{
  "description": null,
  "_filename": "ExampleScenario-Scen3ProviderToYMCAReferral.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 Referral & Patient for YMCA Task",
    "resourceId": "Scen3query1",
    "description": "Search to retrieve ServiceRequest and Patient for specified Task: `GET https://mainClinic.example.org/fhir/ServiceRequest?_id=Scen3ServiceRequest&_include=ServiceRequest:patient`",
    "resourceType": "Binary"
  }, {
    "name": "Query for EHR-issued task based on notification",
    "resourceId": "Scen3query2",
    "description": "Search to retrieve Task: `GET https://YMCA.example.org/fhir/Task?_id=Scen3TaskYMCA`",
    "resourceType": "Binary"
  }, {
    "name": "Subscription from EHR",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Subscription/Scen3SubscriptionEhr"
      }
    } ],
    "resourceId": "Scen3SubscriptionEhr",
    "description": "Establishes the subscription for the EHR to monitor tasks it's created",
    "resourceType": "Subscription"
  }, {
    "name": "Task seeking FitLife to fulfill referral",
    "version": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
        "valueString": "Initial YMCA Task"
      }, {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
        "valueReference": {
          "reference": "Task/Scen3TaskYMCAV1"
        }
      } ],
      "versionId": "1",
      "description": "Initial version of the referral fulfillment request for YMCA with a status of 'requested'"
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
        "valueString": "Updated YMCA Task"
      }, {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
        "valueReference": {
          "reference": "Task/Scen3TaskYMCAV2"
        }
      } ],
      "versionId": "2",
      "description": "Version of the referral fulfillment request for YMCA after it has been changed to 'accepted'"
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title",
        "valueString": "Completed YMCA Task"
      }, {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content",
        "valueReference": {
          "reference": "Task/Scen3TaskYMCAV3"
        }
      } ],
      "versionId": "3",
      "description": "Version of the referral fulfillment request for YMCA after it has been changed to 'completed' and a link to the report added"
    } ],
    "resourceId": "Scen3TaskYMCA",
    "description": "A Task seeking fulfillment by the YMCA of the referral for an exercise program",
    "resourceType": "Task"
  }, {
    "name": "ServiceRequest search response for YMCA",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen3ServiceRequestYMCAResponseBundle"
      }
    } ],
    "resourceId": "Scen3ServiceRequestYMCAResponseBundle",
    "description": "Search-set Bundle returning ServiceRequest and Patient for the Task posted to the YMCA",
    "resourceType": "Bundle"
  }, {
    "name": "Subscription Notification that Task has updated",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen3NotificationUpdatedTaskBundle"
      }
    } ],
    "resourceId": "Scen3NotificationUpdatedTaskBundle",
    "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/Scen3NotificationCompletedTaskBundle"
      }
    } ],
    "resourceId": "Scen3NotificationCompletedTaskBundle",
    "description": "Pointer to the Task that has been updated",
    "resourceType": "Bundle"
  }, {
    "name": "Accepted Task search response for EHR",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen3TaskEHRResponseBundle1"
      }
    } ],
    "resourceId": "Scen3TaskEHRResponseBundle1",
    "description": "Search-set Bundle returning 'accepted' Task with id based on subscription notification",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "versionId": "2",
      "resourceId": "Scen3TaskYMCA"
    } ]
  }, {
    "name": "Completed Task search response for EHR",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
      "valueReference": {
        "reference": "Bundle/Scen3TaskEHRResponseBundle2"
      }
    } ],
    "resourceId": "Scen3TaskEHRResponseBundle2",
    "description": "Search-set Bundle returning 'completed' Task with id based on subscription notification",
    "resourceType": "Bundle",
    "containedInstance": [ {
      "versionId": "3",
      "resourceId": "Scen3TaskYMCA"
    } ]
  } ],
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "PatientSeeksReferralforExerciseProgram",
  "process": [ {
    "step": [ {
      "operation": {
        "name": "Create EHR-monitoring Subscription",
        "type": "create",
        "number": "1",
        "request": {
          "resourceId": "Scen3SubscriptionEhr"
        },
        "receiver": "mainClinic",
        "initiator": "YMCA",
        "description": "YMCA posts Subscription to EHR to monitor Tasks. Request: `POST https://mainClinic.example.org/fhir/Subscription`  Response: `201 Created`"
      }
    } ],
    "title": "Subscription Establishment",
    "preConditions": "Main Street Clinic and Cinicinnati Central YMCA have established legal and technical arrangements for interoperability",
    "postConditions": "Subscription is successfully created allowing Main Street Clinic to monitor YMCA-assigned Tasks"
  }, {
    "step": [ {
      "operation": {
        "name": "Create Task on YMCA",
        "type": "create",
        "number": "2",
        "request": {
          "versionId": "1",
          "resourceId": "Scen3TaskYMCA"
        },
        "receiver": "YMCA",
        "initiator": "mainClinic",
        "description": "New Task is created directly on YMCA's server.  Request: `POST https://YMCA.example.org/fhir/Task` Response: `201 Created`"
      }
    }, {
      "operation": {
        "name": "YMCA retrieves referral",
        "type": "search-type",
        "number": "3",
        "request": {
          "resourceId": "Scen3query1"
        },
        "receiver": "mainClinic",
        "response": {
          "resourceId": "Scen3ServiceRequestYMCAResponseBundle"
        },
        "initiator": "YMCA",
        "description": "YMCA retrieves the ServiceRequest and Patient referenced by the Task."
      }
    }, {
      "operation": {
        "name": "EHR gets referral acceptance",
        "type": "create",
        "number": "4",
        "request": {
          "resourceId": "Scen3NotificationUpdatedTaskBundle"
        },
        "receiver": "mainClinic",
        "initiator": "YMCA",
        "description": "A subscription notification to the EHR is triggered when YMCA changes the prescription status to 'in-progress'.  Request: `POST https://mainClinic.example.org/mySubscriptions` Response: `200 Ok`"
      }
    }, {
      "operation": {
        "name": "EHR retrieves in-progress Task",
        "type": "search-type",
        "number": "5",
        "request": {
          "resourceId": "Scen3query2"
        },
        "receiver": "YMCA",
        "response": {
          "resourceId": "Scen3TaskEHRResponseBundle1"
        },
        "initiator": "mainClinic",
        "description": "EHR retrieves the Task referenced by the subscription notification"
      }
    } ],
    "title": "A minute after creation of ServiceRequest",
    "preConditions": "EHR has created a ServiceRequest for Mr. Shevchenko",
    "postConditions": "YMCA has retrieved the ServiceRequest and the Patient, and updated the Task to 'in-progress'"
  }, {
    "step": [ {
      "operation": {
        "name": "EHR gets referral acceptance",
        "type": "create",
        "number": "6",
        "request": {
          "resourceId": "Scen3NotificationCompletedTaskBundle"
        },
        "receiver": "mainClinic",
        "initiator": "YMCA",
        "description": "A subscription notification to the EHR is triggered when the YMCA changes the Task status to 'completed'.  Request: `POST https://mainClinic.example.org/mySubscriptions` Response: `200 Ok`"
      }
    }, {
      "operation": {
        "name": "EHR retrieves completed Task",
        "type": "search-type",
        "number": "7",
        "request": {
          "resourceId": "Scen3query2"
        },
        "receiver": "YMCA",
        "response": {
          "resourceId": "Scen3TaskEHRResponseBundle2"
        },
        "initiator": "mainClinic",
        "description": "EHR retrieves the Task referenced by the subscription notification"
      }
    } ],
    "title": "About 4 Months Later",
    "preConditions": "YMCA is actively working on the Task",
    "postConditions": "YMCA has completed the referral and Dr. Blackrock is aware of the results"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "ExampleScenario",
  "title": null,
  "package_version": "1.0.0",
  "status": "draft",
  "id": "f6974434-c8c9-47cb-a595-173b05c0f20f",
  "kind": null,
  "url": "http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen3ProviderToYMCAReferral",
  "version": "1.0.0",
  "contact": [ {
    "name": "HL7 International - Patient Care WG",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/patientcare",
      "system": "url"
    } ]
  } ],
  "actor": [ {
    "name": "Main Street Clinic",
    "type": "entity",
    "actorId": "mainClinic",
    "description": "Dr. Blackrock's EHR - creates referral at patient's request"
  }, {
    "name": "Cincinnati Central YMCA",
    "type": "entity",
    "actorId": "YMCA",
    "description": "Fitness service provider who offers exercise program"
  } ]
}