This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.2.0-ballot: STU 2.2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions

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Resource Profile: CRD Device Request

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

Usages:

• Use this Profile: CRD CDSHooks Additional Orders Response (Logical Definition), CRD CDSHooks Alternate Request Response (Logical Definition), CRD CDSHooks Coverage Information Response (Logical Definition) and CRD Bundle of Request Resources
• Refer to this Profile: Coverage Information
• CapabilityStatements using this Profile: CRD Client USCDI 1, CRD Client USCDI 3 and CRD Client USCDI 4

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceRequest		0..*	DeviceRequest	Medical device request
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Request identifier
basedOn	SΣ	0..*	Reference(Resource)	What request fulfills
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Example General: draft
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request.
Slices for code[x]	SΣ	1..1		Device requested Slice: Unordered, Closed by type:$this Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
code[x]:codeCodeableConcept	SΣ	0..1	CodeableConcept	Device requested Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
Slices for extension				Content/Rules for all slices
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
code[x]:codeReference	SΣ	0..1	Reference(CRD Device)	Device requested
parameter	S	0..*	BackboneElement	Device details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
subject	SΣ	1..1	Reference(CRD Patient)	Focus of request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	SΣ	0..1		Desired time or schedule for use
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When recorded
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting diagnostics
performer	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	SΣ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Linked Reason for request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest From this IG
DeviceRequest.code[x]:codeCodeableConcept	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard
DeviceRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	DeviceRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	DeviceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	DeviceRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	DeviceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	DeviceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	DeviceRequest.extension:Coverage-Information	If 'info-needed' is OTH, then reason must be specified : extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	DeviceRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
crd-ci-q8	error	DeviceRequest.extension:Coverage-Information	If doc-purpose is present with a value other than 'conditional', then reason must be present : extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
dom-2	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DeviceRequest	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	error	DeviceRequest	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	error	DeviceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DeviceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DeviceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceRequest			DeviceRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	External Request identifier
basedOn	S	0..*	Reference(Resource)	What request fulfills
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Example General: draft
Slices for code[x]	S	1..1		Device requested Slice: Unordered, Open by type:$this Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
code[x]:codeCodeableConcept	S	0..1	CodeableConcept	Device requested
Slices for extension				Content/Rules for all slices
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
code[x]:codeReference	S	0..1	Reference(CRD Device)	Device requested
parameter	S	0..*	BackboneElement	Device details
subject	S	1..1	Reference(CRD Patient)	Focus of request
encounter		0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	S	0..1	dateTime, Period, Timing	Desired time or schedule for use
authoredOn	S	1..1	dateTime	When recorded
requester	S	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting diagnostics
performer	S	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	S	0..*	CodeableConcept	Coded Reason for request
reasonReference	S	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Linked Reason for request
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceRequest		0..*	DeviceRequest	Medical device request
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Request identifier
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(Resource)	What request fulfills
priorRequest	Σ	0..*	Reference(Resource)	What request replaces
groupIdentifier	Σ	0..1	Identifier	Identifier of composite request
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Example General: draft
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
Slices for code[x]	SΣ	1..1		Device requested Slice: Unordered, Closed by type:$this Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
code[x]:codeCodeableConcept	SΣ	0..1	CodeableConcept	Device requested Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code[x]:codeReference	SΣ	0..1	Reference(CRD Device)	Device requested
parameter	S	0..*	BackboneElement	Device details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Device detail Binding Description: (example): A code that identifies the device detail.
value[x]		0..1		Value of detail
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueRange			Range
valueBoolean			boolean
subject	SΣ	1..1	Reference(CRD Patient)	Focus of request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	SΣ	0..1		Desired time or schedule for use
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When recorded
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting diagnostics
performerType	Σ	0..1	CodeableConcept	Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	SΣ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Linked Reason for request
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
note		0..*	Annotation	Notes or comments
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
DeviceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest From this IG
DeviceRequest.code[x]:codeCodeableConcept	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard
DeviceRequest.parameter.code	example
DeviceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
DeviceRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	DeviceRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	DeviceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	DeviceRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	DeviceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	DeviceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	DeviceRequest.extension:Coverage-Information	If 'info-needed' is OTH, then reason must be specified : extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	DeviceRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
crd-ci-q8	error	DeviceRequest.extension:Coverage-Information	If doc-purpose is present with a value other than 'conditional', then reason must be present : extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
dom-2	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DeviceRequest	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	error	DeviceRequest	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	error	DeviceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DeviceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DeviceRequest

Summary

Mandatory: 3 elements
Must-Support: 16 elements

Structures

This structure refers to these other structures:

• CRD Device (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-device)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0)
• HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)
• US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0)
• US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|7.0.0)
• US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|7.0.0)
• US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|7.0.0)
• US Core DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DeviceRequest.code[x]

Maturity: 4

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceRequest		0..*	DeviceRequest	Medical device request
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Request identifier
basedOn	SΣ	0..*	Reference(Resource)	What request fulfills
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Example General: draft
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request.
Slices for code[x]	SΣ	1..1		Device requested Slice: Unordered, Closed by type:$this Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
code[x]:codeCodeableConcept	SΣ	0..1	CodeableConcept	Device requested Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
Slices for extension				Content/Rules for all slices
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
code[x]:codeReference	SΣ	0..1	Reference(CRD Device)	Device requested
parameter	S	0..*	BackboneElement	Device details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
subject	SΣ	1..1	Reference(CRD Patient)	Focus of request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	SΣ	0..1		Desired time or schedule for use
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When recorded
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting diagnostics
performer	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	SΣ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Linked Reason for request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest From this IG
DeviceRequest.code[x]:codeCodeableConcept	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard
DeviceRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	DeviceRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	DeviceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	DeviceRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	DeviceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	DeviceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	DeviceRequest.extension:Coverage-Information	If 'info-needed' is OTH, then reason must be specified : extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	DeviceRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
crd-ci-q8	error	DeviceRequest.extension:Coverage-Information	If doc-purpose is present with a value other than 'conditional', then reason must be present : extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
dom-2	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DeviceRequest	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	error	DeviceRequest	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	error	DeviceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DeviceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from DeviceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceRequest			DeviceRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	External Request identifier
basedOn	S	0..*	Reference(Resource)	What request fulfills
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Example General: draft
Slices for code[x]	S	1..1		Device requested Slice: Unordered, Open by type:$this Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
code[x]:codeCodeableConcept	S	0..1	CodeableConcept	Device requested
Slices for extension				Content/Rules for all slices
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
code[x]:codeReference	S	0..1	Reference(CRD Device)	Device requested
parameter	S	0..*	BackboneElement	Device details
subject	S	1..1	Reference(CRD Patient)	Focus of request
encounter		0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	S	0..1	dateTime, Period, Timing	Desired time or schedule for use
authoredOn	S	1..1	dateTime	When recorded
requester	S	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting diagnostics
performer	S	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	S	0..*	CodeableConcept	Coded Reason for request
reasonReference	S	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Linked Reason for request
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceRequest		0..*	DeviceRequest	Medical device request
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Request identifier
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣ	0..*	Reference(Resource)	What request fulfills
priorRequest	Σ	0..*	Reference(Resource)	What request replaces
groupIdentifier	Σ	0..1	Identifier	Identifier of composite request
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Example General: draft
intent	?!Σ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
Slices for code[x]	SΣ	1..1		Device requested Slice: Unordered, Closed by type:$this Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
code[x]:codeCodeableConcept	SΣ	0..1	CodeableConcept	Device requested Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:BillingOptions	S	0..*	CodeableConcept	Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code[x]:codeReference	SΣ	0..1	Reference(CRD Device)	Device requested
parameter	S	0..*	BackboneElement	Device details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Device detail Binding Description: (example): A code that identifies the device detail.
value[x]		0..1		Value of detail
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueRange			Range
valueBoolean			boolean
subject	SΣ	1..1	Reference(CRD Patient)	Focus of request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	SΣ	0..1		Desired time or schedule for use
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When recorded
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting diagnostics
performerType	Σ	0..1	CodeableConcept	Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	SΣ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	SΣ	0..*	Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core DiagnosticReport Profile for Laboratory Results Reporting(7.0.0) | US Core DiagnosticReport Profile for Report and Note Exchange(7.0.0) | US Core DocumentReference Profile(7.0.0) | Observation)	Linked Reason for request
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
note		0..*	Annotation	Notes or comments
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
DeviceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest From this IG
DeviceRequest.code[x]:codeCodeableConcept	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard
DeviceRequest.parameter.code	example
DeviceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
DeviceRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	DeviceRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	DeviceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	DeviceRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	DeviceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	DeviceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	DeviceRequest.extension:Coverage-Information	If 'info-needed' is OTH, then reason must be specified : extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	DeviceRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
crd-ci-q8	error	DeviceRequest.extension:Coverage-Information	If doc-purpose is present with a value other than 'conditional', then reason must be present : extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()
dom-2	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DeviceRequest	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	error	DeviceRequest	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	error	DeviceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DeviceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DeviceRequest

Summary

Mandatory: 3 elements
Must-Support: 16 elements

Structures

This structure refers to these other structures:

• CRD Device (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-device)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0)
• HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)
• US Core Condition Problems and Health Concerns Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0)
• US Core Condition Encounter Diagnosis Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|7.0.0)
• US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|7.0.0)
• US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|7.0.0)
• US Core DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DeviceRequest.code[x]

Maturity: 4

Other representations of profile: CSV, Excel, Schematron