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 . Page versions: R5 R4B R4 R3
Orders and Observations Work Group | Maturity Level: 1 | Trial Use | Security Category: Patient | Compartments: Device, Encounter, Patient, Practitioner |
Detailed Descriptions for the elements in the DeviceRequest resource.
DeviceRequest | |
Element Id | DeviceRequest |
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. |
Short Display | Medical device request |
Cardinality | 0..* |
Type | DomainResource |
Summary | false |
DeviceRequest.identifier | |
Element Id | DeviceRequest.identifier |
Definition | Identifiers assigned to this order by the orderer or by the receiver. |
Short Display | External Request identifier |
Note | This is a business identifier, not a resource identifier (see discussion) |
Cardinality | 0..* |
Type | Identifier |
Summary | true |
DeviceRequest.instantiatesCanonical | |
Element Id | DeviceRequest.instantiatesCanonical |
Definition | The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest. |
Short Display | Instantiates FHIR protocol or definition |
Cardinality | 0..* |
Type | canonical(ActivityDefinition | PlanDefinition) |
Summary | true |
Comments | Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. |
DeviceRequest.instantiatesUri | |
Element Id | DeviceRequest.instantiatesUri |
Definition | The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest. |
Short Display | Instantiates external protocol or definition |
Cardinality | 0..* |
Type | uri |
Summary | true |
Comments | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. |
DeviceRequest.basedOn | |
Element Id | DeviceRequest.basedOn |
Definition | Plan/proposal/order fulfilled by this request. |
Short Display | What request fulfills |
Cardinality | 0..* |
Type | Reference(Any) |
Summary | true |
DeviceRequest.replaces | |
Element Id | DeviceRequest.replaces |
Definition | The request takes the place of the referenced completed or terminated request(s). |
Short Display | What request replaces |
Cardinality | 0..* |
Type | Reference(DeviceRequest) |
Summary | true |
DeviceRequest.groupIdentifier | |
Element Id | DeviceRequest.groupIdentifier |
Definition | A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time. |
Short Display | Identifier of composite request |
Cardinality | 0..1 |
Type | Identifier |
Summary | true |
DeviceRequest.status | |
Element Id | DeviceRequest.status |
Definition | The status of the request. |
Short Display | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
Cardinality | 0..1 |
Terminology Binding | RequestStatus (Required) |
Type | code |
Is Modifier | true (Reason: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid) |
Summary | true |
Comments | This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid. |
DeviceRequest.intent | |
Element Id | DeviceRequest.intent |
Definition | Whether the request is a proposal, plan, an original order or a reflex order. |
Short Display | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
Cardinality | 1..1 |
Terminology Binding | RequestIntent (Required) |
Type | code |
Is Modifier | true (Reason: This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request) |
Summary | true |
DeviceRequest.priority | |
Element Id | DeviceRequest.priority |
Definition | Indicates how quickly the request should be addressed with respect to other requests. |
Short Display | routine | urgent | asap | stat |
Cardinality | 0..1 |
Terminology Binding | RequestPriority (Required) |
Type | code |
Meaning if Missing | If missing, normal priority |
Summary | true |
DeviceRequest.doNotPerform | |
Element Id | DeviceRequest.doNotPerform |
Definition | If true, indicates that the provider is asking for the patient to either stop using or to not start using the specified device or category of devices. For example, the patient has undergone surgery and the provider is indicating that the patient should not wear contact lenses. |
Short Display | True if the request is to stop or not to start using the device |
Cardinality | 0..1 |
Type | boolean |
Is Modifier | true (Reason: This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc.)) |
Summary | true |
Comments | If do not perform is not specified, the request is a positive request e.g. "do perform". DeviceRequest.reasonCode includes the reason for marking the DeviceRequest as 'do not perform'. |
DeviceRequest.code | |
Element Id | DeviceRequest.code |
Definition | The details of the device to be used. |
Short Display | Device requested |
Cardinality | 1..1 |
Terminology Binding | Device Type (Example) |
Type | CodeableReference(Device | DeviceDefinition) |
Summary | true |
DeviceRequest.quantity | |
Element Id | DeviceRequest.quantity |
Definition | The number of devices to be provided. |
Short Display | Quantity of devices to supply |
Cardinality | 0..1 |
Type | integer |
Summary | false |
DeviceRequest.parameter | |
Element Id | DeviceRequest.parameter |
Definition | Specific parameters for the ordered item. For example, the prism value for lenses. |
Short Display | Device details |
Cardinality | 0..* |
Summary | false |
DeviceRequest.parameter.code | |
Element Id | DeviceRequest.parameter.code |
Definition | A code or string that identifies the device detail being asserted. |
Short Display | Device detail |
Cardinality | 0..1 |
Terminology Binding | ParameterCode: |
Type | CodeableConcept |
Summary | false |
DeviceRequest.parameter.value[x] | |
Element Id | DeviceRequest.parameter.value[x] |
Definition | The value of the device detail. |
Short Display | Value of detail |
Cardinality | 0..1 |
Type | CodeableConcept|Quantity|Range|boolean |
[x] Note | See Choice of Datatypes for further information about how to use [x] |
Summary | false |
Comments | Range means device should have a value that falls somewhere within the specified range. |
DeviceRequest.subject | |
Element Id | DeviceRequest.subject |
Definition | The patient who will use the device. |
Short Display | Focus of request |
Cardinality | 1..1 |
Type | Reference(Patient | Group | Location | Device) |
Summary | true |
DeviceRequest.encounter | |
Element Id | DeviceRequest.encounter |
Definition | An encounter that provides additional context in which this request is made. |
Short Display | Encounter motivating request |
Cardinality | 0..1 |
Type | Reference(Encounter) |
Summary | true |
DeviceRequest.occurrence[x] | |
Element Id | DeviceRequest.occurrence[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". |
Short Display | Desired time or schedule for use |
Cardinality | 0..1 |
Type | dateTime|Period|Timing |
[x] Note | See Choice of Datatypes for further information about how to use [x] |
Summary | true |
DeviceRequest.authoredOn | |
Element Id | DeviceRequest.authoredOn |
Definition | When the request transitioned to being actionable. |
Short Display | When recorded |
Cardinality | 0..1 |
Type | dateTime |
Summary | true |
DeviceRequest.requester | |
Element Id | DeviceRequest.requester |
Definition | The individual or entity who initiated the request and has responsibility for its activation. |
Short Display | Who/what submitted the device request |
Cardinality | 0..1 |
Type | Reference(Device | Practitioner | PractitionerRole | Organization) |
Summary | true |
DeviceRequest.performer | |
Element Id | DeviceRequest.performer |
Definition | The desired individual or entity to provide the device to the subject of the request (e.g., patient, location). |
Short Display | Requested Filler |
Cardinality | 0..1 |
Type | CodeableReference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) |
Summary | true |
DeviceRequest.reason | |
Element Id | DeviceRequest.reason |
Definition | Reason or justification for the use of this device. |
Short Display | Coded/Linked Reason for request |
Cardinality | 0..* |
Terminology Binding | Condition/Problem/Diagnosis Codes (Example) |
Type | CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference) |
Summary | true |
DeviceRequest.asNeeded | |
Element Id | DeviceRequest.asNeeded |
Definition | This status is to indicate whether the request is a PRN or may be given as needed. |
Short Display | PRN status of request |
Cardinality | 0..1 |
Type | boolean |
Summary | false |
DeviceRequest.asNeededFor | |
Element Id | DeviceRequest.asNeededFor |
Definition | The reason for using the device. |
Short Display | Device usage reason |
Cardinality | 0..1 |
Type | CodeableConcept |
Summary | false |
DeviceRequest.insurance | |
Element Id | DeviceRequest.insurance |
Definition | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. |
Short Display | Associated insurance coverage |
Cardinality | 0..* |
Type | Reference(Coverage | ClaimResponse) |
Summary | false |
DeviceRequest.supportingInfo | |
Element Id | DeviceRequest.supportingInfo |
Definition | Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site). |
Short Display | Additional clinical information |
Cardinality | 0..* |
Type | Reference(Any) |
Requirements | Knowing where the device is targeted is important for tracking if multiple sites are possible. |
Summary | false |
DeviceRequest.note | |
Element Id | DeviceRequest.note |
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. |
Short Display | Notes or comments |
Cardinality | 0..* |
Type | Annotation |
Summary | false |
DeviceRequest.relevantHistory | |
Element Id | DeviceRequest.relevantHistory |
Definition | Key events in the history of the request. |
Short Display | Request provenance |
Cardinality | 0..* |
Type | Reference(Provenance) |
Summary | false |
Comments | This might not include provenances for all versions of the request - only those deemed "relevant" or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a "relevant" change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject. |