        "request": {
          "resourceId": "Scen1query1"
        },
        "receiver": "goodHealth",
        "response": {
          "resourceId": "Scen1CarePlanBundle1"
        },
        "initiator": "patientApp",
        "description": "Patient app queries exercise CarePlan describing proposed exercise regime."
      }
    }, {
      "operation": {
        "name": "Query Goal",
        "type": "search-type",
        "number": "2",
        "request": {
          "resourceId": "Scen1query2"
        },
        "receiver": "goodHealth",
        "response": {
          "resourceId": "Scen1GoalBundle1"
        },
        "initiator": "patientApp",
        "description": "Patient app queries Goals (100 minutes/week)."
      }
    }, {
      "operation": {
        "name": "Query ServiceRequest",
        "type": "search-type",
        "number": "3",
        "request": {
          "resourceId": "Scen1query3"
        },
        "receiver": "goodHealth",
        "response": {
          "resourceId": "Scen1ExerciseRxBundle"
        },
        "initiator": "patientApp",
        "description": "Patient app queries ServiceRequest (order for ‘exercise’)."
      }
    } ],
    "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": {
        "name": "Post days/week",
        "type": "create",
        "number": "5",
        "request": {
          "resourceId": "Scen1ObservationDaysPerWeek"
        },
        "receiver": "goodHealth",
        "initiator": "patientApp",
        "description": "Patient app posts average days per week of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`"
      }
    }, {
      "operation": {
        "name": "Post minutes/day",
        "type": "create",
        "number": "6",
        "request": {
          "resourceId": "Scen1ObservationMinsPerDay"
        },
        "receiver": "goodHealth",
        "initiator": "patientApp",
        "description": "Patient app posts average minutes per day of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`"
      }
    }, {
      "operation": {
        "name": "Post minutes/week",
        "type": "create",
        "number": "7",
        "request": {
          "resourceId": "Scen1ObservationMinsPerWeek"
        },
        "receiver": "goodHealth",
        "initiator": "patientApp",
        "description": "Patient app posts average minutes per week of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`"
      }
    }, {
      "operation": {
        "name": "Post stength days/week",
        "type": "create",
        "number": "8",
        "request": {
          "resourceId": "Scen1ObservationStrengthDaysPerWeek"
        },
        "receiver": "goodHealth",
        "initiator": "patientApp",
        "description": "Patient app posts average days per week of muscle-strengthening physical activity. `POST https://goodhealth.example.org/fhir/Observation`"
      }
    } ],
    "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": {
        "name": "Query revised CarePlan",
        "type": "search-type",
        "number": "9",
        "request": {
          "resourceId": "Scen1query1"
        },
        "receiver": "goodHealth",
        "response": {
          "resourceId": "Scen1CarePlanBundle2"
        },
        "initiator": "patientApp",
        "description": "Patient app queries revised CarePlan with providers notes."
      }
    }, {
      "operation": {
        "name": "Query revised Goal",
        "type": "search-type",
        "number": "10",
        "request": {
          "resourceId": "Scen1query2"
        },
        "receiver": "goodHealth",
        "response": {
          "resourceId": "Scen1GoalBundle2"
        },
        "initiator": "patientApp",
        "description": "Patient app queries new Goals."
      }
    }, {
      "operation": {
        "name": "Query ServiceRequest",
        "type": "search-type",
        "number": "11",
        "request": {
          "resourceId": "Scen1query3"
        },
        "receiver": "goodHealth",
        "response": {
          "resourceId": "Scen1ExerciseRxBundle"
        },
        "initiator": "patientApp",
        "description": "The results of this search are the same as the initial call because the exercise 'prescription' has not changed."
      }
    } ],
    "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"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "ExampleScenario",
  "title": null,
  "package_version": "1.0.0",
  "status": "draft",
  "id": "e66634bb-f681-4f04-a9b6-8bd1d575e06e",
  "kind": null,
  "url": "http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen1ExercisePrescriptionScenario",
  "version": "1.0.0",
  "contact": [ {
    "name": "HL7 International - Patient Care WG",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/patientcare",
      "system": "url"
    } ]
  } ],
  "actor": [ {
    "name": "Patient App",
    "type": "entity",
    "actorId": "patientApp",
    "description": "A patient app used to query resources related to the exercise plan"
  }, {
    "name": "EHR",
    "type": "entity",
    "actorId": "goodHealth",
    "description": "EHR that records patient's exercise plan"
  } ]
}