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Physical Activity Implementation Guide (Jira PSS-2091)

Basics

Physical Activity Implementation Guide (Jira PSS-2091)

1770
Ballot - STU to Normative


FHIR Implementation Guide

Implementation Guide

Details

This project will create and encourage the adoption of a FHIR implementation guide that standardizes:

- the capture of information about a patient's physical activity level - specifically the LOINC exercise vital sign (https://loinc.org/89574-8/)

- the diagnosis of patients whose level of physical activity is negatively impacting their current and future health and wellbeing (e.g. using codes from the International Classification of Function, SNOMED or ICD10),

- the creation of care plans with goals and targets to improve physical activity levels

- the ordering interventions to enhance patients' physical activity,

- the supporting information needed for prior authorization and billing insurance for those interventions, and

- data and processes to monitor the impact of those interventions.

The intention is to ensure that supporting and encouraging patient physical activity becomes an integral part of patient health management.


Being physically active is one of the most important lifestyle behaviors people can engage in to maintain physical and mental health and well-being. It is relevant across almost all age groups, from preschoolers to the elderly. Regular physical activity is both health-promoting and important for chronic disease and infectious disease treatment and prevention with numerous benefits that contribute to a disability-free lifespan. Active living can also enhance social connectedness, quality of life, and environmental sustainability.

Currently in the US, one in four adults are physically inactive with increasing prevalence across some geographies and in certain race/ethnicities. Only 26 percent of men, 19 percent of women, and 20 percent of adolescents, report sufficient activity to meet the relevant aerobic and muscle-strengthening physical activity guidelines. The current levels of physical inactivity in the US population create $117 billion in annual healthcare costs and contribute about 10 percent of premature mortality. Even so, current population physical activity levels avert 3.9 million premature deaths globally and 140,200 premature deaths in the US on an annual basis.



FHIR IG R1 - Informative/STU to Normative - Target: 2023 May Ballot Cycle


https://github.com/HL7/physical-activity PSS: https://jira.hl7.org/browse/PSS-2091

Physical Activity Alliance will be encouraging its members and expert advisory group to engage with HL7 as part of this work.

The IG will leverage content from US Core and Gravity SDOH, possibly other implementation guides.


Kaiser Permanente


It's time to Move


N/A

N/A

No

2023 August: TSC approved STU Publication Request for HL7 FHIR Implementation Guide: Physical Activity, Release 1 - US Realm Stakeholders: Academic/Research, Association/Goverment Agency, Consultant, Healthcare IT Vendors, Healthcare Provider/user, Patients, Payer/Third Party Administrator, Providers, Regulatory Agency, Vendor/Manufacturer Other Stakeholders: Ancillary providers, including health and fitness professionals, personal trainers, community-based fitness centers, etc.
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Lloyd McKenzie



Patient Care Work Group

Clinical Interoperability Council Work Group

Status & Dates

Active

STU - Test Period/Accepting Comments

05/27/2022

09/01/2025

2025 Sept WGM/Ballot

09/01/2025

2025 Sept WGM/Ballot

Approvals

06/27/2022


Received


All Received




US Realm -- Agreed -- (PSS-2093)
FHIR Management Group -- Agreed -- (PSS-2097)
Financial Management -- Agreed -- (PSS-2098)
System Info

189848

PSS-2091



02/02/2026

Jira Project Service