Physical Activity Implementation Guide
1.0.0 - STU Release 1 United States of America flag

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 5 - Patient-Provider Communication on Activity and Blood Glucose Observations - JSON Representation

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{
  "resourceType" : "ExampleScenario",
  "id" : "Scen5ActivityAndGlucoseObservations",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ExampleScenario</b><a name=\"Scen5ActivityAndGlucoseObservations\"> </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;Scen5ActivityAndGlucoseObservations&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen5ActivityAndGlucoseObservations</code></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: PatientProviderCommunicationonActivityandBloodGlucoseObservations</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</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>: patient-app</p><p><b>type</b>: entity</p><p><b>name</b>: Rosalie's phone app</p><p><b>description</b>: An app on Rosalie's phone with access to Nadia's record</p></blockquote><blockquote><p><b>actor</b></p><p><b>actorId</b>: flores-ehr</p><p><b>type</b>: entity</p><p><b>name</b>: Mercy Clinic</p><p><b>description</b>: System that manages data for Dr. Flores's clinic</p></blockquote><blockquote><p><b>actor</b></p><p><b>actorId</b>: shea-ehr</p><p><b>type</b>: entity</p><p><b>name</b>: Mrs. O’Shea's app</p><p><b>description</b>: System that manages data for Mrs. O'She's practice</p></blockquote><blockquote><p><b>instance</b></p><p><b>resourceId</b>: Scen5query1</p><p><b>resourceType</b>: Binary</p><p><b>name</b>: Query for PA and blood glucose observations</p><p><b>description</b>: Query for observations that Mrs. O'Shea has access to related to Rosalie: `GET https://mercy.example.org/fhir/Observation?patient=Patient/Scen5PatientRosalie&amp;status=completed,amended,corrected&amp;category=http%3A//hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes|PhysicalActivity,http%3A//terminology.hl7.org/CodeSystem/observation-category|laboratory`</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Observation-Scen5ObsBloodGlucose.html\">Observation/Scen5ObsBloodGlucose</a></p><p><b>resourceId</b>: Scen5ObsBloodGlucose</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Blood Glucose Observation for Rosalie</p><p><b>description</b>: Sample blood-glucose level captured for Rosalie by her mother.  (In practice there would be many.)</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Observation-Scen5ObsActivityGroup.html\">Observation/Scen5ObsActivityGroup</a></p><p><b>resourceId</b>: Scen5ObsActivityGroup</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Activity Panel Observation for Rosalie</p><p><b>description</b>: Sample collection of information about one of Rosalie's exercise activities as recorded by her mother.  (In practice there would be many.)</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Observation-Scen5ObsActivityType.html\">Observation/Scen5ObsActivityType</a></p><p><b>resourceId</b>: Scen5ObsActivityType</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Activity Type Observation for Rosalie</p><p><b>description</b>: Sample record of what type of exercise activity Rosalie was doing as recorded by her mother.  (In practice there would be many.)</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Observation-Scen5ObsActivityDuration.html\">Observation/Scen5ObsActivityDuration</a></p><p><b>resourceId</b>: Scen5ObsActivityDuration</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Activity Duration Observation for Rosalie</p><p><b>description</b>: Sample record of the duration of exercise activity Rosalie was doing as recorded by her mother.  (In practice there would be many.)</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Observation-Scen5ObsActivityModerate.html\">Observation/Scen5ObsActivityModerate</a></p><p><b>resourceId</b>: Scen5ObsActivityModerate</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Moderate Duation Observation for Rosalie</p><p><b>description</b>: Sample record of the duration of moderate exercise activity Rosalie was doing as recorded by her mother.  (In practice there would be many.)</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Observation-Scen5ObsActivityVigorous.html\">Observation/Scen5ObsActivityVigorous</a></p><p><b>resourceId</b>: Scen5ObsActivityVigorous</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Vigorous Duration Observation for Rosalie</p><p><b>description</b>: Sample record of the duration of vigorous exercise activity Rosalie was doing as recorded by her mother.  (In practice there would be many.)</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Observation-Scen5ObsActivityMeanHR.html\">Observation/Scen5ObsActivityMeanHR</a></p><p><b>resourceId</b>: Scen5ObsActivityMeanHR</p><p><b>resourceType</b>: Observation</p><p><b>name</b>: Mean Heart Rate Observation for Rosalie</p><p><b>description</b>: Sample record of Rosalie's average heart rate during her exercise activity as recorded by her mother.  (In practice there would be many.)</p></blockquote><blockquote><p><b>instance</b></p><p><b>Extension Definition for ExampleScenario.instance.content for Version 5.0</b>: <a href=\"Bundle-Scen5ObservationsResponseBundle.html\">Bundle/Scen5ObservationsResponseBundle</a></p><p><b>resourceId</b>: Scen5ObservationsResponseBundle</p><p><b>resourceType</b>: Bundle</p><p><b>name</b>: Observations retrieved by Mrs. O'Shea</p><p><b>description</b>: Search-set Bundle returning Rosalie's observations (that Mrs. O'Shea has access to)</p><h3>ContainedInstances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ResourceId</b></td></tr><tr><td style=\"display: none\">*</td><td>Scen5ObsActivityMeanHR</td></tr></table></blockquote><blockquote><p><b>process</b></p><p><b>title</b>: Observation Creation</p><p><b>description</b>: Nadia records observations for Rosalie.  While only a limited number of records are captured here, in practice there would likely be multiple glucose readings and activity entries per day every day.</p><p><b>preConditions</b>: Nadia has credentials on Dr. Flores's EHR system.</p><p><b>postConditions</b>: Dr. Flores's system has detailed records of Rosalie's blood glucose readings and exercise levels.</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>: Record blood glucose</p><p><b>initiator</b>: patient-app</p><p><b>receiver</b>: flores-ehr</p><p><b>description</b>: Nadia's app transmits Rosalie's blood glucose measurement to Dr. Flores's EHR.  (NOTE: This type of data is outside the scope of this IG, but is covered by US Core.) Request: `POST https://mercy.example.org/fhir/Observation`  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>Scen5ObsBloodGlucose</td></tr></table></blockquote></blockquote><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>: Record activity group</p><p><b>initiator</b>: patient-app</p><p><b>receiver</b>: flores-ehr</p><p><b>description</b>: Nadia's app transmits a grouper describing Rosalie's exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  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>Scen5ObsActivityGroup</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>: create</p><p><b>name</b>: Record activity type</p><p><b>initiator</b>: patient-app</p><p><b>receiver</b>: flores-ehr</p><p><b>description</b>: Nadia's app transmits Rosalie's type of exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  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>Scen5ObsActivityType</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>: Record activity duration</p><p><b>initiator</b>: patient-app</p><p><b>receiver</b>: flores-ehr</p><p><b>description</b>: Nadia's app transmits Rosalie's duration of exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  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>Scen5ObsActivityDuration</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>: create</p><p><b>name</b>: Record moderate activity</p><p><b>initiator</b>: patient-app</p><p><b>receiver</b>: flores-ehr</p><p><b>description</b>: Nadia's app transmits Rosalie's duration of moderate exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  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>Scen5ObsActivityModerate</td></tr></table></blockquote></blockquote><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>: Record vigorous activity</p><p><b>initiator</b>: patient-app</p><p><b>receiver</b>: flores-ehr</p><p><b>description</b>: Nadia's app transmits Rosalie's duration of vigorous exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  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>Scen5ObsActivityVigorous</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>: create</p><p><b>name</b>: Record mean heart rate</p><p><b>initiator</b>: patient-app</p><p><b>receiver</b>: flores-ehr</p><p><b>description</b>: Nadia's app transmits Rosalie's average heart rate during exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  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>Scen5ObsActivityMeanHR</td></tr></table></blockquote></blockquote></blockquote><blockquote><p><b>process</b></p><p><b>title</b>: Observation Retrieval</p><p><b>description</b>: Mrs. O'Shea uses her app retrieves the observations created by Nadia from Dr. Flores's EHR.</p><p><b>preConditions</b>: Mrs. O'Shea has permision to retrieve certain types observations for Rosalie.  (There would generally need to be a consent on file with Dr. Flores's clinic.)</p><p><b>postConditions</b>: Mrs. O'Shea can see the observations about Rosalie.</p><blockquote><p><b>step</b></p><blockquote><p><b>operation</b></p><p><b>number</b>: 8</p><p><b>type</b>: search-type</p><p><b>name</b>: Retrieve Rosalie's observations</p><p><b>initiator</b>: shea-ehr</p><p><b>receiver</b>: flores-ehr</p><p><b>description</b>: Search to retrieve observations about Rosalie that Mrs. O'Shea has a right to see.</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>Scen5query1</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>Scen5ObservationsResponseBundle</td></tr></table></blockquote></blockquote></blockquote></div>"
  },
  "url" : "http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen5ActivityAndGlucoseObservations",
  "version" : "1.0.0",
  "name" : "PatientProviderCommunicationonActivityandBloodGlucoseObservations",
  "status" : "draft",
  "experimental" : true,
  "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" : "patient-app",
      "type" : "entity",
      "name" : "Rosalie's phone app",
      "description" : "An app on Rosalie's phone with access to Nadia's record"
    },
    {
      "actorId" : "flores-ehr",
      "type" : "entity",
      "name" : "Mercy Clinic",
      "description" : "System that manages data for Dr. Flores's clinic"
    },
    {
      "actorId" : "shea-ehr",
      "type" : "entity",
      "name" : "Mrs. O’Shea's app",
      "description" : "System that manages data for Mrs. O'She's practice"
    }
  ],
  "instance" : [
    {
      "resourceId" : "Scen5query1",
      "resourceType" : "Binary",
      "name" : "Query for PA and blood glucose observations",
      "description" : "Query for observations that Mrs. O'Shea has access to related to Rosalie: `GET https://mercy.example.org/fhir/Observation?patient=Patient/Scen5PatientRosalie&status=completed,amended,corrected&category=http%3A//hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes|PhysicalActivity,http%3A//terminology.hl7.org/CodeSystem/observation-category|laboratory`"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Observation/Scen5ObsBloodGlucose"
          }
        }
      ],
      "resourceId" : "Scen5ObsBloodGlucose",
      "resourceType" : "Observation",
      "name" : "Blood Glucose Observation for Rosalie",
      "description" : "Sample blood-glucose level captured for Rosalie by her mother.  (In practice there would be many.)"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Observation/Scen5ObsActivityGroup"
          }
        }
      ],
      "resourceId" : "Scen5ObsActivityGroup",
      "resourceType" : "Observation",
      "name" : "Activity Panel Observation for Rosalie",
      "description" : "Sample collection of information about one of Rosalie's exercise activities as recorded by her mother.  (In practice there would be many.)"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Observation/Scen5ObsActivityType"
          }
        }
      ],
      "resourceId" : "Scen5ObsActivityType",
      "resourceType" : "Observation",
      "name" : "Activity Type Observation for Rosalie",
      "description" : "Sample record of what type of exercise activity Rosalie was doing as recorded by her mother.  (In practice there would be many.)"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Observation/Scen5ObsActivityDuration"
          }
        }
      ],
      "resourceId" : "Scen5ObsActivityDuration",
      "resourceType" : "Observation",
      "name" : "Activity Duration Observation for Rosalie",
      "description" : "Sample record of the duration of exercise activity Rosalie was doing as recorded by her mother.  (In practice there would be many.)"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Observation/Scen5ObsActivityModerate"
          }
        }
      ],
      "resourceId" : "Scen5ObsActivityModerate",
      "resourceType" : "Observation",
      "name" : "Moderate Duation Observation for Rosalie",
      "description" : "Sample record of the duration of moderate exercise activity Rosalie was doing as recorded by her mother.  (In practice there would be many.)"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Observation/Scen5ObsActivityVigorous"
          }
        }
      ],
      "resourceId" : "Scen5ObsActivityVigorous",
      "resourceType" : "Observation",
      "name" : "Vigorous Duration Observation for Rosalie",
      "description" : "Sample record of the duration of vigorous exercise activity Rosalie was doing as recorded by her mother.  (In practice there would be many.)"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Observation/Scen5ObsActivityMeanHR"
          }
        }
      ],
      "resourceId" : "Scen5ObsActivityMeanHR",
      "resourceType" : "Observation",
      "name" : "Mean Heart Rate Observation for Rosalie",
      "description" : "Sample record of Rosalie's average heart rate during her exercise activity as recorded by her mother.  (In practice there would be many.)"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content",
          "valueReference" : {
            "reference" : "Bundle/Scen5ObservationsResponseBundle"
          }
        }
      ],
      "resourceId" : "Scen5ObservationsResponseBundle",
      "resourceType" : "Bundle",
      "name" : "Observations retrieved by Mrs. O'Shea",
      "description" : "Search-set Bundle returning Rosalie's observations (that Mrs. O'Shea has access to)",
      "containedInstance" : [
        {
          "resourceId" : "Scen5ObsActivityMeanHR"
        }
      ]
    }
  ],
  "process" : [
    {
      "title" : "Observation Creation",
      "description" : "Nadia records observations for Rosalie.  While only a limited number of records are captured here, in practice there would likely be multiple glucose readings and activity entries per day every day.",
      "preConditions" : "Nadia has credentials on Dr. Flores's EHR system.",
      "postConditions" : "Dr. Flores's system has detailed records of Rosalie's blood glucose readings and exercise levels.",
      "step" : [
        {
          "operation" : {
            "number" : "1",
            "type" : "create",
            "name" : "Record blood glucose",
            "initiator" : "patient-app",
            "receiver" : "flores-ehr",
            "description" : "Nadia's app transmits Rosalie's blood glucose measurement to Dr. Flores's EHR.  (NOTE: This type of data is outside the scope of this IG, but is covered by US Core.) Request: `POST https://mercy.example.org/fhir/Observation`  Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen5ObsBloodGlucose"
            }
          }
        },
        {
          "operation" : {
            "number" : "2",
            "type" : "create",
            "name" : "Record activity group",
            "initiator" : "patient-app",
            "receiver" : "flores-ehr",
            "description" : "Nadia's app transmits a grouper describing Rosalie's exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen5ObsActivityGroup"
            }
          }
        },
        {
          "operation" : {
            "number" : "3",
            "type" : "create",
            "name" : "Record activity type",
            "initiator" : "patient-app",
            "receiver" : "flores-ehr",
            "description" : "Nadia's app transmits Rosalie's type of exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen5ObsActivityType"
            }
          }
        },
        {
          "operation" : {
            "number" : "4",
            "type" : "create",
            "name" : "Record activity duration",
            "initiator" : "patient-app",
            "receiver" : "flores-ehr",
            "description" : "Nadia's app transmits Rosalie's duration of exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen5ObsActivityDuration"
            }
          }
        },
        {
          "operation" : {
            "number" : "5",
            "type" : "create",
            "name" : "Record moderate activity",
            "initiator" : "patient-app",
            "receiver" : "flores-ehr",
            "description" : "Nadia's app transmits Rosalie's duration of moderate exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen5ObsActivityModerate"
            }
          }
        },
        {
          "operation" : {
            "number" : "6",
            "type" : "create",
            "name" : "Record vigorous activity",
            "initiator" : "patient-app",
            "receiver" : "flores-ehr",
            "description" : "Nadia's app transmits Rosalie's duration of vigorous exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen5ObsActivityVigorous"
            }
          }
        },
        {
          "operation" : {
            "number" : "7",
            "type" : "create",
            "name" : "Record mean heart rate",
            "initiator" : "patient-app",
            "receiver" : "flores-ehr",
            "description" : "Nadia's app transmits Rosalie's average heart rate during exercise to Dr. Flores's EHR. Request: `POST https://mercy.example.org/fhir/Observation`  Response: `201 Created`",
            "request" : {
              "resourceId" : "Scen5ObsActivityMeanHR"
            }
          }
        }
      ]
    },
    {
      "title" : "Observation Retrieval",
      "description" : "Mrs. O'Shea uses her app retrieves the observations created by Nadia from Dr. Flores's EHR.",
      "preConditions" : "Mrs. O'Shea has permision to retrieve certain types observations for Rosalie.  (There would generally need to be a consent on file with Dr. Flores's clinic.)",
      "postConditions" : "Mrs. O'Shea can see the observations about Rosalie.",
      "step" : [
        {
          "operation" : {
            "number" : "8",
            "type" : "search-type",
            "name" : "Retrieve Rosalie's observations",
            "initiator" : "shea-ehr",
            "receiver" : "flores-ehr",
            "description" : "Search to retrieve observations about Rosalie that Mrs. O'Shea has a right to see.",
            "request" : {
              "resourceId" : "Scen5query1"
            },
            "response" : {
              "resourceId" : "Scen5ObservationsResponseBundle"
            }
          }
        }
      ]
    }
  ]
}