{
    "resourceType": "ActivityDefinition",
    "id": "58aa3751-f324-4d89-9fb9-cd8b6e5ac781",
    "url": "https://fhir.england.nhs.uk/ActivityDefinition/NHSHealthCheck",
    "identifier":  [
        {
            "use": "official",
            "system": "https://fhir.england.nhs.uk/programmes",
            "value": "NHSHealthCheck"
        }
    ],
    "version": "1.1.0",
    "name": "NHSHealthCheck",
    "title": "NHS Health Check",
    "status": "active",
    "intent": "order",
    "experimental": true,
    "date": "03/03/2017 14:06:00",
    "publisher": "NHS England",
    "description": "The NHS Health Check is a health check-up for adults in England aged 40 to 74. It's designed to spot early signs of stroke, kidney disease, heart disease, type 2 diabetes or dementia. As we get older, we have a higher risk of developing one of these conditions. An NHS Health Check helps find ways to lower this risk.",
    "usage": "The check is for people who are aged 40 to 74 who do not have any of the following pre-existing conditions: \n\n - heart disease \n - chronic kidney disease \n - diabetes \n - high blood pressure (hypertension) \n - atrial fibrillation \n - transient ischaemic attack \n - inherited high cholesterol (familial hypercholesterolemia) \n - heart failure \n - peripheral arterial disease \n - stroke \n - currently being prescribed statins to lower cholesterol \n - previous checks have found that you have a 20% or higher risk of getting cardiovascular disease over the next 10 years. \n\n If you're in the 40 to 74 age group without a pre-existing condition, you should receive a letter from your GP surgery or local council inviting you for a free NHS Health Check every 5 years. You can also call your GP surgery to book a Health Check. You may want to try this online [Heart Age test](https://www.nhs.uk/health-assessment-tools/calculate-your-heart-age).",
    "jurisdiction":  [
        {
            "coding":  [
                {
                    "system": "urn:iso:std:iso:3166",
                    "code": "GB"
                }
            ]
        }
    ],
    "copyright": "© Copyright 2016 NHS England.",
    "approvalDate": "2017-03-01",
    "lastReviewDate": "2017-03-01",
    "effectivePeriod": {
        "start": "2017-03-01"
    },
    "relatedArtifact":  [
        {
            "type": "documentation",
            "display": "NHS Health Check",
            "url": "https://www.nhs.uk/conditions/nhs-health-check/"
        }
    ],
    "kind": "ServiceRequest",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "275926002"
            }
        ],
        "text": "Screening - health check"
    },
    "participant":  [
        {
            "type": "practitioner"
        }
    ],
    "observationResultRequirement":  [
        {
            "display": "A FHIR **DiagnositicReport** with PDF attachment or FHIR **QuestionaireResponse**. **Observation**'s are optional"
        }
    ]
}

<ActivityDefinition xmlns="http://hl7.org/fhir">
    <id value="58aa3751-f324-4d89-9fb9-cd8b6e5ac781" />
    <url value="https://fhir.england.nhs.uk/ActivityDefinition/NHSHealthCheck" />
    <identifier>
        <use value="official" />
        <system value="https://fhir.england.nhs.uk/programmes" />
        <value value="NHSHealthCheck" />
    </identifier>
    <version value="1.1.0" />
    <name value="NHSHealthCheck" />
    <title value="NHS Health Check" />
    <status value="active" />
    <experimental value="true" />
    <date value="2017-03-03T14:06:00Z" />
    <publisher value="NHS England" />
    <description value="The NHS Health Check is a health check-up for adults in England aged 40 to 74. It&#39;s designed to spot early signs of stroke, kidney disease, heart disease, type 2 diabetes or dementia. As we get older, we have a higher risk of developing one of these conditions. An NHS Health Check helps find ways to lower this risk." />
    <jurisdiction>
        <coding>
            <system value="urn:iso:std:iso:3166" />
            <code value="GB" />
        </coding>
    </jurisdiction>
    <usage value="The check is for people who are aged 40 to 74 who do not have any of the following pre-existing conditions: \n\n - heart disease \n - chronic kidney disease \n - diabetes \n - high blood pressure (hypertension) \n - atrial fibrillation \n - transient ischaemic attack \n - inherited high cholesterol (familial hypercholesterolemia) \n - heart failure \n - peripheral arterial disease \n - stroke \n - currently being prescribed statins to lower cholesterol \n - previous checks have found that you have a 20% or higher risk of getting cardiovascular disease over the next 10 years. \n\n If you&#39;re in the 40 to 74 age group without a pre-existing condition, you should receive a letter from your GP surgery or local council inviting you for a free NHS Health Check every 5 years. You can also call your GP surgery to book a Health Check. You may want to try this online [Heart Age test](https://www.nhs.uk/health-assessment-tools/calculate-your-heart-age)." />
    <copyright value="&#169; Copyright 2016 NHS England." />
    <approvalDate value="2017-03-01" />
    <lastReviewDate value="2017-03-01" />
    <effectivePeriod>
        <start value="2017-03-01" />
    </effectivePeriod>
    <relatedArtifact>
        <type value="documentation" />
        <display value="NHS Health Check" />
        <url value="https://www.nhs.uk/conditions/nhs-health-check/" />
    </relatedArtifact>
    <kind value="ServiceRequest" />
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="275926002" />
        </coding>
        <text value="Screening - health check" />
    </code>
    <intent value="order" />
    <participant>
        <type value="practitioner" />
    </participant>
    <observationResultRequirement>
        <display value="A FHIR **DiagnositicReport** with PDF attachment or FHIR **QuestionaireResponse**. **Observation**&#39;s are optional" />
    </observationResultRequirement>
</ActivityDefinition>