Prescribed exercise and exercise event (quantitative)

Hi,

I am currently working with a Cystic Fibrosis team wishing to capture prescribed and undertaken (self administered) breath exercises for clearing airways.

The prescription (Service Request?) is of the form ‘10 sets of 10 deep breaths, twice per day’, though the specific numbers are variable.

The exercises (Procedure?) are what the person actually achieved, so could be any number of breaths for each exercise period.

However, we are having trouble encoding this in a systematic way into the resources mentioned above, without hacking annotation or something similar. Is there an established way of recording these sorts of prescriptions/adherence data?

Thanks!

The best way to do this would be to have Timing on Procedure as well - as Procedure can be used to convey summary information as well as detailed information about a single repetition. I’d recommend submitting a change request to have Timing added as one of the allowed types for performed[x]. In the short term, you could use an extension.

The Procedure would tie to the ServiceRequest using ‘basedOn’

I’d recommend submitting a change request to have Timing added as one of the allowed types for performed[x].

No need for a change request since the current build already supports Timing (performed was renamed occurrence)
http://build.fhir.org/procedure-definitions.html#Procedure.occurrence_x_

In R4, we have an extension (which has been promoted to occurrence in the current build)
http://hl7.org/fhir/R4/extension-procedure-schedule.html

Thanks for your replies, we’ll look at how they fit with our requirements.