{
  "description": null,
  "_filename": "ExampleScenario-Scen2ProviderToPersonaltrainerReferral.json",
  "package_name": "hl7.fhir.us.physical-activity.r4b",
  "date": "2023-08-25T16:04:38+00:00",
  "publisher": "HL7 International - Patient Care WG",
  "instance": [ {
    "name": "Query for personal trainers near Mrs. Johansson",
    "resourceId": "Scen2query1",
    "description": "Search to retrieve list of Service Providers for personal trainers near Mrs. Johansson: `GET https://registry.example.org/fhir/PractitionerRole?role=228239008|http%3A//snomed.info/sct&location.near=37.8393|84.2700|20|[mi_us]&_include=PractitionerRole:practitioner`",
    "resourceType": "Binary"
  }, {
    "name": "Query for Get Fit assigned referrals",
    "resourceId": "Scen2query2",
    "description": "Query Task and associated ServiceRequest and Patient: `GET https://goodCardio.example.org/fhir/Task?status=requested&owner=https%3A//registry.example.org/fhir/Organization/Scen2OrgGetFitTraining&_include=Task:patient&_include=Task:focus`",
    "resourceType": "Binary"
  }, {
    "name": "Query for Referral & Patient for retrieved Task",
    "resourceId": "Scen2query3",
    "description": "Search to retrieve ServiceRequest and Patient for specified Task: `GET https://goodCardio.example.org/fhir/ServiceRequest?_id=Scen2ServiceRequest&_include=ServiceRequest:patient`",
    "resourceType": "Binary"
  }, {
    "name": "Query for patient physical activity conditions",
    "resourceId": "Scen2query4",
    "description": "Search to retrieve Conditions: `GET https://goodCardio.example.org/fhir/Condition?patient=Scen2PatientJohansson&category=http:%3A//hl7.org/fhir/us/physical-activity/CodeSystem/PATemporaryCodesorary-codes|PhysicalActivity`",
    "resourceType": "Binary"
  }, {
    "name": "Query for patient physical activity observations",
    "resourceId": "Scen2query5",
    "description": "Search to retrieve Observations: `GET https://goodCardio.example.org/fhir/Observation?patient=Scen2PatientJohansson&category=http:%3A//hl7.org/fhir/us/physical-activity/CodeSystem/PATemporaryCodesorary-codes|PhysicalActivity`",
    "resourceType": "Binary"
  }, {
    "name": "Query for EHR-issued task based on notification",
    "resourceId": "Scen2query6",
    "description": "Search to retrieve Task: `GET https://fit4life.example.org/fhir/Task?_id=Scen2TaskFit4Life`",
    "resourceType": "Binary"
  }, {
    "name": "Query for report and referenced observations",
    "resourceId": "Scen2query7",
    "description": "Search on referenced Observations: `GET https://fit4.life.example.org/fhir/DiagnosticReport?id=Scen2DiagnosticReport&_include=DiagnosticReport:result`",
    "resourceType": "Binary"
  }, {
    "name": "Mrs. Johansson Patient Record",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Patient/Scen2PatientJohansson"
      }
    } ],
    "resourceId": "Scen2PatientJohansson",
    "description": "Demographics and contact information",
    "resourceType": "Patient"
  }, {
    "name": "Mr. Matthews Registry Entry",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Practitioner/Scen2PractitionerMatthews"
      }
    } ],
    "resourceId": "Scen2PractitionerMatthews",
    "description": "Practitioner details for personal trainer Mr. Matthews",
    "resourceType": "Practitioner"
  }, {
    "name": "Ms. Wang Registry Entry",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Practitioner/Scen2PractitionerWang"
      }
    } ],
    "resourceId": "Scen2PractitionerWang",
    "description": "Practitioner details for personal trainer Ms. Matthews",
    "resourceType": "Practitioner"
  }, {
    "name": "Mr. Matthews Registry Entry",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "PractitionerRole/Scen2RoleMatthews"
      }
    } ],
    "resourceId": "Scen2RoleMatthews",
    "description": "Practitioner organization details for personal trainer Mr. Matthews",
    "resourceType": "PractitionerRole"
  }, {
    "name": "Ms. Wang Registry Entry",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Practitioner/Scen2PractitionerWang"
      }
    } ],
    "resourceId": "Scen2PractitionerWang",
    "description": "Practitioner organization details for personal trainer Ms. Matthews",
    "resourceType": "PractitionerRole"
  }, {
    "name": "Subscription from EHR",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Subscription/Scen2SubscriptionEhr"
      }
    } ],
    "resourceId": "Scen2SubscriptionEhr",
    "description": "Establishes the subscription for the EHR to monitor tasks it's created",
    "resourceType": "Subscription"
  }, {
    "name": "Subscription from Get Fit Training",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Subscription/Scen2SubscriptionGetFit"
      }
    } ],
    "resourceId": "Scen2SubscriptionGetFit",
    "description": "Establishes the subscription for the service provider to monitor tasks created for it",
    "resourceType": "Subscription"
  }, {
    "name": "Searchset Bundle returning list of personal trainers",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2PractitionerTrainerSearchsetBundle"
      }
    } ],
    "resourceId": "Scen2PractitionerTrainerSearchsetBundle",
    "description": "In practice, the set of candidates would likely be longer.  Note that this functionality is outside the scope of this IG.",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "resourceId": "Scen2PractitionerMatthews"
    } ]
  }, {
    "name": "Low physical activity condition",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Condition/Scen2ConditionLackOfExercise"
      }
    } ],
    "resourceId": "Scen2ConditionLackOfExercise",
    "description": "New condition added to chart",
    "resourceType": "Condition"
  }, {
    "name": "Hypertension condition",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Condition/Scen2ConditionHypertension"
      }
    } ],
    "resourceId": "Scen2ConditionHypertension",
    "description": "Older condition",
    "resourceType": "Condition"
  }, {
    "name": "Initial days per week of activity",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsDaysPerWeek"
      }
    } ],
    "resourceId": "Scen2ObsDaysPerWeek",
    "description": "Exercise of once per week",
    "resourceType": "Observation"
  }, {
    "name": "New days per week of activity",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsDaysPerWeek2"
      }
    } ],
    "resourceId": "Scen2ObsDaysPerWeek2",
    "description": "Exercising 5 times per week",
    "resourceType": "Observation"
  }, {
    "name": "Initial minutes per day of activity",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsMinutesPerDay"
      }
    } ],
    "resourceId": "Scen2ObsMinutesPerDay",
    "description": "15 minutes per day",
    "resourceType": "Observation"
  }, {
    "name": "New minutes per day of activity",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsMinutesPerDay2"
      }
    } ],
    "resourceId": "Scen2ObsMinutesPerDay2",
    "description": "32 minutes per day",
    "resourceType": "Observation"
  }, {
    "name": "Information about a run",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsActivityGroup"
      }
    } ],
    "resourceId": "Scen2ObsActivityGroup",
    "description": "Collection of sub-observations about a single run",
    "resourceType": "Observation"
  }, {
    "name": "Type of activity - run",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsActivityType"
      }
    } ],
    "resourceId": "Scen2ObsActivityType",
    "description": "Indicates that the activity performed was a run",
    "resourceType": "Observation"
  }, {
    "name": "Duration of run",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsActivityDuration"
      }
    } ],
    "resourceId": "Scen2ObsActivityDuration",
    "description": "Run was 30 minutes",
    "resourceType": "Observation"
  }, {
    "name": "Average heart rate during run",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsActivityMeanHR"
      }
    } ],
    "resourceId": "Scen2ObsActivityMeanHR",
    "description": "Average heart rate of 132 bpm",
    "resourceType": "Observation"
  }, {
    "name": "Peak heart rate during run",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsActivityPeakHR"
      }
    } ],
    "resourceId": "Scen2ObsActivityPeakHR",
    "description": "Peak heart rate of 177 bpm",
    "resourceType": "Observation"
  }, {
    "name": "Experience of run by patient",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsActivityExperience"
      }
    } ],
    "resourceId": "Scen2ObsActivityExperience",
    "description": "Experience of run was positive",
    "resourceType": "Observation"
  }, {
    "name": "Calories burned during run",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Observation/Scen2ObsCalories"
      }
    } ],
    "resourceId": "Scen2ObsCalories",
    "description": "517 calories burned during run",
    "resourceType": "Observation"
  }, {
    "name": "Report from personal trainer",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "DiagnosticReport/Scen2DiagnosticReport"
      }
    } ],
    "resourceId": "Scen2DiagnosticReport",
    "description": "Letter to provider indicating how the consultation went",
    "resourceType": "DiagnosticReport"
  }, {
    "name": "Referral for support",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "ServiceRequest/Scen2ServiceRequest"
      }
    } ],
    "resourceId": "Scen2ServiceRequest",
    "description": "Indicates what is to be done and when - but not by whom",
    "resourceType": "ServiceRequest"
  }, {
    "name": "Task seeking GetFit to fulfill referral",
    "version": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
        "valueString": "Initial GetFit Task"
      }, {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
        "valueReference": {
          "reference": "Task/Scen2TaskGetFitV1"
        }
      } ],
      "versionId": "1",
      "description": "Initial version of the referral fulfillment request for GetFit with a status of 'requested'"
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
        "valueString": "Updated GetFit Task"
      }, {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
        "valueReference": {
          "reference": "Task/Scen2TaskGetFitV2"
        }
      } ],
      "versionId": "2",
      "description": "Version of the referral fulfillment request for GetFit after it has been changed to 'rejected'"
    } ],
    "resourceId": "Scen2TaskGetFit",
    "description": "This is the initial Task seeking fulfillment",
    "resourceType": "Task"
  }, {
    "name": "Subscription notification indicating new Task",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2SubscriptionNotificationNewTaskBundle"
      }
    } ],
    "resourceId": "Scen2SubscriptionNotificationNewTaskBundle",
    "description": "Points to the initial 'requested' version of the Task",
    "resourceType": "Bundle"
  }, {
    "name": "Search-set Bundle returning referenced Task",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2TaskGetFitResponseBundle"
      }
    } ],
    "resourceId": "Scen2TaskGetFitResponseBundle",
    "description": "Returns Task referenced in subscription notification.  Includes associated ServiceRequest and Patient",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "versionId": "1",
      "resourceId": "Scen2TaskGetFit"
    } ]
  }, {
    "name": "Task seeking FitLife to fulfill referral",
    "version": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
        "valueString": "Initial Fit4Life Task"
      }, {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
        "valueReference": {
          "reference": "Task/Scen2TaskFit4LifeV1"
        }
      } ],
      "versionId": "1",
      "description": "Initial version of the referral fulfillment request for Fit4Life with a status of 'requested'"
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
        "valueString": "Updated Fit4Life Task"
      }, {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
        "valueReference": {
          "reference": "Task/Scen2TaskFit4LifeV2"
        }
      } ],
      "versionId": "2",
      "description": "Version of the referral fulfillment request for Fit4Life after it has been changed to 'accepted'"
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
        "valueString": "Completed Fit4Life Task"
      }, {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
        "valueReference": {
          "reference": "Task/Scen2TaskFit4LifeV3"
        }
      } ],
      "versionId": "3",
      "description": "Version of the referral fulfillment request for Fit4Life after it has been changed to 'completed' and a link to the report added"
    } ],
    "resourceId": "Scen2TaskFit4Life",
    "description": "This is the second Task seeking fulfillment (after the first was rejected)",
    "resourceType": "Task"
  }, {
    "name": "ServiceRequest search response for Fit4Life",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2ReferralFit4LifeResponseBundle"
      }
    } ],
    "resourceId": "Scen2ReferralFit4LifeResponseBundle",
    "description": "Search-set Bundle returning ServiceRequest and Patient for the Task posted to Fit4Life",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "resourceId": "Scen2PatientJohansson"
    } ]
  }, {
    "name": "Accepted Task search response for EHR",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2TaskEHRResponseBundle1"
      }
    } ],
    "resourceId": "Scen2TaskEHRResponseBundle1",
    "description": "Search-set Bundle returning 'accepted' Task with id based on subscription notification",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "versionId": "2",
      "resourceId": "Scen2TaskFit4Life"
    } ]
  }, {
    "name": "Completed Task search response for EHR",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2TaskEHRResponseBundle2"
      }
    } ],
    "resourceId": "Scen2TaskEHRResponseBundle2",
    "description": "Search-set Bundle returning 'completed' Task with id based on subscription notification",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "versionId": "3",
      "resourceId": "Scen2TaskFit4Life"
    } ]
  }, {
    "name": "Condition response for Fit 4 Life",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2ConditionResponseBundle"
      }
    } ],
    "resourceId": "Scen2ConditionResponseBundle",
    "description": "Search-set Bundle containing the patient's Conditions (that Fit 4 Life has access to)",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "resourceId": "Scen2ConditionHypertension"
    } ]
  }, {
    "name": "Observation response for Fit 4 Life",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2ObservationResponseBundle"
      }
    } ],
    "resourceId": "Scen2ObservationResponseBundle",
    "description": "Search-set Bundle containing the patient's Observations (that Fit 4 Life has access to)",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "resourceId": "Scen2ObsMinutesPerDay"
    } ]
  }, {
    "name": "Subscription Notification that Task has updated",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2NotificationUpdatedTaskBundle"
      }
    } ],
    "resourceId": "Scen2NotificationUpdatedTaskBundle",
    "description": "Pointer to the Task that has been updated",
    "resourceType": "Bundle"
  }, {
    "name": "Subscription Notification that Task has completed",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2NotificationCompletedTaskBundle"
      }
    } ],
    "resourceId": "Scen2NotificationCompletedTaskBundle",
    "description": "Pointer to the Task that has been updated",
    "resourceType": "Bundle"
  }, {
    "name": "DiagnosticReport response for EHR",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen2DiagnosticReportObservationsResponseBundle"
      }
    } ],
    "resourceId": "Scen2DiagnosticReportObservationsResponseBundle",
    "description": "Search-set Bundle returning DiagnosticReport and the Observations it references",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "resourceId": "Scen2ObsCalories"
    } ]
  } ],
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "ProviderToPersonalTrainerReferral",
  "process": [ {
    "step": [ {
      "operation": {
        "name": "Create service provider-monitoring Subscription",
        "type": "create",
        "number": "1",
        "request": {
          "resourceId": "Scen2SubscriptionEhr"
        },
        "receiver": "Fit4Life",
        "initiator": "goodCardio",
        "description": "EHR posts Subscription to Fit 4 Life to monitor Tasks. Request: `POST https://fit4life.example.org/fhir/Subscription`  Response: `201 Created`"
      }
    }, {
      "operation": {
        "name": "Create EHR-monitoring Subscription",
        "type": "create",
        "number": "2",
        "request": {
          "resourceId": "Scen2SubscriptionGetFit"
        },
        "receiver": "goodCardio",
        "initiator": "getFit",
        "description": "Get Fit Training posts Subscription to EHR to monitor Tasks. Request: `POST https://goodCardio.example.org/fhir/Subscription`  Response: `201 Created`"
      }
    } ],
    "title": "Subscription Establishment",
    "preConditions": "Good Health Cardiology, Fit 4 Life, and Get Fit training have established legal and technical arrangements for interoperability",
    "postConditions": "Subscriptions are successfully created allowing Good Health Cardiology to monitor Fit4Life-assigned Tasks and GetFit to monitor Tasks assigned to it hosted on Good Health Cardiology"
  }, {
    "step": [ {
      "operation": {
        "name": "Retrieve service provider list",
        "type": "search-type",
        "number": "3",
        "request": {
          "resourceId": "Scen2query1"
        },
        "receiver": "registry",
        "response": {
          "resourceId": "Scen2PractitionerTrainerSearchsetBundle"
        },
        "initiator": "goodCardio",
        "description": "Search to retrieve list of Service Providers for personal trainers near Mrs. Johansson."
      }
    }, {
      "operation": {
        "name": "Subscription notification of new Task",
        "type": "create",
        "number": "4",
        "request": {
          "resourceId": "Scen2SubscriptionNotificationNewTaskBundle"
        },
        "receiver": "getFit",
        "initiator": "goodCardio",
        "description": "Service provider is notified of new Task via subscription. Request: `POST https://fit4life.example.org/fhir/Subscription`  Response: `201 Created`"
      }
    } ],
    "title": "1 Hour after appointment",
    "preConditions": "EHR has completed the appointment with the patient",
    "postConditions": "EHR has retrieved list of personal trainers and notified GetFit of new Task"
  }, {
    "step": [ {
      "operation": {
        "name": "Getfit retrieves referral",
        "type": "search-type",
        "number": "5",
        "request": {
          "resourceId": "Scen2query2"
        },
        "receiver": "goodCardio",
        "response": {
          "resourceId": "Scen2TaskGetFitResponseBundle"
        },
        "initiator": "getFit",
        "description": "GetFit retrieves the referenced Task and its associated ServiceRequest and Patient."
      }
    }, {
      "operation": {
        "name": "GetFit refuses task",
        "type": "update",
        "number": "6",
        "request": {
          "versionId": "2",
          "resourceId": "Scen2TaskGetFit"
        },
        "receiver": "goodCardio",
        "initiator": "getFit",
        "description": "GetFit updates the Task status to 'refused' with a reason.  Request: `PUT https://goodCardio.example.org/fhir/Task/Scen2TaskGetFitV1` Response: `200 Ok`"
      }
    } ],
    "title": "1 Day after appointment",
    "preConditions": "GetFit has received the notification of new Task",
    "postConditions": "GetFit has queried Task, associated ServiceRequest and Patient; and updated Task to refused"
  }, {
    "step": [ {
      "operation": {
        "name": "Create Task on Fit4Life",
        "type": "create",
        "number": "7",
        "request": {
          "versionId": "1",
          "resourceId": "Scen2TaskFit4Life"
        },
        "receiver": "Fit4Life",
        "initiator": "goodCardio",
        "description": "New Task is created directly on Fit4Life's server.  Request: `POST https://fit4life.example.org/fhir/Task` Response: `201 Created`"
      }
    }, {
      "operation": {
        "name": "Fit4Life retrieves referral",
        "type": "search-type",
        "number": "8",
        "request": {
          "resourceId": "Scen2query3"
        },
        "receiver": "goodCardio",
        "response": {
          "resourceId": "Scen2ReferralFit4LifeResponseBundle"
        },
        "initiator": "Fit4Life",
        "description": "Fit4Life retrieves the ServiceRequest and Patient referenced by the Task."
      }
    }, {
      "operation": {
        "name": "Fit4Life retrieves conditions",
        "type": "search-type",
        "number": "9",
        "request": {
          "resourceId": "Scen2query4"
        },
        "receiver": "goodCardio",
        "response": {
          "resourceId": "Scen2ConditionResponseBundle"
        },
        "initiator": "Fit4Life",
        "description": "Fit4Life retrieves the physical-activity related Conditions associated with the patient."
      }
    }, {
      "operation": {
        "name": "Fit4Life retrieves referral",
        "type": "search-type",
        "number": "10",
        "request": {
          "resourceId": "Scen2query5"
        },
        "receiver": "goodCardio",
        "response": {
          "resourceId": "Scen2ObservationResponseBundle"
        },
        "initiator": "Fit4Life",
        "description": "Fit4Life retrieves the physical-activity related Observations associated with the patient.  (In practice there would typically be more than are shown here, and some might not be for profiles defined in this IG.)"
      }
    }, {
      "operation": {
        "name": "EHR gets referral acceptance",
        "type": "create",
        "number": "11",
        "request": {
          "resourceId": "Scen2NotificationUpdatedTaskBundle"
        },
        "receiver": "goodCardio",
        "initiator": "Fit4Life",
        "description": "A subscription notification to the EHR is triggered when Fit4Life changes the prescription status to 'accepted'.  Request: `POST https://goodCardio.example.org/mySubscriptions` Response: `200 Ok`"
      }
    }, {
      "operation": {
        "name": "EHR retrieves accepted Task",
        "type": "search-type",
        "number": "12",
        "request": {
          "resourceId": "Scen2query6"
        },
        "receiver": "Fit4Life",
        "response": {
          "resourceId": "Scen2TaskEHRResponseBundle1"
        },
        "initiator": "goodCardio",
        "description": "EHR retrieves the Task referenced by the subscription notification"
      }
    } ],
    "title": "An Hour later",
    "preConditions": "EHR has a Task seeking fulfillment of ServiceRequest for Fit4Life",
    "postConditions": "Fit4Life has retrieved ServiceRequest, Patient, Conditions, Observations, and updated Task"
  }, {
    "step": [ {
      "operation": {
        "name": "EHR gets referral acceptance",
        "type": "create",
        "number": "13",
        "request": {
          "resourceId": "Scen2NotificationCompletedTaskBundle"
        },
        "receiver": "goodCardio",
        "initiator": "Fit4Life",
        "description": "A subscription notification to the EHR is triggered when Fit4Life changes the Task status to 'completed'.  Request: `POST https://goodCardio.example.org/mySubscriptions` Response: `200 Ok`"
      }
    }, {
      "operation": {
        "name": "EHR retrieves completed Task",
        "type": "search-type",
        "number": "14",
        "request": {
          "resourceId": "Scen2query6"
        },
        "receiver": "Fit4Life",
        "response": {
          "resourceId": "Scen2TaskEHRResponseBundle2"
        },
        "initiator": "goodCardio",
        "description": "EHR retrieves the Task referenced by the subscription notification"
      }
    }, {
      "operation": {
        "name": "EHR retrieves report",
        "type": "search-type",
        "number": "15",
        "request": {
          "resourceId": "Scen2query7"
        },
        "receiver": "Fit4Life",
        "response": {
          "resourceId": "Scen2DiagnosticReportObservationsResponseBundle"
        },
        "initiator": "goodCardio",
        "description": "EHR retrieves the Fit4Life DiagnosticReport using the id provided in the Task.  It also uses _include to retrieve referenced observations"
      }
    } ],
    "title": "2 Months Later",
    "preConditions": "Fit4Life has updated the Task",
    "postConditions": "EHR has retrieved the completed Task, DiagnosticReport, and associated Observations"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "ExampleScenario",
  "title": null,
  "package_version": "1.0.0",
  "status": "draft",
  "id": "f22ee45a-8c7c-4de4-9c54-695f97d0aeae",
  "kind": null,
  "url": "http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen2ProviderToPersonaltrainerReferral",
  "version": "1.0.0",
  "contact": [ {
    "name": "HL7 International - Patient Care WG",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/patientcare",
      "system": "url"
    } ]
  } ],
  "actor": [ {
    "name": "Good Health Cardiology",
    "type": "entity",
    "actorId": "goodCardio",
    "description": "EHR that records patient's exercise plan"
  }, {
    "name": "Get Fit Training",
    "type": "entity",
    "actorId": "getFit",
    "description": "'Light' service provider'"
  }, {
    "name": "Fit 4 Life",
    "type": "entity",
    "actorId": "Fit4Life",
    "description": "'Full' service provider'"
  }, {
    "name": "Service Registry",
    "type": "entity",
    "actorId": "registry",
    "description": "Registry of candidate service providers - outside the scope of this IG"
  } ]
}