DSTU2 QA Preview
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 
StructureDefinition for Profile of DeviceUseRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
{
"resourceType": "StructureDefinition",
"id": "qicore-deviceuserequest",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"url": "http://hl7.org/fhir/StructureDefinition/qicore-deviceuserequest",
"name": "QICore-DeviceUseRequest",
"status": "draft",
"publisher": "Health Level Seven International (Clinical Quality Information - QICore)",
"contact": [
{
"telecom": [
{
"system": "other",
"value": "http://hl7.org/special/committees/CQI"
}
]
}
],
"date": "2015-02-27",
"description": "Profile of DeviceUseRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.",
"mapping": [
{
"identity": "qdm",
"uri": "http://www.healthit.gov/quality-data-model",
"name": "Quality Data Model"
}
],
"kind": "resource",
"constrainedType": "DeviceUseRequest",
"abstract": false,
"base": "http://hl7.org/fhir/StructureDefinition/DeviceUseRequest",
"snapshot": {
"element": [
{
"path": "DeviceUseRequest",
"name": "QICore-DeviceUseRequest",
"short": "A request for a patient to use or be given a medical device",
"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.",
"min": 0,
"max": "*",
"base": {
"path": "DeviceUseRequest",
"min": 0,
"max": "*"
},
"type": [
{
"code": "DeviceUseRequest"
}
],
"isSummary": true,
"mapping": [
{
"identity": "w5",
"map": "workflow.order"
},
{
"identity": "qdm",
"map": "\"Device, Order\" (when DeviceUseRequest.status != proposed, planned, rejected); \"Device, Recommended\" (when DeviceUseRequest.status=proposed)"
}
]
},
{
"path": "DeviceUseRequest.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the url for the resource. Once assigned, this value never changes.",
"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.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"isSummary": true
},
{
"path": "DeviceUseRequest.meta",
"short": "Metadata about the resource",
"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.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"isSummary": true
},
{
"path": "DeviceUseRequest.implicitRules",
"short": "A set of rules under which this content was created",
"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.",
"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.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"isModifier": true,
"isSummary": true
},
{
"path": "DeviceUseRequest.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"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).",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"description": "A human language",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
}
},
{
"path": "DeviceUseRequest.text",
"short": "Text summary of the resource, for human interpretation",
"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.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"path": "DeviceUseRequest.contained",
"short": "Contained, inline Resources",
"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.",
"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.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DeviceUseRequest.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "DeviceUseRequest.extension",
"name": "DeviceUseRequest.reasonRejected",
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/deviceuserequest-reasonRejected"
]
}
],
"binding": {
"strength": "preferred",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ActReason"
}
},
"mapping": [
{
"identity": "qdm",
"map": "negation rationale (when DeviceUseRequest.status=\"rejected\")"
}
]
},
{
"path": "DeviceUseRequest.modifierExtension",
"short": "Extensions that cannot be ignored",
"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.",
"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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DeviceUseRequest.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "DeviceUseRequest.bodySite[x]",
"short": "Target body site",
"definition": "Indicates the site on the subject's body where the device should be used ( i.e. the target site).",
"requirements": "Knowing where the device is targeted is important for tracking if multiple sites are possible.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.bodySite[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-bodysite"
]
}
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "example",
"description": "Precoordinated body sites such as 'left ear'",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/body-site"
}
},
"mapping": [
{
"identity": "rim",
"map": "targetSiteCode"
}
]
},
{
"path": "DeviceUseRequest.status",
"short": "proposed | planned | requested | received | accepted | in-progress | completed | suspended | rejected | aborted",
"definition": "The status of the request.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mustSupport": true,
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "Codes representing the status of the request",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/device-use-request-status"
}
},
"mapping": [
{
"identity": "quick",
"map": "Action.currentStatus"
},
{
"identity": "w5",
"map": "status"
},
{
"identity": "qdm",
"map": "negation rationale (when DeviceUseRequest.status=\"rejected\")"
}
]
},
{
"path": "DeviceUseRequest.device",
"short": "Device requested",
"definition": "The details of the device to be used.",
"min": 1,
"max": "1",
"base": {
"path": "DeviceUseRequest.device",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-device"
]
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "quick",
"map": "DeviceUse.device"
},
{
"identity": "qdm",
"map": "primary code (Device.type)"
}
]
},
{
"path": "DeviceUseRequest.encounter",
"short": "Encounter motivating request",
"definition": "An encounter that provides additional context in which this request is made.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-encounter"
]
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "quick",
"map": "ClinicalStatement.encounter"
},
{
"identity": "w5",
"map": "context"
}
]
},
{
"path": "DeviceUseRequest.identifier",
"short": "Request identifier",
"definition": "Identifiers assigned to this order by the orderer or by the receiver.",
"min": 0,
"max": "*",
"base": {
"path": "DeviceUseRequest.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "quick",
"map": "ClinicalStatement.identifier"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"path": "DeviceUseRequest.indication",
"short": "Reason for request",
"definition": "Reason or justification for the use of this device.",
"min": 0,
"max": "*",
"base": {
"path": "DeviceUseRequest.indication",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "preferred",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/daf-problem"
}
},
"mapping": [
{
"identity": "quick",
"map": "Action.indication.reason"
},
{
"identity": "w5",
"map": "why"
},
{
"identity": "qdm",
"map": "reason"
}
]
},
{
"path": "DeviceUseRequest.notes",
"short": "Notes or comments",
"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.",
"min": 0,
"max": "*",
"base": {
"path": "DeviceUseRequest.notes",
"min": 0,
"max": "*"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "quick",
"map": "ClinicalStatement.additionalText"
}
]
},
{
"path": "DeviceUseRequest.prnReason",
"short": "PRN",
"definition": "The proposed act must be performed if the indicated conditions occur, e.g.., shortness of breath, SpO2 less than x%.",
"min": 0,
"max": "*",
"base": {
"path": "DeviceUseRequest.prnReason",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "preferred",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/daf-problem"
}
},
"mapping": [
{
"identity": "quick",
"map": "Proposal.prnReason.reason"
}
]
},
{
"path": "DeviceUseRequest.orderedOn",
"short": "When ordered",
"definition": "The time when the request was made.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.orderedOn",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "quick",
"map": "Proposal.proposedAtTime"
},
{
"identity": "w5",
"map": "when.init"
},
{
"identity": "qdm",
"map": "start datetime"
}
]
},
{
"path": "DeviceUseRequest.recordedOn",
"short": "When recorded",
"definition": "The time at which the request was made/recorded.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.recordedOn",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "quick",
"map": "ClinicalStatement.statementDateTime"
},
{
"identity": "w5",
"map": "when.recorded"
},
{
"identity": "qdm",
"map": "stop datetime"
}
]
},
{
"path": "DeviceUseRequest.subject",
"short": "Focus of request",
"definition": "The patient who will use the device.",
"min": 1,
"max": "1",
"base": {
"path": "DeviceUseRequest.subject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-patient"
]
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "quick",
"map": "ClinicalStatement.subject"
},
{
"identity": "w5",
"map": "who.focus"
}
]
},
{
"path": "DeviceUseRequest.timing[x]",
"short": "Schedule for use",
"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\".",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.timing[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Timing"
},
{
"code": "Period"
},
{
"code": "dateTime"
}
],
"isSummary": true,
"mapping": [
{
"identity": "quick",
"map": "DeviceUse.applicationSchedule"
},
{
"identity": "w5",
"map": "when.planned"
},
{
"identity": "qdm",
"map": "start datetime, stop datetime"
}
]
},
{
"path": "DeviceUseRequest.priority",
"short": "routine | urgent | stat | asap",
"definition": "Characterizes how quickly the use of device must be initiated. Includes concepts such as stat, urgent, routine.",
"min": 0,
"max": "1",
"base": {
"path": "DeviceUseRequest.priority",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isSummary": true,
"binding": {
"strength": "required",
"description": "Codes representing the priority of the request",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/device-use-request-priority"
}
},
"mapping": [
{
"identity": "quick",
"map": "Proposal.urgency"
},
{
"identity": "w5",
"map": "grade"
}
]
}
]
},
"differential": {
"element": [
{
"path": "DeviceUseRequest",
"name": "QICore-DeviceUseRequest",
"min": 0,
"max": "*",
"type": [
{
"code": "DeviceUseRequest"
}
],
"mapping": [
{
"identity": "qdm",
"map": "\"Device, Order\" (when DeviceUseRequest.status != proposed, planned, rejected); \"Device, Recommended\" (when DeviceUseRequest.status=proposed)"
}
]
},
{
"path": "DeviceUseRequest.extension",
"name": "DeviceUseRequest.reasonRejected",
"slicing": {
"discriminator": [
"url"
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/deviceuserequest-reasonRejected"
]
}
],
"binding": {
"strength": "preferred",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ActReason"
}
},
"mapping": [
{
"identity": "qdm",
"map": "negation rationale (when DeviceUseRequest.status=\"rejected\")"
}
]
},
{
"path": "DeviceUseRequest.bodySite[x]",
"type": [
{
"code": "CodeableConcept"
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-bodysite"
]
}
],
"mustSupport": true,
"binding": {
"strength": "example",
"description": "Precoordinated body sites such as 'left ear'",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/body-site"
}
}
},
{
"path": "DeviceUseRequest.status",
"mustSupport": true,
"mapping": [
{
"identity": "qdm",
"map": "negation rationale (when DeviceUseRequest.status=\"rejected\")"
}
]
},
{
"path": "DeviceUseRequest.device",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-device"
]
}
],
"mustSupport": true,
"mapping": [
{
"identity": "qdm",
"map": "primary code (Device.type)"
}
]
},
{
"path": "DeviceUseRequest.encounter",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-encounter"
]
}
],
"mustSupport": true
},
{
"path": "DeviceUseRequest.indication",
"binding": {
"strength": "preferred",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/daf-problem"
}
},
"mapping": [
{
"identity": "qdm",
"map": "reason"
}
]
},
{
"path": "DeviceUseRequest.prnReason",
"binding": {
"strength": "preferred",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/daf-problem"
}
}
},
{
"path": "DeviceUseRequest.orderedOn",
"mustSupport": true,
"mapping": [
{
"identity": "qdm",
"map": "start datetime"
}
]
},
{
"path": "DeviceUseRequest.recordedOn",
"mustSupport": true,
"mapping": [
{
"identity": "qdm",
"map": "stop datetime"
}
]
},
{
"path": "DeviceUseRequest.subject",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/qicore-patient"
]
}
],
"mustSupport": true
},
{
"path": "DeviceUseRequest.timing[x]",
"mapping": [
{
"identity": "qdm",
"map": "start datetime, stop datetime"
}
]
}
]
}
}
© HL7.org 2011+. FHIR DSTU2 (v1.0.0-6850) generated on Tue, Sep 1, 2015 14:42+1000.
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