This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v0.3.0: STU 1 Ballot 2) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
Definitions for the profile-devicerequest-r4 Profile.
1. 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. |
Control | 0..* |
Invariants | Defined on this element dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (: contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (: text.div.exists()) |
2. DeviceRequest.id | |
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
3. DeviceRequest.meta | |
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. |
Control | 0..1 |
Type | Meta |
4. DeviceRequest.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
5. DeviceRequest.language | |
Definition | The base language in which the resource is written. |
Control | 0..1 |
Binding | A human language. The codes SHOULD be taken from CommonLanguages Max Binding: AllLanguages |
Type | code |
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
6. DeviceRequest.text | |
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
Control | 0..1 |
Type | Narrative |
Alternate Names | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
7. DeviceRequest.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Control | 0..* |
Type | Resource |
Alternate Names | inline resources, anonymous resources, contained resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
8. DeviceRequest.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
9. DeviceRequest.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
10. DeviceRequest.identifier | |
Definition | Identifiers assigned to this order by the orderer or by the receiver. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Must Support | true |
11. 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. |
Control | 1..1 |
Type | canonical(ActivityDefinition | PlanDefinition) |
Must Support | 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. |
12. 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. |
Control | 0..* |
Type | uri |
Comments | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. |
13. DeviceRequest.basedOn | |
Definition | Plan/proposal/order fulfilled by this request. |
Control | 1..1 |
Type | Reference(Resource) |
Must Support | true |
14. DeviceRequest.priorRequest | |
Definition | The request takes the place of the referenced completed or terminated request(s). |
Control | 0..* |
Type | Reference(Resource) |
15. DeviceRequest.groupIdentifier | |
Definition | Composite request this is part of. |
Control | 0..1 |
Type | Identifier |
Comments | potentially relevant for CRD in some situations. |
16. DeviceRequest.status | |
Definition | The status of the request. |
Control | 1..1 |
Binding | Codes representing the status of the request. The codes SHALL be taken from RequestStatus |
Type | code |
Is Modifier | true |
Must Support | 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. |
Fixed Value | draft |
17. DeviceRequest.intent | |
Definition | Whether the request is a proposal, plan, an original order or a reflex order. |
Control | 1..1 |
Binding | The kind of diagnostic request. The codes SHALL be taken from RequestIntent |
Type | code |
Is Modifier | true |
Comments | potentially relevant for CRD in some situations. |
18. DeviceRequest.priority | |
Definition | Indicates how quickly the should be addressed with respect to other requests. |
Control | 0..1 |
Binding | Identifies the level of importance to be assigned to actioning the request. The codes SHALL be taken from RequestPriority |
Type | code |
Meaning if Missing | If missing, normal priority |
19. DeviceRequest.code[x] | |
Definition | The details of the device to be used. |
Control | 1..1 |
Binding | Codes for devices that can be requested. For example codes, see FHIRDeviceTypes |
Type | Choice of: Reference(DeviceR4), CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Must Support | true |
20. DeviceRequest.parameter | |
Definition | Specific parameters for the ordered item. For example, the prism value for lenses. |
Control | 0..* |
Type | BackboneElement |
Must Support | true |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
21. DeviceRequest.parameter.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
22. DeviceRequest.parameter.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
23. DeviceRequest.parameter.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
24. DeviceRequest.parameter.code | |
Definition | A code or string that identifies the device detail being asserted. |
Control | 0..1 |
Binding | A code that identifies the device detail. |
Type | CodeableConcept |
25. DeviceRequest.parameter.value[x] | |
Definition | The value of the device detail. |
Control | 0..1 |
Type | Choice of: CodeableConcept, Quantity, Range, boolean |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Comments | Range means device should have a value that falls somewhere within the specified range. |
26. DeviceRequest.subject | |
Definition | The patient who will use the device. |
Control | 1..1 |
Type | Reference(PatientR4) |
Must Support | true |
27. DeviceRequest.encounter | |
Definition | An encounter that provides additional context in which this request is made. |
Control | 0..1 |
Type | Reference(EncounterR4) |
Comments | potentially relevant for CRD in some situations. |
28. 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". |
Control | 0..1 |
Type | Choice of: dateTime, Period, Timing |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Must Support | true |
29. DeviceRequest.authoredOn | |
Definition | When the request transitioned to being actionable. |
Control | 1..1 |
Type | dateTime |
Must Support | true |
30. DeviceRequest.requester | |
Definition | The individual who initiated the request and has responsibility for its activation. |
Control | 1..1 |
Type | Reference(PractitionerR4 | US Core PractitionerRole Profile) |
Must Support | true |
31. DeviceRequest.performerType | |
Definition | Desired type of performer for doing the diagnostic testing. |
Control | 0..1 |
Binding | Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. For example codes, see ParticipantRoles |
Type | CodeableConcept |
Comments | potentially relevant for CRD in some situations. |
32. DeviceRequest.performer | |
Definition | The desired performer for doing the diagnostic testing. |
Control | 0..1 |
Type | Reference(PractitionerR4 | US Core PractitionerRole Profile) |
Must Support | true |
33. DeviceRequest.reasonCode | |
Definition | Reason or justification for the use of this device. |
Control | 0..* |
Binding | Diagnosis or problem codes justifying the reason for requesting the device. For example codes, see Condition/Problem/DiagnosisCodes |
Type | CodeableConcept |
Must Support | true |
34. DeviceRequest.reasonReference | |
Definition | Reason or justification for the use of this device. |
Control | 0..* |
Type | Reference(US Core Condition Profile | US Core Result Observation) |
Must Support | true |
Comments | potentially relevant for CRD in some situations. |
35. DeviceRequest.insurance | |
Definition | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. |
Control | 0..* |
Type | Reference(CoverageR4) |
Must Support | true |
36. 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). |
Control | 0..* |
Type | Reference(Resource) |
Requirements | Knowing where the device is targeted is important for tracking if multiple sites are possible. |
Comments | potentially relevant for CRD in some situations. |
37. 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. |
Control | 0..* |
Type | Annotation |
Comments | potentially relevant for CRD in some situations. |
38. DeviceRequest.relevantHistory | |
Definition | Key events in the history of the request. |
Control | 0..* |
Type | Reference(Provenance) |
Comments | potentially relevant for CRD in some situations. |