身體活動測量-範例2.0

本文件基於 [Physical Activity Measures](https://build.fhir.org/ig/HL7/physical-activity/measures.html#physical-activity-measures) 在 FHIR 上訂立之標準格式使用，進一步整理範例及相關說明。 [中文版-Physical Activity Measures](https://hackmd.io/@NJJrVhflSKK7g70OWfDcqA/ry5BqW-cp) ## 活動相關的測量 (Activity-based Measures) #### 進行的活動（步行/跑步/騎自行車/游泳/...） Activity performed (walk/run/bike/swim/...) ##### - 說明紀錄運動項目 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "Scen2ObsActivityType", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"Scen2ObsActivityType\"> </a><a name=\"hcScen2ObsActivityType\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "Scen2ObsActivityType" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Exercise activity (<a href=\"https://loinc.org/\">LOINC</a>#73985-4)subject: <a href=\"Patient-Scen2PatientJohansson.html\">Patient/Scen2PatientJohansson: Nancy Johansson</a> " JOHANSSON"effective: 2023-03-15performer: <a href=\"Patient-Scen2PatientJohansson.html\">Patient/Scen2PatientJohansson: Nancy Johansson</a> " JOHANSSON"value: Running (<a href=\"https://loinc.org/\">LOINC</a>#LA11836-6)</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "73985-4", "display" : "Exercise activity" } ] }, "subject" : { 🔗 "reference" : "Patient/Scen2PatientJohansson", "display" : "Nancy Johansson" }, "effectiveDateTime" : "2023-03-15", "performer" : [ { 🔗 "reference" : "Patient/Scen2PatientJohansson", "display" : "Nancy Johansson" } ], "valueCodeableConcept" : { "coding" : [ { "system" : "http://loinc.org", "code" : "LA11836-6", "display" : "Running" } ] } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為鍛鍊活動（LOINC #73985-4）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/Scen2PatientJohansson】 subject - display : 觀察對象姓名【此範例為 Nancy Johansson】 effectiveDateTime : 量測時間(年-月-日) 【此範例為 2023-03-15】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/Scen2PatientJohansson】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名【此範例為 Nancy Johansson】 valueCodeableConcept - code : 進行的活動之項目代碼【此範例為 LA11836-6】 valueCodeableConcept - display : 進行的活動之項目【此範例為 Running】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-Scen2ObsActivityType.html #### 活動時長 Activity duration ##### - 說明紀錄運動時長 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "ExampleActivityDuration", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"ExampleActivityDuration\"> </a><a name=\"hcExampleActivityDuration\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "ExampleActivityDuration" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Exercise duration (<a href=\"https://loinc.org/\">LOINC</a>#55411-3)subject: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>effective: 2022-06-08performer: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>value: 45 minutes (Details: UCUM code min = 'min')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "55411-3", "display" : "Exercise duration" } ] }, "subject" : { "reference" : "Patient/1", "display" : "Example Patient" }, "effectiveDateTime" : "2022-06-08", "performer" : [ { "reference" : "Patient/1", "display" : "Example Patient" } ], "valueQuantity" : { "value" : 45, "unit" : "minutes", "system" : "http://unitsofmeasure.org", "code" : "min" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為鍛鍊持續時間（LOINC #55411-3）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectiveDateTime : 量測時間(年-月-日) 【此範例為 2022-06-08】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/1】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 持續時間之值【此範例為 45】 valueQuantity - unit : 持續時間之單位【此範例為 minutes】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-ExampleActivityDuration.html #### 每項活動的中等體力活動分鐘數 Minutes of moderate physical activity per activity ##### - 說明紀錄中等體力活動時間長度 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "ExampleActivityModerate", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"ExampleActivityModerate\"> </a><a name=\"hcExampleActivityModerate\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "ExampleActivityModerate" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Moderate physical activity [IPAQ] (<a href=\"https://loinc.org/\">LOINC</a>#77592-4)subject: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>effective: 2022-06-08performer: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>value: 10 minutes (Details: UCUM code min = 'min')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "77592-4", "display" : "Moderate physical activity [IPAQ]" } ] }, "subject" : { "reference" : "Patient/1", "display" : "Example Patient" }, "effectiveDateTime" : "2022-06-08", "performer" : [ { "reference" : "Patient/1", "display" : "Example Patient" } ], "valueQuantity" : { "value" : 10, "unit" : "minutes", "system" : "http://unitsofmeasure.org", "code" : "min" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為中等體力活動( LOINC #77592-4)】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectiveDateTime: 量測時間(年-月-日) 【此範例為 2022-06-08】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/1】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 中等體力活動時間之值【此範例為 10】 valueQuantity - unit : 中等體力活動時間之單位【此範例為 minutes】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-ExampleActivityModerate.html #### 每次活動的劇烈體力活動分鐘數 Minutes of vigorous physical activity per activity ##### - 說明紀錄劇烈體力活動時間長度 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "ExampleActivityVigorous", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"ExampleActivityVigorous\"> </a><a name=\"hcExampleActivityVigorous\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "ExampleActivityVigorous" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Vigorous physical activity [IPAQ] (<a href=\"https://loinc.org/\">LOINC</a>#77593-2)subject: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>effective: 2022-06-08performer: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>value: 35 minutes (Details: UCUM code min = 'min')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "77593-2", "display" : "Vigorous physical activity [IPAQ]" } ] }, "subject" : { "reference" : "Patient/1", "display" : "Example Patient" }, "effectiveDateTime" : "2022-06-08", "performer" : [ { "reference" : "Patient/1", "display" : "Example Patient" } ], "valueQuantity" : { "value" : 35, "unit" : "minutes", "system" : "http://unitsofmeasure.org", "code" : "min" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為劇烈體力活動( LOINC #77593-2)】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectiveDateTime: 量測時間(年-月-日) 【此範例為 2022-06-08】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/1】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 劇烈體力活動時間之值【此範例為 35】 valueQuantity - unit : 劇烈體力活動時間之單位【此範例為 minutes】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-ExampleActivityVigorous.html #### 平均活動心率 Average activity heart rate ##### - 說明記錄未指定時間內的平均活動心率 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "Scen2ObsActivityMeanHR", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"Scen2ObsActivityMeanHR\"> </a><a name=\"hcScen2ObsActivityMeanHR\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "Scen2ObsActivityMeanHR" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Heart rate unspecified time mean by Pedometer (<a href=\"https://loinc.org/\">LOINC</a>#55425-3)subject: <a href=\"Patient-Scen2PatientJohansson.html\">Patient/Scen2PatientJohansson: Nancy Johansson</a> " JOHANSSON"effective: 2023-03-15performer: <a href=\"Patient-Scen2PatientJohansson.html\">Patient/Scen2PatientJohansson: Nancy Johansson</a> " JOHANSSON"value: 132 beats per minute (Details: UCUM code /min = '/min')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "55425-3", "display" : "Heart rate unspecified time mean by Pedometer" } ] }, "subject" : { 🔗 "reference" : "Patient/Scen2PatientJohansson", "display" : "Nancy Johansson" }, "effectiveDateTime" : "2023-03-15", "performer" : [ { 🔗 "reference" : "Patient/Scen2PatientJohansson", "display" : "Nancy Johansson" } ], "valueQuantity" : { "value" : 132, "unit" : "beats per minute", "system" : "http://unitsofmeasure.org", "code" : "/min" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為心率未指定時間均值( LOINC #55425-3)】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/Scen2PatientJohansson】 subject - display : 觀察對象姓名【此範例為 Nancy Johansson】 effectiveDateTime: 量測時間(年-月-日) 【此範例為 2023-03-15】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/Scen2PatientJohansson】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名【此範例為 Nancy Johansson】 valueQuantity - value : 平均活動心率之值【此範例為 132】 valueQuantity - unit : 平均活動心率之單位【此範例為 beats per minute】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-Scen2ObsActivityMeanHR.html #### 峰值活動心率 Peak activity heart rate ##### - 說明記錄未指定時間內的最大活動心率 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "ExampleActivityPeakHR", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"ExampleActivityPeakHR\"> </a><a name=\"hcExampleActivityPeakHR\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "ExampleActivityPeakHR" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Heart rate unspecified time maximum by Pedometer (<a href=\"https://loinc.org/\">LOINC</a>#55426-1)subject: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>effective: 2022-06-08performer: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>value: 178 beats per minute (Details: UCUM code /min = '/min')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "55426-1", "display" : "Heart rate unspecified time maximum by Pedometer" } ] }, "subject" : { "reference" : "Patient/1", "display" : "Example Patient" }, "effectiveDateTime" : "2022-06-08", "performer" : [ { "reference" : "Patient/1", "display" : "Example Patient" } ], "valueQuantity" : { "value" : 178, "unit" : "beats per minute", "system" : "http://unitsofmeasure.org", "code" : "/min" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為計步器未指定心率最大時間( LOINC #55426-1)】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectiveDateTime: 量測時間(年-月-日) 【此範例為 2022-06-08】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/1】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 峰值活動心率之值【此範例為 178】 valueQuantity - unit : 峰值活動心率之單位【此範例為 beats per minute】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-ExampleActivityPeakHR.html #### 每次活動的卡路里 Calories per activity ##### - 說明記錄每次活動中，在未指定時間內消耗的卡路里 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "ExampleActivityCalories", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"ExampleActivityCalories\"> </a><a name=\"hcExampleActivityCalories\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "ExampleActivityCalories" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Calories burned in unspecified time Pedometer (<a href=\"https://loinc.org/\">LOINC</a>#55424-6)subject: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>effective: 2022-06-08performer: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>value: 738 kilocalories (Details: UCUM code kcal = 'kcal')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "55424-6", "display" : "Calories burned in unspecified time Pedometer" } ] }, "subject" : { "reference" : "Patient/1", "display" : "Example Patient" }, "effectiveDateTime" : "2022-06-08", "performer" : [ { "reference" : "Patient/1", "display" : "Example Patient" } ], "valueQuantity" : { "value" : 738, "unit" : "kilocalories", "system" : "http://unitsofmeasure.org", "code" : "kcal" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為在未指定的時間內燃燒的卡路里計步器（LOINC #55424-6）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectiveDateTime : 量測時間(年-月-日) 【此範例為 2022-06-08】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/1】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 每次活動的卡路里之值【此範例為 738】 valueQuantity - unit : 每次活動的卡路里之單位【此範例為 kilocalories】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-ExampleActivityCalories.html #### 活動體驗 Experience of Activity ##### - 說明記錄某項活動的正面或負面體驗程度，屬於感覺量表代碼(code)對應程度: -5 Very Bad -4 -3 Bad -2 -1 Fairly Bad 0 Neutral 1 Fairly Good 2 3 Good 4 5 Very Good ##### - json 範例1 (純粹活動體驗) ``` json { "resourceType": "Observation", "status": "final", "code": { "coding": [ { "system": "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code": "Experience", "display": "Experience of Activity" } ] }, "subject": { "reference": "Patient/1", "display" : "Example Patient" }, "effectiveDateTime": "2024-04-23", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code": "3", "display": "Good" } ] } } ``` ##### - 代碼說明1 (純粹活動體驗) code : 代碼【此範例為活動體驗（臨時代碼 #Experience）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectiveDateTime : 量測時間(年-月-日) 【此範例為 2024-04-23】 valueCodeableConcept - code : 活動體驗之感受程度的代碼【此範例為 3】 valueCodeableConcept - display : 活動體驗之感受程度的說明【此範例為 Good】 ##### - json 範例2 (Running 運動 + 活動體驗) ``` json { "resourceType": "Observation", "id": "Scen2ObsActivityType", "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "activity" } ] }, { "coding": [ { "system": "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code": "PhysicalActivity" } ] } ], "code": { "coding": [ { "system": "http://loinc.org", "code": "73985-4", "display": "Exercise activity" } ] }, "subject": { "reference": "Patient/Scen2PatientJohansson", "display": "Nancy Johansson" }, "effectiveDateTime": "2023-03-15", "performer": [ { "reference": "Patient/Scen2PatientJohansson", "display": "Nancy Johansson" } ], "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code": "3", "display": "Good" } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"Scen2ObsActivityType\"> </a><a name=\"hcScen2ObsActivityType\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "Scen2ObsActivityType" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Exercise activity (<a href=\"https://loinc.org/\">LOINC</a>#73985-4)subject: <a href=\"Patient-Scen2PatientJohansson.html\">Patient/Scen2PatientJohansson: Nancy Johansson</a> " JOHANSSON"effective: 2023-03-15performer: <a href=\"Patient-Scen2PatientJohansson.html\">Patient/Scen2PatientJohansson: Nancy Johansson</a> " JOHANSSON"value: Running (<a href=\"https://loinc.org/\">LOINC</a>#LA11836-6)</div>" } } ``` ##### - 代碼說明2 (Running 運動 + 活動體驗) category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為鍛鍊活動（LOINC #73985-4）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/Scen2PatientJohansson】 subject - display : 觀察對象姓名【此範例為 Nancy Johansson】 effectiveDateTime : 量測時間(年-月-日) 【此範例為 2023-03-15】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/Scen2PatientJohansson】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名【此範例為 Nancy Johansson】 valueCodeableConcept - code : 活動體驗之感受程度的代碼【此範例為 3】 valueCodeableConcept - display : 活動體驗之感受程度的說明【此範例為 Good】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/CodeSystem-pa-temporary-codes.html 並協作於 ChapGPT ## 基於時間的測量 (Time-based Measures) #### 每日步數 Daily Step Count ##### - 說明記錄每日步數 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "Scen4ObservationDailySteps", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"Scen4ObservationDailySteps\"> </a><a name=\"hcScen4ObservationDailySteps\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "Scen4ObservationDailySteps" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Number of steps in 24 hour Measured (<a href=\"https://loinc.org/\">LOINC</a>#41950-7)subject: <a href=\"Patient-Scen4PatientScarborough.html\">Patient/Scen4PatientScarborough: Jessica Scarborough</a> " SCARBOROUGH"effective: 2023-09-11 12:00:00-0700performer: <a href=\"Patient-Scen4PatientScarborough.html\">Patient/Scen4PatientScarborough: Jessica Scarborough</a> " SCARBOROUGH"value: 3000 steps per day (Details: UCUM code /d = '/d')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "41950-7", "display" : "Number of steps in 24 hour Measured" } ] }, "subject" : { 🔗 "reference" : "Patient/Scen4PatientScarborough", "display" : "Jessica Scarborough" }, "effectiveDateTime" : "2023-09-11", "performer" : [ { 🔗 "reference" : "Patient/Scen4PatientScarborough", "display" : "Jessica Scarborough" } ], "valueQuantity" : { "value" : 3000, "unit" : "steps per day", "system" : "http://unitsofmeasure.org", "code" : "/d" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為 24 小時內測量的步數（LOINC #41950-7）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/Scen4PatientScarborough】 subject - display : 觀察對象姓名【此範例為 Jessica Scarborough】 effectiveDateTime : 量測時間(年-月-日) 【此範例為 2023-09-11】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/Scen4PatientScarborough】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 每日步數之值【此範例為 3000】 valueQuantity - unit : 每日步數之單位【此範例為 steps per day】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-Scen4ObservationDailySteps.html #### 每日高峰心率 Peak daily heart rate ##### - 說明記錄每日最高心率 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "ExamplePeakDailyHeartRate", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"ExamplePeakDailyHeartRate\"> </a><a name=\"hcExamplePeakDailyHeartRate\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "ExamplePeakDailyHeartRate" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Heart rate 24 hour maximum (<a href=\"https://loinc.org/\">LOINC</a>#8873-2)subject: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>effective: 2022-06-08performer: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>value: 178 beats per minute (Details: UCUM code /min = '/min')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "8873-2", "display" : "Heart rate 24 hour maximum" } ] }, "subject" : { "reference" : "Patient/1", "display" : "Example Patient" }, "effectiveDateTime" : "2022-06-08", "performer" : [ { "reference" : "Patient/1", "display" : "Example Patient" } ], "valueQuantity" : { "value" : 178, "unit" : "beats per minute", "system" : "http://unitsofmeasure.org", "code" : "/min" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為心率 24 小時最大（LOINC #8873-2）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectiveDateTime : 量測時間(年-月-日) 【此範例為 2022-06-08】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/1】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 每日高峰心率之值【此範例為 178】 valueQuantity - unit : 每日高峰心率之單位【此範例為 beats per minute】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-ExamplePeakDailyHeartRate.html #### 平均靜止心率 Average resting heart rate ##### - 說明記錄在靜止狀態下（例如坐著或躺著），心臟每分鐘跳動的平均次數 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "ExampleAverageRestingHeartRate", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"ExampleAverageRestingHeartRate\"> </a><a name=\"hcExampleAverageRestingHeartRate\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "ExampleAverageRestingHeartRate" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Heart rate --resting (<a href=\"https://loinc.org/\">LOINC</a>#40443-4)subject: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>effective: 2022-06-01 --> 2022-06-08performer: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>value: 68 beats per minute (Details: UCUM code /min = '/min')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "40443-4", "display" : "Heart rate --resting" } ] }, "subject" : { "reference" : "Patient/1", "display" : "Example Patient" }, "effectivePeriod" : { "start" : "2022-06-01", "end" : "2022-06-08" }, "performer" : [ { "reference" : "Patient/1", "display" : "Example Patient" } ], "valueQuantity" : { "value" : 68, "unit" : "beats per minute", "system" : "http://unitsofmeasure.org", "code" : "/min" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為心率－靜止（LOINC #40443-4）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectivePeriod - start : 量測開始時間(年-月-日) 【此範例為 2022-06-01】 effectivePeriod - end : 量測結束時間(年-月-日) 【此範例為 2022-06-08】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/1】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 平均靜止心率之值【此範例為 68】 valueQuantity - unit : 平均靜止心率之單位【此範例為 beats per minute】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-ExampleAverageRestingHeartRate.html #### 每天卡路里 Calories per Day ##### - 說明記錄每天消耗的卡路里 ##### - json 範例 ``` json { "resourceType" : "Observation", "id" : "ExampleCaloriesPerDay", "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative: Observation<a name=\"ExampleCaloriesPerDay\"> </a><a name=\"hcExampleCaloriesPerDay\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\">Resource Observation "ExampleCaloriesPerDay" </div>status: finalcategory: Activity (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#activity), Physical Activity (<a href=\"CodeSystem-pa-temporary-codes.html\">Temporary Codes</a>#PhysicalActivity)code: Calories burned in 24 hour Calculated (<a href=\"https://loinc.org/\">LOINC</a>#41979-6)subject: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>effective: 2022-06-08performer: <a href=\"http://example.org/Patient/1\">http://example.org/Patient/1: Example Patient</a>value: 1561 kilokalories per day (Details: UCUM code kcal/d = 'kcal/d')</div>" }, "status" : "final", "category" : [ { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "activity" } ] }, { "coding" : [ { "system" : "http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes", "code" : "PhysicalActivity" } ] } ], "code" : { "coding" : [ { "system" : "http://loinc.org", "code" : "41979-6", "display" : "Calories burned in 24 hour Calculated" } ] }, "subject" : { "reference" : "Patient/1", "display" : "Example Patient" }, "effectiveDateTime" : "2022-06-08", "performer" : [ { "reference" : "Patient/1", "display" : "Example Patient" } ], "valueQuantity" : { "value" : 1561, "unit" : "kilokalories per day", "system" : "http://unitsofmeasure.org", "code" : "kcal/d" } } ``` ##### - 代碼說明 category : 類別【此範例有活動（觀察類別代碼 #activity），體力活動（臨時代碼 #PhysicalActivity）】 code : 代碼【此範例為計算 24 小時內燃燒的卡路里（LOINC #41979-6）】 subject - reference : 觀察對象(patient/觀察對象之ID) 【此範例為 Patient/1】 subject - display : 觀察對象姓名 effectiveDateTime : 量測時間(年-月-日) 【此範例為 2022-06-08】 performer - reference : 負責觀察者(負責觀察者之類型/負責觀察者之ID) 【此範例為 Patient/1】 p.s. 負責觀察者之類型，也可能為以下幾種: - Practitioner 觀察的醫護人員(醫生、護士、教練...) - Device 觀察的醫療設備(運動手錶、跑步機...) - Patient 自行執行觀察 - RelatedPerson 相關人員(家人、親戚、朋友...) performer - display : 負責觀察者姓名 valueQuantity - value : 每天卡路里之值【此範例為 1561】 valueQuantity - unit : 每天卡路里之單位【此範例為 kilokalories per day】 ##### - 參考資料 https://build.fhir.org/ig/HL7/physical-activity/Observation-ExampleCaloriesPerDay.html