FHIR IG Statistics: ExampleScenario/Scen1ExercisePrescriptionScenario

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{
  "resourceType": "ExampleScenario",
  "id": "Scen1ExercisePrescriptionScenario",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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"
            }
          }
        }
      ]
    }
  ]
}