Profile qicore-deviceuserequest

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="qicore-deviceuserequest"/>
  <url
       value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-deviceuserequest"/>
  <name value="Profile qicore-deviceuserequest"/>
  <status value="draft"/>
  <publisher
             value="Health Level Seven International (Clinical Quality Information - QICore)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <date value="2015-02-27"/>
  <mapping>
    <identity value="qdm"/>
    <uri value="http://www.healthit.gov/quality-data-model"/>
    <name value="Quality Data Model"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="quick"/>
    <uri value="http://wiki.siframework.org/CQF"/>
    <name value="Quality Improvement and Clinical Knowledge (QUICK)"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="DeviceUseRequest"/>
  <baseDefinition
                  value="http://hl7.org/fhir/StructureDefinition/DeviceUseRequest"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="DeviceUseRequest:qicore-deviceuserequest">
      <path value="DeviceUseRequest"/>
      <name value="QICore-DeviceUseRequest"/>
      <short value="Medical device request"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
      </constraint>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="workflow.order"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map
             value=""Device, Order" (when DeviceUseRequest.status != proposed, planned, rejected); "Device, Recommended" (when DeviceUseRequest.status=proposed)"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.id">
      <path value="DeviceUseRequest.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comments
                value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.meta">
      <path value="DeviceUseRequest.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.implicitRules">
      <path value="DeviceUseRequest.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comments
                value="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 as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.language">
      <path value="DeviceUseRequest.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments
                value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.text">
      <path value="DeviceUseRequest.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource, and may 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."/>
      <comments
                value="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 in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.contained">
      <path value="DeviceUseRequest.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="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."/>
      <comments
                value="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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="DeviceUseRequest:qicore-deviceuserequest.extension:deviceuserequestreasonrejected$deviceuserequest-reasonRejected">
      <path value="DeviceUseRequest.extension"/>
      <name value="DeviceUseRequest.reasonRejected"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/deviceuserequest-reasonRejected"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="children().count() > id.count()"/>
        <xpath value="@value|f:*|h:div"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
      </constraint>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/qicore/ValueSet/qicore-deviceuserequest-reason-rejected"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map
             value="negation rationale (when DeviceUseRequest.status="rejected")"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.modifierExtension">
      <path value="DeviceUseRequest.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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. Usually modifier elements provide negation or qualification. In order 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."/>
      <comments
                value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.identifier">
      <path value="DeviceUseRequest.identifier"/>
      <short value="Request identifier"/>
      <definition
                  value="Identifiers assigned to this order by the orderer or by the receiver."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="quick"/>
        <map value="ClinicalStatement.identifier"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.definition">
      <path value="DeviceUseRequest.definition"/>
      <short value="Protocol or definition"/>
      <definition
                  value="Protocol or definition followed by this request. For example: The proposed act must be performed if the indicated conditions occur, e.g.., shortness of breath, SpO2 less than x%."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.definition"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.basedOn">
      <path value="DeviceUseRequest.basedOn"/>
      <short value="What request fulfills"/>
      <definition value="Plan/proposal/order fulfilled by this request."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.basedOn"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="quick"/>
        <map value="Proposal.prnReason.reason"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.replaces">
      <path value="DeviceUseRequest.replaces"/>
      <short value="What request replaces"/>
      <definition
                  value="The request takes the place of the referenced completed or terminated request(s)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.replaces"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.requisition">
      <path value="DeviceUseRequest.requisition"/>
      <short value="Identifier of composite request"/>
      <definition value="Composite request this is part of."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.requisition"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.status">
      <path value="DeviceUseRequest.status"/>
      <short
             value="draft | active | suspended | completed | entered-in-error | cancelled"/>
      <definition value="The status of the request."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.status"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Codes representing the status of the request."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/request-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="quick"/>
        <map value="Action.currentStatus"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.stage">
      <path value="DeviceUseRequest.stage"/>
      <short value="proposal | plan | original-order | encoded | reflex-order"/>
      <definition
                  value="Whether the request is a proposal, plan, an original order or a reflex order."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.stage"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isSummary value="false"/>
      <binding>
        <strength value="extensible"/>
        <description value="The kind of diagnostic request"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/request-stage"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map
             value="negation rationale (when DeviceUseRequest.status="rejected")"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.deviceReference">
      <path value="DeviceUseRequest.deviceReference"/>
      <short value="Item used in healthcare"/>
      <definition
                  value="This resource identifies an instance or a type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.  Medical devices includes durable (reusable) medical equipment, implantable devices, as well as disposable equipment used for diagnostic, treatment, and research for healthcare and public health.  Non-medical devices may include items such as a machine, cellphone, computer, application, etc."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.device[x]"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-device"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for devices that can be requested"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/device-kind"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="udi"/>
        <map value="N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Device"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.device"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="Device, Applied or Order or Recommended"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code (Device.type)"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.subject">
      <path value="DeviceUseRequest.subject"/>
      <short value="Focus of request"/>
      <definition value="The patient who will use the device."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="quick"/>
        <map value="ClinicalStatement.subject"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.context">
      <path value="DeviceUseRequest.context"/>
      <short value="Encounter or Episode motivating request"/>
      <definition
                  value="An encounter that provides additional context in which this request is made."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.context"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="quick"/>
        <map value="ClinicalStatement.encounter"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.occurrence[x]">
      <path value="DeviceUseRequest.occurrence[x]"/>
      <short value="Desired time or schedule for use"/>
      <definition
                  value="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"."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.occurrence[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <type>
        <code value="Timing"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="quick"/>
        <map value="DeviceUse.applicationSchedule"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.planned"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="start datetime, stop datetime"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.authored">
      <path value="DeviceUseRequest.authored"/>
      <short value="When recorded"/>
      <definition value="When the request transitioned to being actionable."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.authored"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="quick"/>
        <map value="ClinicalStatement.statementDateTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="stop datetime"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.requester">
      <path value="DeviceUseRequest.requester"/>
      <short value="Who/what is requesting diagnostics"/>
      <definition
                  value="Who/what is requesting diagnostics.  The practitioner that holds legal responsibility for ordering the investigation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.requester"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.author"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.performerType">
      <path value="DeviceUseRequest.performerType"/>
      <short value="Fille role"/>
      <definition
                  value="Desired type of performer for doing the diagnostic testing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.performerType"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description
                     value="Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/participant-role"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.performer">
      <path value="DeviceUseRequest.performer"/>
      <short value="Requested Filler"/>
      <definition value="The desired perfomer for doing the diagnostic testing."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DeviceUseRequest.performer"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.reasonCode">
      <path value="DeviceUseRequest.reasonCode"/>
      <short value="Coded Reason for request"/>
      <definition value="Reason or justification for the use of this device."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.reasonCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-problem"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="quick"/>
        <map value="Action.indication.reason"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.reasonReference">
      <path value="DeviceUseRequest.reasonReference"/>
      <short value="Linked Reason for request"/>
      <definition value="Reason or justification for the use of this device."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.reasonReference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <mustSupport value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.supportingInfo">
      <path value="DeviceUseRequest.supportingInfo"/>
      <short value="Additional clinical information"/>
      <definition
                  value="Additional clinical information about the patient that may influence the request fulfilment.  For example, this may includes body where on the subject's the device will be used ( i.e. the target site)."/>
      <requirements
                    value="Knowing where the device is targeted is important for tracking if multiple sites are possible."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.supportingInfo"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.note">
      <path value="DeviceUseRequest.note"/>
      <short value="Notes or comments"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.note"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Annotation"/>
      </type>
      <mapping>
        <identity value="quick"/>
        <map value="ClinicalStatement.additionalText"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.relevantHistory">
      <path value="DeviceUseRequest.relevantHistory"/>
      <short value="Request provenance"/>
      <definition value="Key events in the history of the request."/>
      <comments
                value="This may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource.  (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update.  Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DeviceUseRequest.relevantHistory"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Provenance"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="DeviceUseRequest:qicore-deviceuserequest">
      <path value="DeviceUseRequest"/>
      <name value="QICore-DeviceUseRequest"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map
             value=""Device, Order" (when DeviceUseRequest.status != proposed, planned, rejected); "Device, Recommended" (when DeviceUseRequest.status=proposed)"/>
      </mapping>
    </element>
    <element
             id="DeviceUseRequest:qicore-deviceuserequest.extension:deviceuserequestreasonrejected$deviceuserequest-reasonRejected">
      <path value="DeviceUseRequest.extension"/>
      <name value="DeviceUseRequest.reasonRejected"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Extension"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/deviceuserequest-reasonRejected"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="example"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/qicore/ValueSet/qicore-deviceuserequest-reason-rejected"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="qdm"/>
        <map
             value="negation rationale (when DeviceUseRequest.status="rejected")"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.stage">
      <path value="DeviceUseRequest.stage"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map
             value="negation rationale (when DeviceUseRequest.status="rejected")"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.device[x]">
      <path value="DeviceUseRequest.device[x]"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-device"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="primary code (Device.type)"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.subject">
      <path value="DeviceUseRequest.subject"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-patient"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.context">
      <path value="DeviceUseRequest.context"/>
      <type>
        <code value="Reference"/>
        <profile
                 value="http://hl7.org/fhir/qicore/StructureDefinition/qicore-encounter"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.occurrence[x]">
      <path value="DeviceUseRequest.occurrence[x]"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="start datetime, stop datetime"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.authored">
      <path value="DeviceUseRequest.authored"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="stop datetime"/>
      </mapping>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.reasonCode">
      <path value="DeviceUseRequest.reasonCode"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="preferred"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/daf/ValueSet/daf-problem"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="DeviceUseRequest:qicore-deviceuserequest.reasonReference">
      <path value="DeviceUseRequest.reasonReference"/>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="qdm"/>
        <map value="reason"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>