STU3 Candidate

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12.16 Resource DeviceUseStatement - Content

Orders and Observations

Work Group

Maturity Level: 0

Compartments: Device, Patient

A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.

12.16.1 Scope and Usage

These resources have not yet undergone proper review by PC, CQI, CDS, and OO. At this time, they are to be considered only as draft resource proposals for potential submission.

This resource is an event resource from a FHIR workflow perspective - see Workflow. It is the intent of the Orders and Observation Workgroup to align this resource with the workflow pattern for event resources.

This resource records the use of a healthcare-related device by a patient. The record is the result of a report of use by the patient or another provider. The resource can be used to note the use of an assistive device such as a wheelchair or hearing aid, a contraceptive such an intra-uterine device, or other implanted devices such as a pacemaker.

12.16.2 Boundaries and Relationships

This resource is different from DeviceUseRequest which records a request to use the device. This also is distinct from the Procedure resource which may describe the implantation or explantation of a device.

Structure

Name	Flags	Card.	Type	Description & Constraints
DeviceUseStatement	Σ		DomainResource	Record of use of a device
bodySite	Σ	0..1	CodeableConcept	Target body site SNOMED CT Body Structures (Example)
whenUsed	Σ	0..1	Period	Period device was used
device	Σ	1..1	Reference(Device)	Reference to device used
identifier	Σ	0..*	Identifier	External identifier for this record
indication	Σ	0..*	CodeableConcept	Why device was used
notes	Σ	0..*	string	Addition details (comments, instructions)
recordedOn	Σ	0..1	dateTime	When statement was recorded
subject	Σ	1..1	Reference(Patient)	Patient using device
timing[x]	Σ	0..1		How often the device was used
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
Documentation for this format

UML Diagram (Legend)

XML Template

<DeviceUseStatement xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <bodySite><!-- 0..1 CodeableConcept Target body site --></bodySite>
 <whenUsed><!-- 0..1 Period Period device was used --></whenUsed>
 <device><!-- 1..1 Reference(Device) Reference to device used --></device>
 <identifier><!-- 0..* Identifier External identifier for this record --></identifier>
 <indication><!-- 0..* CodeableConcept Why device was used --></indication>
 <notes value="[string]"/><!-- 0..* Addition details (comments, instructions) -->
 <recordedOn value="[dateTime]"/><!-- 0..1 When statement was recorded -->
 <subject><!-- 1..1 Reference(Patient) Patient using device --></subject>
 <timing[x]><!-- 0..1 Timing|Period|dateTime How often  the device was used --></timing[x]>
</DeviceUseStatement>

JSON Template

{
  "resourceType" : "DeviceUseStatement",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "bodySite" : { CodeableConcept }, // Target body site
  "whenUsed" : { Period }, // Period device was used
  "device" : { Reference(Device) }, // R!  Reference to device used
  "identifier" : [{ Identifier }], // External identifier for this record
  "indication" : [{ CodeableConcept }], // Why device was used
  "notes" : ["<string>"], // Addition details (comments, instructions)
  "recordedOn" : "<dateTime>", // When statement was recorded
  "subject" : { Reference(Patient) }, // R!  Patient using device
  // timing[x]: How often  the device was used. One of these 3:
  "timingTiming" : { Timing }
  "timingPeriod" : { Period }
  "timingDateTime" : "<dateTime>"
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:DeviceUseStatement;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:DeviceUseStatement.bodySite [ CodeableConcept ]; # 0..1 Target body site
  fhir:DeviceUseStatement.whenUsed [ Period ]; # 0..1 Period device was used
  fhir:DeviceUseStatement.device [ Reference(Device) ]; # 1..1 Reference to device used
  fhir:DeviceUseStatement.identifier [ Identifier ], ... ; # 0..* External identifier for this record
  fhir:DeviceUseStatement.indication [ CodeableConcept ], ... ; # 0..* Why device was used
  fhir:DeviceUseStatement.notes [ string ], ... ; # 0..* Addition details (comments, instructions)
  fhir:DeviceUseStatement.recordedOn [ dateTime ]; # 0..1 When statement was recorded
  fhir:DeviceUseStatement.subject [ Reference(Patient) ]; # 1..1 Patient using device
  # DeviceUseStatement.timing[x] : 0..1 How often  the device was used. One of these 3
    fhir:DeviceUseStatement.timingTiming [ Timing ]
    fhir:DeviceUseStatement.timingPeriod [ Period ]
    fhir:DeviceUseStatement.timingDateTime [ dateTime ]
]

Changes since DSTU2

DeviceUseStatement

DeviceUseStatement.bodySite

Renamed from bodySite[x] to bodySite
Remove Reference(BodySite)

See the Full Difference for further information

Structure

Name	Flags	Card.	Type	Description & Constraints
DeviceUseStatement	Σ		DomainResource	Record of use of a device
bodySite	Σ	0..1	CodeableConcept	Target body site SNOMED CT Body Structures (Example)
whenUsed	Σ	0..1	Period	Period device was used
device	Σ	1..1	Reference(Device)	Reference to device used
identifier	Σ	0..*	Identifier	External identifier for this record
indication	Σ	0..*	CodeableConcept	Why device was used
notes	Σ	0..*	string	Addition details (comments, instructions)
recordedOn	Σ	0..1	dateTime	When statement was recorded
subject	Σ	1..1	Reference(Patient)	Patient using device
timing[x]	Σ	0..1		How often the device was used
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
Documentation for this format

UML Diagram (Legend)

XML Template

<DeviceUseStatement xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <bodySite><!-- 0..1 CodeableConcept Target body site --></bodySite>
 <whenUsed><!-- 0..1 Period Period device was used --></whenUsed>
 <device><!-- 1..1 Reference(Device) Reference to device used --></device>
 <identifier><!-- 0..* Identifier External identifier for this record --></identifier>
 <indication><!-- 0..* CodeableConcept Why device was used --></indication>
 <notes value="[string]"/><!-- 0..* Addition details (comments, instructions) -->
 <recordedOn value="[dateTime]"/><!-- 0..1 When statement was recorded -->
 <subject><!-- 1..1 Reference(Patient) Patient using device --></subject>
 <timing[x]><!-- 0..1 Timing|Period|dateTime How often  the device was used --></timing[x]>
</DeviceUseStatement>

JSON Template

{
  "resourceType" : "DeviceUseStatement",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "bodySite" : { CodeableConcept }, // Target body site
  "whenUsed" : { Period }, // Period device was used
  "device" : { Reference(Device) }, // R!  Reference to device used
  "identifier" : [{ Identifier }], // External identifier for this record
  "indication" : [{ CodeableConcept }], // Why device was used
  "notes" : ["<string>"], // Addition details (comments, instructions)
  "recordedOn" : "<dateTime>", // When statement was recorded
  "subject" : { Reference(Patient) }, // R!  Patient using device
  // timing[x]: How often  the device was used. One of these 3:
  "timingTiming" : { Timing }
  "timingPeriod" : { Period }
  "timingDateTime" : "<dateTime>"
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:DeviceUseStatement;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:DeviceUseStatement.bodySite [ CodeableConcept ]; # 0..1 Target body site
  fhir:DeviceUseStatement.whenUsed [ Period ]; # 0..1 Period device was used
  fhir:DeviceUseStatement.device [ Reference(Device) ]; # 1..1 Reference to device used
  fhir:DeviceUseStatement.identifier [ Identifier ], ... ; # 0..* External identifier for this record
  fhir:DeviceUseStatement.indication [ CodeableConcept ], ... ; # 0..* Why device was used
  fhir:DeviceUseStatement.notes [ string ], ... ; # 0..* Addition details (comments, instructions)
  fhir:DeviceUseStatement.recordedOn [ dateTime ]; # 0..1 When statement was recorded
  fhir:DeviceUseStatement.subject [ Reference(Patient) ]; # 1..1 Patient using device
  # DeviceUseStatement.timing[x] : 0..1 How often  the device was used. One of these 3
    fhir:DeviceUseStatement.timingTiming [ Timing ]
    fhir:DeviceUseStatement.timingPeriod [ Period ]
    fhir:DeviceUseStatement.timingDateTime [ dateTime ]
]

Changes since DSTU2

DeviceUseStatement

DeviceUseStatement.bodySite

Renamed from bodySite[x] to bodySite
Remove Reference(BodySite)

See the Full Difference for further information

Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron (for ) + JSON Schema, ShEx (for Turtle), JSON-LD (for RDF as JSON-LD),

12.16.3.1 Terminology Bindings

Path	Definition	Type	Reference
DeviceUseStatement.bodySite	Codes describing anatomical locations. May include laterality.	Example	SNOMED CT Body Structures

Path

Definition

Type

Reference

DeviceUseStatement.bodySite

Codes describing anatomical locations. May include laterality.

Example

SNOMED CT Body Structures

Notes to reviewers:

At this time, the code bindings are placeholders to be fleshed out upon further review by the community.

12.16.4 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Paths	In Common
device	reference	Search by device	DeviceUseStatement.device (Device)
patient	reference	Search by subject - a patient	DeviceUseStatement.subject (Patient)	31 Resources
subject	reference	Search by subject	DeviceUseStatement.subject (Patient)