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Orders and Observations icon Work GroupMaturity Level: 1 Trial UseSecurity Category: Patient Compartments: Patient

Detailed Descriptions for the elements in the DeviceUsage resource.

DeviceUsage
Element Id DeviceUsage
Definition

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

Short Display Record of use of a device
Cardinality 0..*
Type DomainResource
Summary false
DeviceUsage.identifier
Element Id DeviceUsage.identifier
Definition

An external identifier for this statement such as an IRI.

Short Display External identifier for this record
Note This is a business identifier, not a resource identifier (see discussion)
Cardinality 0..*
Type Identifier
Summary true
DeviceUsage.basedOn
Element Id DeviceUsage.basedOn
Definition

A plan, proposal or order that is fulfilled in whole or in part by this DeviceUsage.

Short Display Fulfills plan, proposal or order
Cardinality 0..*
Type Reference(ServiceRequest)
Requirements

Allows tracing of authorization for the DeviceUsage and tracking whether proposals/recommendations were acted upon.

Alternate Names fulfills
Summary true
DeviceUsage.status
Element Id DeviceUsage.status
Definition

A code representing the patient or other source's judgment about the state of the device used that this statement is about. Generally this will be active or completed.

Short Display active | completed | not-done | entered-in-error +
Cardinality 1..1
Terminology Binding Device Usage Status (Required)
Type code
Is Modifier true (Reason: This element is labelled 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

DeviceUseStatment is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for contains codes that assert the status of the use by the patient (for example, stopped or on hold) as well as codes that assert the status of the resource itself (for example, entered in error).

This element is labeled as a modifier because the status contains the codes that mark the statement as not currently valid.

DeviceUsage.category
Element Id DeviceUsage.category
Definition

This attribute indicates a category for the statement - The device statement may be made in an inpatient or outpatient settting (inpatient | outpatient | community | patientspecified).

Short Display The category of the statement - classifying how the statement is made
Cardinality 0..*
Type CodeableConcept
Summary false
DeviceUsage.patient
Element Id DeviceUsage.patient
Definition

The patient who used the device.

Short Display Patient using device
Cardinality 1..1
Type Reference(Patient)
Summary true
DeviceUsage.derivedFrom
Element Id DeviceUsage.derivedFrom
Definition

Allows linking the DeviceUsage to the underlying Request, or to other information that supports or is used to derive the DeviceUsage.

Short Display Supporting information
Cardinality 0..*
Type Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)
Summary true
Comments

The most common use cases for deriving a DeviceUsage comes from creating it from a request or from an observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the DeviceUsage from.

DeviceUsage.context
Element Id DeviceUsage.context
Definition

The encounter or episode of care that establishes the context for this device use statement.

Short Display The encounter or episode of care that establishes the context for this device use statement
Cardinality 0..1
Type Reference(Encounter | EpisodeOfCare)
Summary true
DeviceUsage.timing[x]
Element Id DeviceUsage.timing[x]
Definition

How often the device was used.

Short Display How often the device was used
Cardinality 0..1
Type Timing|Period|dateTime
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary true
DeviceUsage.dateAsserted
Element Id DeviceUsage.dateAsserted
Definition

The time at which the statement was recorded by informationSource.

Short Display When the statement was made (and recorded)
Cardinality 0..1
Type dateTime
Summary true
DeviceUsage.usageStatus
Element Id DeviceUsage.usageStatus
Definition

The status of the device usage, for example always, sometimes, never. This is not the same as the status of the statement.

Short Display The status of the device usage, for example always, sometimes, never. This is not the same as the status of the statement
Cardinality 0..1
Terminology Binding Device Usage Status (Required)
Type CodeableConcept
Summary false
DeviceUsage.usageReason
Element Id DeviceUsage.usageReason
Definition

The reason for asserting the usage status - for example forgot, lost, stolen, broken.

Short Display The reason for asserting the usage status - for example forgot, lost, stolen, broken
Cardinality 0..*
Type CodeableConcept
Summary false
DeviceUsage.adherence
Element Id DeviceUsage.adherence
Definition

This indicates how or if the device is being used.

Short Display How device is being used
Cardinality 0..1
Summary false
DeviceUsage.adherence.code
Element Id DeviceUsage.adherence.code
Definition

Type of adherence.

Short Display always | never | sometimes
Cardinality 1..1
Terminology Binding Device Usage Adherence Code (Example)
Type CodeableConcept
Summary false
DeviceUsage.adherence.reason
Element Id DeviceUsage.adherence.reason
Definition

Reason for adherence type.

Short Display lost | stolen | prescribed | broken | burned | forgot
Cardinality 1..*
Terminology Binding Device Usage Adherence Reason (Example)
Type CodeableConcept
Summary false
DeviceUsage.informationSource
Element Id DeviceUsage.informationSource
Definition

Who reported the device was being used by the patient.

Short Display Who made the statement
Cardinality 0..1
Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Summary true
DeviceUsage.device
Element Id DeviceUsage.device
Definition

Code or Reference to device used.

Short Display Code or Reference to device used
Cardinality 1..1
Type CodeableReference(Device | DeviceDefinition)
Summary true
DeviceUsage.reason
Element Id DeviceUsage.reason
Definition

Reason or justification for the use of the device. A coded concept, or another resource whose existence justifies this DeviceUsage.

Short Display Why device was used
Cardinality 0..*
Type CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | Procedure)
Summary true
Comments

When the status is not done, the reason code indicates why it was not done.

DeviceUsage.bodySite
Element Id DeviceUsage.bodySite
Definition

Indicates the anotomic location on the subject's body where the device was used ( i.e. the target).

Short Display Target body site
Cardinality 0..1
Terminology Binding SNOMED CT Body Structures (Example)
Type CodeableReference(BodyStructure)
Requirements

Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension http://hl7.org/fhir/StructureDefinition/bodySite.

Summary true
DeviceUsage.note
Element Id DeviceUsage.note
Definition

Details about the device statement 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 Addition details (comments, instructions)
Cardinality 0..*
Type Annotation
Summary false