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Where a Health Plan has information about devices used by the Member that information SHALL be published using the US Core Implantable Device resource when the information is structured and coded.
In future versions of this IG there is a desire to ensure that all Implantable Device identification information is exchanged using the Implantable Device resource.
The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core Implantable Device resource are:
R4 Element | Name | Cardinality | Type |
---|---|---|---|
Device.udiCarrier | udiCarrier | 0..1 | BackboneElement |
Device.udiCarrier.deviceIdentifier | deviceIdentifier | 1..1 | string |
Device.udiCarrier.carrierAIDC | carrierAIDC | 0..1 | base64Binary |
Device.udiCarrier.carrierHRF | carrierHRF | 0..1 | string |
Device.distinctIdentifier | distinctIdentifier | 0..1 | string |
Device.manufactureDate | manufactureDate | 0..1 | dateTime |
Device.expirationDate | expirationDate | 0..1 | dateTime |
Device.lotNumber | lotNumber | 0..1 | string |
Device.serialNumber | serialNumber | 0..1 | string |
Device.type | type | 1..1 | CodeableConcept |
Device.patient | patient | 1..1 | Reference(US Core Patient Profile) |
An example mapping of an implantable device resource is shown below:
{ "resourceType" : "Device", "id" : "udi-1", "meta" : { "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-device" ] }, "text" : { "status" : "generated", "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Details
id: udi-1
meta:
UdiCarriers
<table class=\"grid\">- CarrierHRF </table> * (01)09504000059118(17)141120(10)7654321D(21)10987654d321 status: active
type: Coated femoral stem prosthesis, modular <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '468063009' = 'Coated femoral stem prosthesis, modular (physical object)', given as 'Coated femoral stem prosthesis, modular'})</span>
patient: <a href=\"Patient-example.html\">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>
</div>" }, "udiCarrier" : [ { "carrierHRF" : "(01)09504000059118(17)141120(10)7654321D(21)10987654d321" } ], "status" : "active", "type" : { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "468063009", "display" : "Coated femoral stem prosthesis, modular" } ] }, "patient" : { "reference" : "Patient/example", "display" : "Amy Shaw" } }