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This page is part of the FHIR Specification (v1.0.0: DSTU 2 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

F.??.4 StructureDefinition: QICore-DeviceUseRequest - Detailed Descriptions

Definitions for the qicore-deviceuserequest Profile.

DeviceUseRequest(QICore-DeviceUseRequest)
Definition

Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.

Control0..*
TypeDeviceUseRequest
DeviceUseRequest.id
Definition

The logical id of the resource, as used in the url for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.

DeviceUseRequest.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control0..1
TypeMeta
DeviceUseRequest.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.

DeviceUseRequest.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language
The codes SHALL be taken from http://tools.ietf.org/html/bcp47
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

DeviceUseRequest.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.

DeviceUseRequest.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

DeviceUseRequest.extension (http://hl7.org/fhir/StructureDefinition/deviceuserequest-reasonRejected)
Definition

The reason associated with the rejection by the receiver of this device use request. Applicable only if the status is rejected.

Control0..1
TypeExtension (Extension Type: CodeableConcept)
DeviceUseRequest.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

DeviceUseRequest.bodySite[x]
Definition

Indicates the site on the subject's body where the device should be used ( i.e. the target site).

Control0..1
BindingPrecoordinated body sites such as 'left ear'
For example codes, see SNOMED CT Body Structures
TypeChoice of: CodeableConcept, Reference(QICore-BodySite)
[x] NoteSee Choice of Data Types for further information about how to use [x]
Must Supporttrue
Requirements

Knowing where the device is targeted is important for tracking if multiple sites are possible.

DeviceUseRequest.status
Definition

The status of the request.

Control0..1
BindingCodes representing the status of the request
The codes SHALL be taken from DeviceUseRequestStatus
Typecode
Is Modifiertrue
Must Supporttrue
DeviceUseRequest.device
Definition

The details of the device to be used.

Control1..1
TypeReference(QICore-Device)
Must Supporttrue
DeviceUseRequest.encounter
Definition

An encounter that provides additional context in which this request is made.

Control0..1
TypeReference(QICore-Encounter)
Must Supporttrue
DeviceUseRequest.identifier
Definition

Identifiers assigned to this order by the orderer or by the receiver.

Control0..*
TypeIdentifier
DeviceUseRequest.indication
Definition

Reason or justification for the use of this device.

Control0..*
Bindingnull
The codes SHOULD be taken from Problem Value Set
TypeCodeableConcept
DeviceUseRequest.notes
Definition

Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.

Control0..*
Typestring
DeviceUseRequest.prnReason
Definition

The proposed act must be performed if the indicated conditions occur, e.g.., shortness of breath, SpO2 less than x%.

Control0..*
Bindingnull
The codes SHOULD be taken from Problem Value Set
TypeCodeableConcept
DeviceUseRequest.orderedOn
Definition

The time when the request was made.

Control0..1
TypedateTime
Must Supporttrue
DeviceUseRequest.recordedOn
Definition

The time at which the request was made/recorded.

Control0..1
TypedateTime
Must Supporttrue
DeviceUseRequest.subject
Definition

The patient who will use the device.

Control1..1
TypeReference(QICore-Patient)
Must Supporttrue
DeviceUseRequest.timing[x]
Definition

The timing schedule for the use of the device The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013".

Control0..1
TypeChoice of: Timing, Period, dateTime
[x] NoteSee Choice of Data Types for further information about how to use [x]
DeviceUseRequest.priority
Definition

Characterizes how quickly the use of device must be initiated. Includes concepts such as stat, urgent, routine.

Control0..1
BindingCodes representing the priority of the request
The codes SHALL be taken from DeviceUseRequestPriority
Typecode