Physical Activity Implementation Guide
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This page is part of the U.S. Physical Activity IG (v1.0.0: STU 1.0) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Scenario 3 - Patient Seeks Referral for Exercise Program - JSON Representation

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{
  "resourceType" : "ExampleScenario",
  "id" : "Scen3ProviderToYMCAReferral",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ExampleScenario</b><a name=\"Scen3ProviderToYMCAReferral\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ExampleScenario &quot;Scen3ProviderToYMCAReferral&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen3ProviderToYMCAReferral</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: PatientSeeksReferralforExerciseProgram</p><p><b>status</b>: draft</p><p><b>date</b>: 2023-08-25 16:04:38+0000</p><p><b>publisher</b>: HL7 International - Patient Care WG</p><p><b>contact</b>: HL7 International - Patient Care WG: <a href=\"http://www.hl7.org/Special/committees/patientcare\">http://www.hl7.org/Special/committees/patientcare</a></p><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ISO3166Part1.html\">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#US)</span></p><blockquote><p><b>actor</b></p><p><b>actorId</b>: mainClinic</p><p><b>type</b>: entity</p><p><b>name</b>: Main Street Clinic</p><p><b>description</b>: Dr. Blackrock's EHR - creates referral at patient's request</p></blockquote><blockquote><p><b>actor</b></p><p><b>actorId</b>: YMCA</p><p><b>type</b>: entity</p><p><b>name</b>: Cincinnati Central YMCA</p><p><b>description</b>: Fitness service provider who offers exercise program</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Scen3query1</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Query for Referral &amp; Patient for YMCA Task</p><p><b>description</b>: Search to retrieve ServiceRequest and Patient for specified Task: `GET https://mainClinic.example.org/fhir/ServiceRequest?_id=Scen3ServiceRequest&amp;_include=ServiceRequest:patient`</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Scen3query2</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Query for EHR-issued task based on notification</p><p><b>description</b>: Search to retrieve Task: `GET https://YMCA.example.org/fhir/Task?_id=Scen3TaskYMCA`</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Subscription-Scen3SubscriptionEhr.html\">Subscription/Scen3SubscriptionEhr</a></p><p><b>resourceId</b>: Scen3SubscriptionEhr</p><p><b>resourceType</b>: Subscription</p><p><b>name</b>: Subscription from EHR</p><p><b>description</b>: Establishes the subscription for the EHR to monitor tasks it's created</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Scen3TaskYMCA</p><p><b>resourceType</b>: Task</p><p><b>name</b>: Task seeking FitLife to fulfill referral</p><p><b>description</b>: A Task seeking fulfillment by the YMCA of the referral for an exercise program</p><blockquote><p><b>version</b></p><p><b>Extension Definition for ExampleScenario.instance.version.title for Version 5.0</b>: Initial YMCA Task</p><p><b>Extension Definition for ExampleScenario.instance.version.content for Version 5.0</b>: <a href=\"Task-Scen3TaskYMCAV1.html\">Task/Scen3TaskYMCAV1</a></p><p><b>versionId</b>: 1</p><p><b>description</b>: Initial version of the referral fulfillment request for YMCA with a status of 'requested'</p></blockquote><blockquote><p><b>version</b></p><p><b>Extension Definition for ExampleScenario.instance.version.title for Version 5.0</b>: Updated YMCA Task</p><p><b>Extension Definition for ExampleScenario.instance.version.content for Version 5.0</b>: <a href=\"Task-Scen3TaskYMCAV2.html\">Task/Scen3TaskYMCAV2</a></p><p><b>versionId</b>: 2</p><p><b>description</b>: Version of the referral fulfillment request for YMCA after it has been changed to 'accepted'</p></blockquote><blockquote><p><b>version</b></p><p><b>Extension Definition for ExampleScenario.instance.version.title for Version 5.0</b>: Completed YMCA Task</p><p><b>Extension Definition for ExampleScenario.instance.version.content for Version 5.0</b>: <a href=\"Task-Scen3TaskYMCAV3.html\">Task/Scen3TaskYMCAV3</a></p><p><b>versionId</b>: 3</p><p><b>description</b>: Version of the referral fulfillment request for YMCA after it has been changed to 'completed' and a link to the report added</p></blockquote></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Bundle-Scen3ServiceRequestYMCAResponseBundle.html\">Bundle/Scen3ServiceRequestYMCAResponseBundle</a></p><p><b>resourceId</b>: Scen3ServiceRequestYMCAResponseBundle</p><p><b>resourceType</b>: Bundle</p><p><b>name</b>: ServiceRequest search response for YMCA</p><p><b>description</b>: Search-set Bundle returning ServiceRequest and Patient for the Task posted to the YMCA</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Bundle-Scen3NotificationUpdatedTaskBundle.html\">Bundle/Scen3NotificationUpdatedTaskBundle</a></p><p><b>resourceId</b>: Scen3NotificationUpdatedTaskBundle</p><p><b>resourceType</b>: Bundle</p><p><b>name</b>: Subscription Notification that Task has updated</p><p><b>description</b>: Pointer to the Task that has been updated</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Bundle-Scen3NotificationCompletedTaskBundle.html\">Bundle/Scen3NotificationCompletedTaskBundle</a></p><p><b>resourceId</b>: Scen3NotificationCompletedTaskBundle</p><p><b>resourceType</b>: Bundle</p><p><b>name</b>: Subscription Notification that Task has completed</p><p><b>description</b>: Pointer to the Task that has been updated</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Bundle-Scen3TaskEHRResponseBundle1.html\">Bundle/Scen3TaskEHRResponseBundle1</a></p><p><b>resourceId</b>: Scen3TaskEHRResponseBundle1</p><p><b>resourceType</b>: Bundle</p><p><b>name</b>: Accepted Task search response for EHR</p><p><b>description</b>: Search-set Bundle returning 'accepted' Task with id based on subscription notification</p><h3>ContainedInstances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td><td><b>VersionId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3TaskYMCA</td><td>2</td></tr></table></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Bundle-Scen3TaskEHRResponseBundle2.html\">Bundle/Scen3TaskEHRResponseBundle2</a></p><p><b>resourceId</b>: Scen3TaskEHRResponseBundle2</p><p><b>resourceType</b>: Bundle</p><p><b>name</b>: Completed Task search response for EHR</p><p><b>description</b>: Search-set Bundle returning 'completed' Task with id based on subscription notification</p><h3>ContainedInstances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td><td><b>VersionId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3TaskYMCA</td><td>3</td></tr></table></blockquote><blockquote><p><b>process</b></p><p><b>title</b>: Subscription Establishment</p><p><b>preConditions</b>: Main Street Clinic and Cinicinnati Central YMCA have established legal and technical arrangements for interoperability</p><p><b>postConditions</b>: Subscription is successfully created allowing Main Street Clinic to monitor YMCA-assigned Tasks</p><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 1</p><p><b>type</b>: create</p><p><b>name</b>: Create EHR-monitoring Subscription</p><p><b>initiator</b>: YMCA</p><p><b>receiver</b>: mainClinic</p><p><b>description</b>: YMCA posts Subscription to EHR to monitor Tasks. Request: `POST https://mainClinic.example.org/fhir/Subscription`  Response: `201 Created`</p><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3SubscriptionEhr</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>process</b></p><p><b>title</b>: A minute after creation of ServiceRequest</p><p><b>preConditions</b>: EHR has created a ServiceRequest for Mr. Shevchenko</p><p><b>postConditions</b>: YMCA has retrieved the ServiceRequest and the Patient, and updated the Task to 'in-progress'</p><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 2</p><p><b>type</b>: create</p><p><b>name</b>: Create Task on YMCA</p><p><b>initiator</b>: mainClinic</p><p><b>receiver</b>: YMCA</p><p><b>description</b>: New Task is created directly on YMCA's server.  Request: `POST https://YMCA.example.org/fhir/Task` Response: `201 Created`</p><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td><td><b>VersionId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3TaskYMCA</td><td>1</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 3</p><p><b>type</b>: search-type</p><p><b>name</b>: YMCA retrieves referral</p><p><b>initiator</b>: YMCA</p><p><b>receiver</b>: mainClinic</p><p><b>description</b>: YMCA retrieves the ServiceRequest and Patient referenced by the Task.</p><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3query1</td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3ServiceRequestYMCAResponseBundle</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 4</p><p><b>type</b>: create</p><p><b>name</b>: EHR gets referral acceptance</p><p><b>initiator</b>: YMCA</p><p><b>receiver</b>: mainClinic</p><p><b>description</b>: 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`</p><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3NotificationUpdatedTaskBundle</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 5</p><p><b>type</b>: search-type</p><p><b>name</b>: EHR retrieves in-progress Task</p><p><b>initiator</b>: mainClinic</p><p><b>receiver</b>: YMCA</p><p><b>description</b>: EHR retrieves the Task referenced by the subscription notification</p><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3query2</td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3TaskEHRResponseBundle1</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>process</b></p><p><b>title</b>: About 4 Months Later</p><p><b>preConditions</b>: YMCA is actively working on the Task</p><p><b>postConditions</b>: YMCA has completed the referral and Dr. Blackrock is aware of the results</p><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 6</p><p><b>type</b>: create</p><p><b>name</b>: EHR gets referral acceptance</p><p><b>initiator</b>: YMCA</p><p><b>receiver</b>: mainClinic</p><p><b>description</b>: 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`</p><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3NotificationCompletedTaskBundle</td></tr></table></blockquote></blockquote><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 7</p><p><b>type</b>: search-type</p><p><b>name</b>: EHR retrieves completed Task</p><p><b>initiator</b>: mainClinic</p><p><b>receiver</b>: YMCA</p><p><b>description</b>: EHR retrieves the Task referenced by the subscription notification</p><h3>Requests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3query2</td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen3TaskEHRResponseBundle2</td></tr></table></blockquote></blockquote></blockquote></div>"
  },
  "url" : "http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen3ProviderToYMCAReferral",
  "version" : "1.0.0",
  "name" : "PatientSeeksReferralforExerciseProgram",
  "status" : "draft",
  "date" : "2023-08-25T16:04:38+00:00",
  "publisher" : "HL7 International - Patient Care WG",
  "contact" : [
    {
      "name" : "HL7 International - Patient Care WG",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare"
        }
      ]
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "actor" : [
    {
      "actorId" : "mainClinic",
      "type" : "entity",
      "name" : "Main Street Clinic",
      "description" : "Dr. Blackrock's EHR - creates referral at patient's request"
    },
    {
      "actorId" : "YMCA",
      "type" : "entity",
      "name" : "Cincinnati Central YMCA",
      "description" : "Fitness service provider who offers exercise program"
    }
  ],
  "instance" : [
    {
      "resourceId" : "Scen3query1",
      "resourceType" : "Binary",
      "name" : "Query for Referral & Patient for YMCA Task",
      "description" : "Search to retrieve ServiceRequest and Patient for specified Task: `GET https://mainClinic.example.org/fhir/ServiceRequest?_id=Scen3ServiceRequest&_include=ServiceRequest:patient`"
    },
    {
      "resourceId" : "Scen3query2",
      "resourceType" : "Binary",
      "name" : "Query for EHR-issued task based on notification",
      "description" : "Search to retrieve Task: `GET https://YMCA.example.org/fhir/Task?_id=Scen3TaskYMCA`"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Subscription/Scen3SubscriptionEhr"
          }
        }
      ],
      "resourceId" : "Scen3SubscriptionEhr",
      "resourceType" : "Subscription",
      "name" : "Subscription from EHR",
      "description" : "Establishes the subscription for the EHR to monitor tasks it's created"
    },
    {
      "resourceId" : "Scen3TaskYMCA",
      "resourceType" : "Task",
      "name" : "Task seeking FitLife to fulfill referral",
      "description" : "A Task seeking fulfillment by the YMCA of the referral for an exercise program",
      "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"
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Bundle/Scen3ServiceRequestYMCAResponseBundle"
          }
        }
      ],
      "resourceId" : "Scen3ServiceRequestYMCAResponseBundle",
      "resourceType" : "Bundle",
      "name" : "ServiceRequest search response for YMCA",
      "description" : "Search-set Bundle returning ServiceRequest and Patient for the Task posted to the YMCA"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Bundle/Scen3NotificationUpdatedTaskBundle"
          }
        }
      ],
      "resourceId" : "Scen3NotificationUpdatedTaskBundle",
      "resourceType" : "Bundle",
      "name" : "Subscription Notification that Task has updated",
      "description" : "Pointer to the Task that has been updated"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Bundle/Scen3NotificationCompletedTaskBundle"
          }
        }
      ],
      "resourceId" : "Scen3NotificationCompletedTaskBundle",
      "resourceType" : "Bundle",
      "name" : "Subscription Notification that Task has completed",
      "description" : "Pointer to the Task that has been updated"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Bundle/Scen3TaskEHRResponseBundle1"
          }
        }
      ],
      "resourceId" : "Scen3TaskEHRResponseBundle1",
      "resourceType" : "Bundle",
      "name" : "Accepted Task search response for EHR",
      "description" : "Search-set Bundle returning 'accepted' Task with id based on subscription notification",
      "containedInstance" : [
        {
          "resourceId" : "Scen3TaskYMCA",
          "versionId" : "2"
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Bundle/Scen3TaskEHRResponseBundle2"
          }
        }
      ],
      "resourceId" : "Scen3TaskEHRResponseBundle2",
      "resourceType" : "Bundle",
      "name" : "Completed Task search response for EHR",
      "description" : "Search-set Bundle returning 'completed' Task with id based on subscription notification",
      "containedInstance" : [
        {
          "resourceId" : "Scen3TaskYMCA",
          "versionId" : "3"
        }
      ]
    }
  ],
  "process" : [
    {
      "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" : {
            "number" : "1",
            "type" : "create",
            "name" : "Create EHR-monitoring Subscription",
            "initiator" : "YMCA",
            "receiver" : "mainClinic",
            "description" : "YMCA posts Subscription to EHR to monitor Tasks. Request: `POST https://mainClinic.example.org/fhir/Subscription`  Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen3SubscriptionEhr"
            }
          }
        }
      ]
    },
    {
      "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" : {
            "number" : "2",
            "type" : "create",
            "name" : "Create Task on YMCA",
            "initiator" : "mainClinic",
            "receiver" : "YMCA",
            "description" : "New Task is created directly on YMCA's server.  Request: `POST https://YMCA.example.org/fhir/Task` Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen3TaskYMCA",
              "versionId" : "1"
            }
          }
        },
        {
          "operation" : {
            "number" : "3",
            "type" : "search-type",
            "name" : "YMCA retrieves referral",
            "initiator" : "YMCA",
            "receiver" : "mainClinic",
            "description" : "YMCA retrieves the ServiceRequest and Patient referenced by the Task.",
            "request" : {
              "resourceId" : "Scen3query1"
            },
            "response" : {
              "resourceId" : "Scen3ServiceRequestYMCAResponseBundle"
            }
          }
        },
        {
          "operation" : {
            "number" : "4",
            "type" : "create",
            "name" : "EHR gets referral acceptance",
            "initiator" : "YMCA",
            "receiver" : "mainClinic",
            "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`",
            "request" : {
              "resourceId" : "Scen3NotificationUpdatedTaskBundle"
            }
          }
        },
        {
          "operation" : {
            "number" : "5",
            "type" : "search-type",
            "name" : "EHR retrieves in-progress Task",
            "initiator" : "mainClinic",
            "receiver" : "YMCA",
            "description" : "EHR retrieves the Task referenced by the subscription notification",
            "request" : {
              "resourceId" : "Scen3query2"
            },
            "response" : {
              "resourceId" : "Scen3TaskEHRResponseBundle1"
            }
          }
        }
      ]
    },
    {
      "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",
      "step" : [
        {
          "operation" : {
            "number" : "6",
            "type" : "create",
            "name" : "EHR gets referral acceptance",
            "initiator" : "YMCA",
            "receiver" : "mainClinic",
            "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`",
            "request" : {
              "resourceId" : "Scen3NotificationCompletedTaskBundle"
            }
          }
        },
        {
          "operation" : {
            "number" : "7",
            "type" : "search-type",
            "name" : "EHR retrieves completed Task",
            "initiator" : "mainClinic",
            "receiver" : "YMCA",
            "description" : "EHR retrieves the Task referenced by the subscription notification",
            "request" : {
              "resourceId" : "Scen3query2"
            },
            "response" : {
              "resourceId" : "Scen3TaskEHRResponseBundle2"
            }
          }
        }
      ]
    }
  ]
}