QI-Core Implementation Guide
4.1.0 - release

This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Resource Profile: QICoreDeviceRequest

Defining URL:http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest
Version:4.1.0
Name:QICoreDeviceRequest
Status:Draft as of 7/11/19
Definition:

Profile of DeviceRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Publisher:http://www.hl7.org/Special/committees/cqi/index.cfm
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicerequest
Usage

The FHIR R4 and the QI-Core DeviceRequest profile describes the request to use of a device by a patient. The device may be any pertinent device specified in the Device resource. Examples of devices that may be requested include a wheelchair, hearing aids, or an insulin pump. The request may lead to the dispensing of the device to the patient or for use by the patient. Orders or recommendations for use of a device for a patient use the ServiceRequest resource.

To create an expression specifically requesting information that a DeviceRequest intentionally did not occur for a medical, patient or system reason, use the profile QICore-Devicenotrequested.

The DeviceRequest and DeviceNotRequested profiles represent the positive and negative statements for a device request. To ensure instances retrieved meet positive intent, applications should check the status and doNotPerform elements as illustrated in this example:

define DeviceRequest:
  [DeviceRequest] D
    where D.status in { 'draft', 'active', 'on-hold', 'revoked', 'completed' }
      and D.doNotPerform() is not true

The following example illustrates the use of DeviceRequest:

// connectathon/fhir4/cql/AdvancedIllnessandFrailtyExclusion_FHIR4-4.0.000.cql
define "Device Indicating Frailty":
  [DeviceRequest: "Frailty Device"] FrailtyDeviceOrder
    where FrailtyDeviceOrder.status in { 'active', 'on-hold', 'completed' }
      and FrailtyDeviceOrder.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
      and FrailtyDeviceOrder.doNotPerform() is not true

See the patterns page for implementation and usage patterns.

Examples

General DeviceRequest Example

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
... identifier S0..*IdentifierExternal Request identifier
... status S0..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
... subject S1..1Reference(QICorePatient)Focus of request
... encounter S0..1Reference(QICoreEncounter)Encounter motivating request
... occurrence[x] S0..1dateTime, Period, TimingDesired time or schedule for use
... authoredOn S0..1dateTimeWhen recorded
... requester S0..1Reference(QICoreDevice | QICorePractitioner | QICorePractitionerRole | QICoreOrganization)Who/what is requesting diagnostics
... performer S0..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization | QICoreCareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson)Requested Filler
... reasonReference S0..*Reference(QICoreCondition | QICoreObservation)Linked Reason for request

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
... extension 0..*ExtensionAdditional content defined by implementations
... 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 Σ0..*Reference(Resource)What request fulfills
... priorRequest Σ0..*Reference(Resource)What request replaces
... groupIdentifier Σ0..1IdentifierIdentifier of composite request
... status ?!SΣ0..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.

... intent ?!SΣ1..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 0..*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(QICorePatient)Focus of request
... encounter SΣ0..1Reference(QICoreEncounter)Encounter motivating request
... occurrence[x] SΣ0..1Desired time or schedule for use
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn SΣ0..1dateTimeWhen recorded
... requester SΣ0..1Reference(QICoreDevice | QICorePractitioner | QICorePractitionerRole | QICoreOrganization)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(QICorePractitioner | QICorePractitionerRole | QICoreOrganization | QICoreCareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson)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 SΣ0..*Reference(QICoreCondition | QICoreObservation)Linked Reason for request
... insurance 0..*Reference(Coverage | ClaimResponse)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
... identifier Σ0..*IdentifierExternal Request identifier
... status ?!Σ0..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.

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

.... codeReferenceReference(Device)
.... codeCodeableConceptCodeableConcept
... subject Σ1..1Reference(QICorePatient)Focus of request
... encounter Σ0..1Reference(QICoreEncounter)Encounter motivating request
... occurrence[x] Σ0..1Desired time or schedule for use
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn Σ0..1dateTimeWhen recorded
... requester Σ0..1Reference(QICoreDevice | QICorePractitioner | QICorePractitionerRole | QICoreOrganization)Who/what is requesting diagnostics
... performer Σ0..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization | QICoreCareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson)Requested Filler
... reasonReference Σ0..*Reference(QICoreCondition | QICoreObservation)Linked Reason for request

doco Documentation for this format

Differential View

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest 0..*DeviceRequestMedical device request
... identifier S0..*IdentifierExternal Request identifier
... status S0..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
... subject S1..1Reference(QICorePatient)Focus of request
... encounter S0..1Reference(QICoreEncounter)Encounter motivating request
... occurrence[x] S0..1dateTime, Period, TimingDesired time or schedule for use
... authoredOn S0..1dateTimeWhen recorded
... requester S0..1Reference(QICoreDevice | QICorePractitioner | QICorePractitionerRole | QICoreOrganization)Who/what is requesting diagnostics
... performer S0..1Reference(QICorePractitioner | QICorePractitionerRole | QICoreOrganization | QICoreCareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson)Requested Filler
... reasonReference S0..*Reference(QICoreCondition | QICoreObservation)Linked Reason for request

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
... extension 0..*ExtensionAdditional content defined by implementations
... 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 Σ0..*Reference(Resource)What request fulfills
... priorRequest Σ0..*Reference(Resource)What request replaces
... groupIdentifier Σ0..1IdentifierIdentifier of composite request
... status ?!SΣ0..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.

... intent ?!SΣ1..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 0..*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(QICorePatient)Focus of request
... encounter SΣ0..1Reference(QICoreEncounter)Encounter motivating request
... occurrence[x] SΣ0..1Desired time or schedule for use
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn SΣ0..1dateTimeWhen recorded
... requester SΣ0..1Reference(QICoreDevice | QICorePractitioner | QICorePractitionerRole | QICoreOrganization)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(QICorePractitioner | QICorePractitionerRole | QICoreOrganization | QICoreCareTeam | QICorePatient | QICoreDevice | QICoreRelatedPerson)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 SΣ0..*Reference(QICoreCondition | QICoreObservation)Linked Reason for request
... insurance 0..*Reference(Coverage | ClaimResponse)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
DeviceRequest.languagepreferredCommonLanguages
Max Binding: AllLanguages
DeviceRequest.statusrequiredRequestStatus
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.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())