R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

8.16 Resource DeviceAssociation - Content

Orders and Observations icon Work GroupMaturity Level: 0 DraftSecurity Category: Business Compartments: Device, Patient, Practitioner

A record of association or dissociation of a device with a patient.

Device Association records the relationship between a device and a subject and/or operator. The scope covers all devices including, but not limited to: implantables (which previously was documented as the .association in the Device resource), wheelchairs, RTLS, personal health and point of care devices, diagnostic, imaging and durable medical equipment. This resource is intended to apply to any delivery environment and discipline where a device association is useful to record.

The subjects may include:

  • Patient - the following are often associated with a specific patient: implantables, prosthetics, activity trackers, mobility assistance, care monitoring, etc.
  • Group - some devices may be associated with a family group or treatment group. For example a weight scale or blood pressure cuff.
  • Practitioner - a device that is associated with the practitioner: pager, alert monitor, cell phone, laptop/tablet
  • Device - a device may be associated with another device when it is independent of the focal device. Note: this is different than the containment tree with parent element in the Device resource. For example a RFID tag used to track the location of a wheelchair.
  • RelatedPerson - a device that is associated with another person related to the patient. For example, an alerting device given to a spouse while their partner is in surgery.
  • Device - This resource contains the association (incluuding history) between a device and a subject, eliminating the need for the Device resource to contain that history of associations which might allow unintended exposure of patient information.
  • DeviceUsage and Procedure - Both Procedure and DeviceUsage can comprehend association (not necessarily the related dissociation) of a device with a subject. They are intended to be used from the patient of process perspective.
    • For tracking the act of implanting or using the device, Procedure may be used;
    • For updating the patient's information about the usage of a device, DeviceUsage may be used;
    • For tracking the different events along the lifecycle of the same Device, DeviceAssociation is appropriate

These are not exclusive, i.e. when associating a device with a patient, the it is possible to capture the patient's clinical information with a DeviceUsage resource, include the device in a Procedure for reporting, and keep the Device's traceability information with a DeviceAssociation resource.

To track changes in settings, Observation resource can be used, where Observation has the subject (e.g., patient), device, and time window that enable to relate to the proper DeviceAssociation or vice-versa. It is valid and common that a patient is associated with the same device (yielding multiple DeviceAssociation instances) over time.

No references for this Resource.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceAssociation ΣDDomainResourceA record of association or dissociation of a device with a patient

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierInstance identifier

... device Σ1..1Reference(Device)Reference to the devices associated with the patient or group
... category Σ0..*CodeableConceptDescribes the relationship between the device and subject

... statusReason Σ0..*CodeableConceptThe reasons given for the current association status

... subject Σ0..1Reference(Patient | Group | Practitioner | RelatedPerson | Device)The individual, group of individuals or device that the device is on or associated with
... bodyStructure Σ0..1Reference(BodyStructure)Current anatomical location of the device in/on subject
... period Σ0..1PeriodBegin and end dates and times for the device association
... operation Σ0..*BackboneElementThe details about the device when it is in use to describe its operation

.... status Σ1..1CodeableConceptDevice operational condition
Binding: FHIR Device Association Operation Status (Example)
.... operator Σ0..*Reference(Patient | Practitioner | RelatedPerson)The individual performing the action enabled by the device

.... period Σ0..1PeriodBegin and end dates and times for the device's operation

doco Documentation for this format icon

See the Extensions for this resource

XML Template

<DeviceAssociation xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Instance identifier --></identifier>
 <device><!-- 1..1 Reference(Device) Reference to the devices associated with the patient or group --></device>
 <category><!-- 0..* CodeableConcept Describes the relationship between the device and subject --></category>
 <status><!-- 1..1 CodeableConcept implanted | explanted | attached | entered-in-error | unknown --></status>
 <statusReason><!-- 0..* CodeableConcept The reasons given for the current association status --></statusReason>
 <subject><!-- 0..1 Reference(Device|Group|Patient|Practitioner|RelatedPerson) The individual, group of individuals or device that the device is on or associated with --></subject>
 <bodyStructure><!-- 0..1 Reference(BodyStructure) Current anatomical location of the device in/on subject --></bodyStructure>
 <period><!-- 0..1 Period Begin and end dates and times for the device association --></period>
 <operation>  <!-- 0..* The details about the device when it is in use to describe its operation -->
  <status><!-- 1..1 CodeableConcept Device operational condition --></status>
  <operator><!-- 0..* Reference(Patient|Practitioner|RelatedPerson) The individual performing the action enabled by the device --></operator>
  <period><!-- 0..1 Period Begin and end dates and times for the device's operation --></period>
 </operation>
</DeviceAssociation>

Turtle Template

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


[ a fhir:DeviceAssociation;
  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:identifier  ( [ Identifier ] ... ) ; # 0..* Instance identifier
  fhir:device [ Reference(Device) ] ; # 1..1 Reference to the devices associated with the patient or group
  fhir:category  ( [ CodeableConcept ] ... ) ; # 0..* Describes the relationship between the device and subject
  fhir:status [ CodeableConcept ] ; # 1..1 implanted | explanted | attached | entered-in-error | unknown
  fhir:statusReason  ( [ CodeableConcept ] ... ) ; # 0..* The reasons given for the current association status
  fhir:subject [ Reference(Device|Group|Patient|Practitioner|RelatedPerson) ] ; # 0..1 The individual, group of individuals or device that the device is on or associated with
  fhir:bodyStructure [ Reference(BodyStructure) ] ; # 0..1 Current anatomical location of the device in/on subject
  fhir:period [ Period ] ; # 0..1 Begin and end dates and times for the device association
  fhir:operation ( [ # 0..* The details about the device when it is in use to describe its operation
    fhir:status [ CodeableConcept ] ; # 1..1 Device operational condition
    fhir:operator  ( [ Reference(Patient|Practitioner|RelatedPerson) ] ... ) ; # 0..* The individual performing the action enabled by the device
    fhir:period [ Period ] ; # 0..1 Begin and end dates and times for the device's operation
  ] ... ) ;
]

Changes since R4

This resource did not exist in Release 3

This analysis is available as XML or JSON.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceAssociation ΣDDomainResourceA record of association or dissociation of a device with a patient

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierInstance identifier

... device Σ1..1Reference(Device)Reference to the devices associated with the patient or group
... category Σ0..*CodeableConceptDescribes the relationship between the device and subject

... statusReason Σ0..*CodeableConceptThe reasons given for the current association status

... subject Σ0..1Reference(Patient | Group | Practitioner | RelatedPerson | Device)The individual, group of individuals or device that the device is on or associated with
... bodyStructure Σ0..1Reference(BodyStructure)Current anatomical location of the device in/on subject
... period Σ0..1PeriodBegin and end dates and times for the device association
... operation Σ0..*BackboneElementThe details about the device when it is in use to describe its operation

.... status Σ1..1CodeableConceptDevice operational condition
Binding: FHIR Device Association Operation Status (Example)
.... operator Σ0..*Reference(Patient | Practitioner | RelatedPerson)The individual performing the action enabled by the device

.... period Σ0..1PeriodBegin and end dates and times for the device's operation

doco Documentation for this format icon

See the Extensions for this resource

XML Template

<DeviceAssociation xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Instance identifier --></identifier>
 <device><!-- 1..1 Reference(Device) Reference to the devices associated with the patient or group --></device>
 <category><!-- 0..* CodeableConcept Describes the relationship between the device and subject --></category>
 <status><!-- 1..1 CodeableConcept implanted | explanted | attached | entered-in-error | unknown --></status>
 <statusReason><!-- 0..* CodeableConcept The reasons given for the current association status --></statusReason>
 <subject><!-- 0..1 Reference(Device|Group|Patient|Practitioner|RelatedPerson) The individual, group of individuals or device that the device is on or associated with --></subject>
 <bodyStructure><!-- 0..1 Reference(BodyStructure) Current anatomical location of the device in/on subject --></bodyStructure>
 <period><!-- 0..1 Period Begin and end dates and times for the device association --></period>
 <operation>  <!-- 0..* The details about the device when it is in use to describe its operation -->
  <status><!-- 1..1 CodeableConcept Device operational condition --></status>
  <operator><!-- 0..* Reference(Patient|Practitioner|RelatedPerson) The individual performing the action enabled by the device --></operator>
  <period><!-- 0..1 Period Begin and end dates and times for the device's operation --></period>
 </operation>
</DeviceAssociation>

Turtle Template

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


[ a fhir:DeviceAssociation;
  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:identifier  ( [ Identifier ] ... ) ; # 0..* Instance identifier
  fhir:device [ Reference(Device) ] ; # 1..1 Reference to the devices associated with the patient or group
  fhir:category  ( [ CodeableConcept ] ... ) ; # 0..* Describes the relationship between the device and subject
  fhir:status [ CodeableConcept ] ; # 1..1 implanted | explanted | attached | entered-in-error | unknown
  fhir:statusReason  ( [ CodeableConcept ] ... ) ; # 0..* The reasons given for the current association status
  fhir:subject [ Reference(Device|Group|Patient|Practitioner|RelatedPerson) ] ; # 0..1 The individual, group of individuals or device that the device is on or associated with
  fhir:bodyStructure [ Reference(BodyStructure) ] ; # 0..1 Current anatomical location of the device in/on subject
  fhir:period [ Period ] ; # 0..1 Begin and end dates and times for the device association
  fhir:operation ( [ # 0..* The details about the device when it is in use to describe its operation
    fhir:status [ CodeableConcept ] ; # 1..1 Device operational condition
    fhir:operator  ( [ Reference(Patient|Practitioner|RelatedPerson) ] ... ) ; # 0..* The individual performing the action enabled by the device
    fhir:period [ Period ] ; # 0..1 Begin and end dates and times for the device's operation
  ] ... ) ;
]

Changes since Release 4

This resource did not exist in Release 3

This analysis is available as XML or JSON.

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

PathValueSetTypeDocumentation
DeviceAssociation.status DeviceAssociationCodes (a valid code from DeviceAssociation Status Codes)Required

DeviceAssociation Status Codes

DeviceAssociation.operation.status FHIRDeviceAssociationOperationStatus Example

The status for the device association operation.

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionExpressionIn Common
device TUreferenceSearch for products that match this codeDeviceAssociation.device
(Device)
identifier TUtokenThe identifier of the device associationDeviceAssociation.identifier
operator TUreferenceThe identity of a operator for whom to list associationsDeviceAssociation.operation.operator
(Practitioner, Patient, RelatedPerson)
patient TUreferenceThe identity of a patient for whom to list associationsDeviceAssociation.subject
(Practitioner, Group, Device, Patient, RelatedPerson)
status TUtokenThe status of the device associationsDeviceAssociation.status
subject TUreferenceThe identity of a patient for whom to list associationsDeviceAssociation.subject
(Practitioner, Group, Device, Patient, RelatedPerson)