R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R3

Device-example-udi3.json

Orders and Observations Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device

Raw JSON (canonical form)

Implantable device/UDI example HIBBC Format

{
  "resourceType": "Device",
  "id": "example-udi3",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example-udi3</p><p><b>identifier</b>: Serial Number = XYZ456789012345678</p><h3>Udis</h3><table><tr><td>-</td><td><b>Name</b></td><td><b>Jurisdiction</b></td><td><b>CarrierHRF</b></td><td><b>Issuer</b></td><td><b>EntryType</b></td></tr><tr><td>*</td><td>FHIR® Ulltra Implantable</td><td><a>http://hl7.org/fhir/NamingSystem/fda-udi</a></td><td>+H123PARTNO1234567890120/$$420020216LOT123456789012345/SXYZ456789012345678/16D20130202C</td><td><a>http://hl7.org/fhir/NamingSystem/hibcc</a></td><td>manual</td></tr></table><p><b>status</b>: inactive</p><p><b>lotNumber</b>: LOT123456789012345</p><p><b>manufacturer</b>: GlobalMed, Inc</p><p><b>manufactureDate</b>: 02/02/2013</p><p><b>expirationDate</b>: 02/02/2020</p><p><b>model</b>: Ultra Implantable</p><p><b>patient</b>: <a>Patient/example</a></p></div>"
  },
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/identifier-type",
            "code": "SNO"
          }
        ]
      },
      "value": "XYZ456789012345678"
    }
  ],
  "udi": {
    "name": "FHIR® Ulltra Implantable",
    "jurisdiction": "http://hl7.org/fhir/NamingSystem/fda-udi",
    "carrierHRF": "+H123PARTNO1234567890120/$$420020216LOT123456789012345/SXYZ456789012345678/16D20130202C",
    "issuer": "http://hl7.org/fhir/NamingSystem/hibcc",
    "entryType": "manual"
  },
  "status": "inactive",
  "lotNumber": "LOT123456789012345",
  "manufacturer": "GlobalMed, Inc",
  "manufactureDate": "2013-02-02",
  "expirationDate": "2020-02-02",
  "model": "Ultra Implantable",
  "patient": {
    "reference": "Patient/example"
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.