Da Vinci - Coverage Requirements Discovery
1.1.0-ballot - STU 1.1 US

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.1.0-ballot: STU 1.1 Ballot 1) 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

Resource Profile: DeviceRequest

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-devicerequest Version: 1.1.0-ballot
Draft as of 2018-07-25 Computable Name: DeviceRequest

This profile specifies extensions and constraints on the DeviceRequest resource to support coverage requirements discovery.

Usage


CRD Clients SHALL use this profile to resolve references to DeviceRequest resources passed to CRD Services (e.g. selections context references) and to populate draftOrders context objects when invoking the following CDS Hooks:

Information provided in Must Support elements will commonly be required for CRD Services to perform coverage requirements discovery.

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest 0..*DeviceRequestMedical device request
... ext-coverage-information S0..*(Complex)CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
... identifier S0..*IdentifierExternal Request identifier
... basedOn S0..*Reference(Resource)What request fulfills
... code[x] S1..1Device requested
.... codeReferenceReference(Device)
.... codeCodeableConceptCodeableConcept
... parameter S0..*BackboneElementDevice details
... subject S1..1Reference(Patient)Focus of request
... encounter 0..1Reference(Encounter)Encounter motivating request
... occurrence[x] S0..1dateTime, Period, TimingDesired time or schedule for use
... authoredOn S1..1dateTimeWhen recorded
... requester S1..1Reference(Practitioner | US Core PractitionerRole Profile)Who/what is requesting diagnostics
... performer S0..1Reference(Practitioner | US Core PractitionerRole Profile)Requested Filler
... reasonCode S0..*CodeableConceptCoded Reason for request
... reasonReference S0..*Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)Linked Reason for request
... insurance S0..*Reference(Coverage)Associated insurance coverage

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest 0..*DeviceRequestMedical device request
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-coverage-information S0..*(Complex)CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierExternal Request identifier
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn SΣ0..*Reference(Resource)What request fulfills
... priorRequest Σ0..*Reference(Resource)What request replaces
... groupIdentifier Σ0..1IdentifierIdentifier of composite request
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.


Fixed Value: draft
... intent ?!Σ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.

... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code[x] SΣ1..1Device requested
Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.

.... codeReferenceReference(Device)
.... codeCodeableConceptCodeableConcept
... parameter S0..*BackboneElementDevice details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptDevice detail
Binding: (unbound) (example): A code that identifies the device detail.

.... value[x] 0..1Value of detail
..... valueCodeableConceptCodeableConcept
..... valueQuantityQuantity
..... valueRangeRange
..... valueBooleanboolean
... subject SΣ1..1Reference(Patient)Focus of request
... encounter Σ0..1Reference(Encounter)Encounter motivating request
... occurrence[x] SΣ0..1Desired time or schedule for use
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn SΣ1..1dateTimeWhen recorded
... requester SΣ1..1Reference(Practitioner | US Core PractitionerRole Profile)Who/what is requesting diagnostics
... performerType Σ0..1CodeableConceptFiller role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer SΣ0..1Reference(Practitioner | US Core PractitionerRole Profile)Requested Filler
... reasonCode SΣ0..*CodeableConceptCoded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.


... reasonReference SΣ0..*Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)Linked Reason for request
... insurance S0..*Reference(Coverage)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... note 0..*AnnotationNotes or comments
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest 0..*DeviceRequestMedical device request
... ext-coverage-information 0..*(Complex)CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
... identifier Σ0..*IdentifierExternal Request identifier
... basedOn Σ0..*Reference(Resource)What request fulfills
... code[x] Σ1..1Device requested
Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.

.... codeReferenceReference(Device)
.... codeCodeableConceptCodeableConcept
... parameter 0..*BackboneElementDevice details
... subject Σ1..1Reference(Patient)Focus of request
... occurrence[x] Σ0..1Desired time or schedule for use
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn Σ1..1dateTimeWhen recorded
... requester Σ1..1Reference(Practitioner | US Core PractitionerRole Profile)Who/what is requesting diagnostics
... performer Σ0..1Reference(Practitioner | US Core PractitionerRole Profile)Requested Filler
... reasonCode Σ0..*CodeableConceptCoded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.


... reasonReference Σ0..*Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)Linked Reason for request
... insurance 0..*Reference(Coverage)Associated insurance coverage

doco Documentation for this format

Differential View

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest 0..*DeviceRequestMedical device request
... ext-coverage-information S0..*(Complex)CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
... identifier S0..*IdentifierExternal Request identifier
... basedOn S0..*Reference(Resource)What request fulfills
... code[x] S1..1Device requested
.... codeReferenceReference(Device)
.... codeCodeableConceptCodeableConcept
... parameter S0..*BackboneElementDevice details
... subject S1..1Reference(Patient)Focus of request
... encounter 0..1Reference(Encounter)Encounter motivating request
... occurrence[x] S0..1dateTime, Period, TimingDesired time or schedule for use
... authoredOn S1..1dateTimeWhen recorded
... requester S1..1Reference(Practitioner | US Core PractitionerRole Profile)Who/what is requesting diagnostics
... performer S0..1Reference(Practitioner | US Core PractitionerRole Profile)Requested Filler
... reasonCode S0..*CodeableConceptCoded Reason for request
... reasonReference S0..*Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)Linked Reason for request
... insurance S0..*Reference(Coverage)Associated insurance coverage

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest 0..*DeviceRequestMedical device request
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-coverage-information S0..*(Complex)CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierExternal Request identifier
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn SΣ0..*Reference(Resource)What request fulfills
... priorRequest Σ0..*Reference(Resource)What request replaces
... groupIdentifier Σ0..1IdentifierIdentifier of composite request
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.


Fixed Value: draft
... intent ?!Σ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.

... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code[x] SΣ1..1Device requested
Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.

.... codeReferenceReference(Device)
.... codeCodeableConceptCodeableConcept
... parameter S0..*BackboneElementDevice details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptDevice detail
Binding: (unbound) (example): A code that identifies the device detail.

.... value[x] 0..1Value of detail
..... valueCodeableConceptCodeableConcept
..... valueQuantityQuantity
..... valueRangeRange
..... valueBooleanboolean
... subject SΣ1..1Reference(Patient)Focus of request
... encounter Σ0..1Reference(Encounter)Encounter motivating request
... occurrence[x] SΣ0..1Desired time or schedule for use
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn SΣ1..1dateTimeWhen recorded
... requester SΣ1..1Reference(Practitioner | US Core PractitionerRole Profile)Who/what is requesting diagnostics
... performerType Σ0..1CodeableConceptFiller role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer SΣ0..1Reference(Practitioner | US Core PractitionerRole Profile)Requested Filler
... reasonCode SΣ0..*CodeableConceptCoded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.


... reasonReference SΣ0..*Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile)Linked Reason for request
... insurance S0..*Reference(Coverage)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... note 0..*AnnotationNotes or comments
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
DeviceRequest.languagepreferredCommonLanguages
Max Binding: AllLanguages
DeviceRequest.statusrequiredFixed Value: draft
DeviceRequest.intentrequiredRequestIntent
DeviceRequest.priorityrequiredRequestPriority
DeviceRequest.code[x]exampleFHIRDeviceTypes
DeviceRequest.parameter.codeexample
DeviceRequest.performerTypeexampleParticipantRoles
DeviceRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes

Constraints

IdGradePathDetailsRequirements
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorDeviceRequest.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorDeviceRequest.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorDeviceRequest.extension:Coverage-InformationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorDeviceRequest.extension:Coverage-InformationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorDeviceRequest.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorDeviceRequest.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorDeviceRequest.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.instantiatesCanonicalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.instantiatesUriAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.priorRequestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.groupIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.intentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.code[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.parameterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.parameter.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorDeviceRequest.parameter.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorDeviceRequest.parameter.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorDeviceRequest.parameter.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorDeviceRequest.parameter.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.parameter.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.occurrence[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.authoredOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.requesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.performerTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.insuranceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.supportingInfoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorDeviceRequest.relevantHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())