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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

FHIR Background

Page standards status: Informative

Contents:

Understanding FHIR

This implementation guide is based on the HL7 FHIR standard. It uses terminology, notations and design principles that are specific to FHIR. Before reading this implementation guide, it is important to be familiar with some of the basic principles of FHIR as well as general guidance on how to read FHIR specifications. Readers who are unfamiliar with FHIR are encouraged to read (or at least skim) the following prior to reading the rest of this implementation guide.

Feel free to explore other aspects of the FHIR specification that you feel may be relevant or of interest.

Resources

This implementation guide defines profiles on several resources. It also leverages profiles from underlying guides. Where implementers adhere to one of the profiles defined in this guide, they will also need to adhere to the base expectations defined in the profiled resource. The table below lists all resources used as part of the current IG and indicates where they are used, as well as which profiles apply. Implementers are strongly encouraged to read through the introductions and implementation notes associated with each resource they will implement, though not all resource guidance will necessarily apply in the context of implementing this guide.

FHIR Resource Use Profile(s) Defining IG
CarePlan Used to share planned approaches to help the patient become more physically active. For more information, see the Plans & Interventions page. PA Care Plan Physical Activity
Condition Allows sharing a formal diagnosis of insufficient exercise. For more information, see the Workflow page. PA Condition - Low Physical Activity Physical Activity
DiagnosticReport Allows sharing an interim or final summary of actions taken as part of a referral and/or recommendations for next steps. For more information, see the Plans & Interventions page. PA Intervention Report Physical Activity
DocumentReference Allows packaging or pointing to a PDF or video a provider would like the patient to review. Used as part of the Patient Task process described in the SDOH Patient Coordination Workflow. US Core DocumentReference US Core
Goal Used to share targets for physical activity measures. For more information, see the Plans & Interventions page. PA Goal Physical Activity
HealthCareService Allows indicating the contact information for a provider to call or visit. Used as part of the Patient Task process described in the SDOH Patient Coordination Workflow. SDOHCC Healthcare Service Gravity SDOH
Observation Used to capture and share various measures of physical activity. For more information, see the Measures page. PA Measure - Base , PA Measure - EVS Base, PA Measure - Activity Group, PA Measure - Activity-based, PA Measure - EVS Days/Week, PA Measure - EVS Minutes/Day, PA Measure - EVS Minutes/Week, PA Measure - Strength Days/Week, and PA Measure - Time-based Physical Activity
Organization Used to indicate a performer of a referal and/or to indicate what delivery organization a given provider works for. Referenced by many of the other resources. US Core Organization US Core
Patient Used to indicate the subject of care - i.e. the individual being assisted in improving or sustaining their levels of physical activity. For discussion on the use of the word 'patient', see the Design Considerations page. US Core Patient US Core
Practitioner An individual involved in the care delivery process, independent of what organization they work for or what 'hat' they are wearing. Used in most resources to represent requesters, performers, etc. For further discussion of practitioners, see the Design Considerations page. US Core Practitioner US Core
PractitionerRole Someone involved in the care delivery process with the ability to identify the specific individual, the organization they are working for, and/or the 'hat' they are wearing. Used in most resources to represent requesters, performers, etc. when more than just the individual is relevant. For further discussion of practitioners, see the Design Considerations page. US Core PractitionerRole US Core
Questionnaire Allows sharing a specific form to be filled out by a patient or caregiver as part of the care coordination process. Used as part of the Patient Task process described in the SDOH Patient Coordination Workflow. SDC Base Questionnaire SDC
QuestionnaireResponse Allows sharing a partially or fully completed formform that was filled out by a patient or caregiver. Used as part of the Patient Task process described in the SDOH Patient Coordination Workflow. SDC Questionnaire Response SDC
RelatedPerson Allows capturing the participation of caregivers such as family members or neighbors (rather than only the patient) in the process - as authors, performers, subjects, etc. For more information on the involvement of caregivers, see the Design Considerations page. PA Related Person Physical Activity
Service Request Can be used to represent either an exercise prescription - an order for physical activity directed at the patient, or a referral - a request for another provider or organization to assist with the patient's physical activity in some way. PA Physical Activity
Task Used to monitor the process of asking someone to do something, as well as tracking the status of the resulting execution and providing any results of the action back to the requester. Used when seeking actions by a patient or caregiver as part of the SDOH Patient Coordination Workflow, as well as when asking a Service Provider to fulfill a referral. SDOHCC Task for Patient Gravity SDOH
PA Physical Activity