QI-Core Implementation Guide
6.0.0 - STU6
QI-Core Implementation Guide
6.0.0 - STU6
This page is part of the Quality Improvement Core Framework (v6.0.0: STU6 (v6.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicenotrequested | Version: 6.0.0 | |||
| Active as of 2019-07-11 | Computable Name: QICoreDeviceNotRequested | |||
Profile of DeviceRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
The DeviceRequest and DeviceNotRequested profiles represent the positive and negative statements for a device request.
The following example illustrates accessing DeviceRequest not requested data:
define "Venous Foot Pumps Not Ordered":
[DeviceNotRequested: "Venous Foot Pumps (VFP)"] DeviceNotOrdered
where (DeviceNotOrdered.doNotPerformReason in "Medical Reason"
or DeviceNotOrdered.doNotPerformReason in "Patient Refusal"
)
| Negation Example with valueset | Device not indicated; indicates that none of the devices in the given "not done value set" were requested. |
| Negation Example with code | Device not indicated; indicates that a specific device, by code, was not requested. |
For a more complete discussion of representation of negation within QI-Core and quality improvement artifacts, see the Negation in QI-Core topic.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DeviceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DeviceRequest | C | 0..* | DeviceRequest | Medical device request dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided |
  doNotPerformReason | 1..1 | CodeableConcept | (QI-Core) Extension URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed | |
 modifierExtension:doNotPerform | ?! | 1..1 | R5 DeviceRequest.doNotPerform | (QI-Core) Extension |
   value[x] | 1..1 | boolean | (QI-Core) Value of extension Fixed Value: true | |
 status | 0..1 | code | (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown | |
| intent | 1..1 | code | (QI-Core) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | |
 code[x] | C | 1..1 | CodeableConcept | (QI-Core) Device requested Binding: FHIRDeviceTypes (preferred) |
 doNotPerformValueSet | C | 0..1 | canonical(ValueSet) | (QI-Core) What was not done URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet |
 subject | 1..1 | Reference(QICore Patient) | (QI-Core) Focus of request | |
| authoredOn | 1..1 | dateTime | (QI-Core) When recorded | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DeviceRequest.code[x] | preferred | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dnr-1 | error | DeviceRequest | to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided : code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DeviceRequest | C | 0..* | DeviceRequest | Medical device request dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| doNotPerformReason | 1..1 | CodeableConcept | (QI-Core) Extension URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed | |
 Slices for modifierExtension | ?! | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| modifierExtension:doNotPerform | ?! | 1..1 | R5 DeviceRequest.doNotPerform | (QI-Core) Extension |
 extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform" | |
| value[x] | 1..1 | boolean | (QI-Core) Value of extension Fixed Value: true | |
| status | ?!Σ | 0..1 | code | (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. |
| intent | ?!Σ | 1..1 | code | (QI-Core) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. |
| code[x] | ΣC | 1..1 | CodeableConcept | (QI-Core) Device requested Binding: FHIRDeviceTypes (preferred) |
| doNotPerformValueSet | C | 0..1 | canonical(ValueSet) | (QI-Core) What was not done URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet |
| subject | Σ | 1..1 | Reference(QICore Patient) | (QI-Core) Focus of request |
| authoredOn | Σ | 1..1 | dateTime | (QI-Core) When recorded |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DeviceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| DeviceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| DeviceRequest.code[x] | preferred | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dnr-1 | error | DeviceRequest | to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided : code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DeviceRequest | C | 0..* | DeviceRequest | Medical device request dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided | ||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| doNotPerformReason | 1..1 | CodeableConcept | (QI-Core) Extension URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed | |||||
| Slices for modifierExtension | ?! | 1..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
| modifierExtension:doNotPerform | ?! | 1..1 | R5 DeviceRequest.doNotPerform | (QI-Core) Extension | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform" | |||||
| value[x] | 1..1 | boolean | (QI-Core) Value of extension Fixed Value: true | |||||
| identifier | Σ | 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 | Σ | 0..* | Reference(Resource) | What request fulfills | ||||
| priorRequest | Σ | 0..* | Reference(Resource) | What request replaces | ||||
| groupIdentifier | Σ | 0..1 | Identifier | Identifier of composite request | ||||
| status | ?!Σ | 0..1 | code | (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | ||||
| intent | ?!Σ | 1..1 | code | (QI-Core) 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. | ||||
| code[x] | ΣC | 1..1 | CodeableConcept | (QI-Core) Device requested Binding: FHIRDeviceTypes (preferred) | ||||
| 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 | |||||
| doNotPerformValueSet | C | 0..1 | canonical(ValueSet) | (QI-Core) What was not done URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet | ||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| parameter | 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: (unbound) (example): A code that identifies the device detail. | |||||
  value[x] | 0..1 | Value of detail | ||||||
 valueCodeableConcept | CodeableConcept | |||||||
| valueQuantity | Quantity | |||||||
| valueRange | Range | |||||||
| valueBoolean | boolean | |||||||
| subject | Σ | 1..1 | Reference(QICore Patient) | (QI-Core) Focus of request | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter motivating request | ||||
| occurrence[x] | Σ | 0..1 | Desired time or schedule for use | |||||
| occurrenceDateTime | dateTime | |||||||
| occurrencePeriod | Period | |||||||
| occurrenceTiming | Timing | |||||||
| authoredOn | Σ | 1..1 | dateTime | (QI-Core) When recorded | ||||
| requester | Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | 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 | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | ||||
| reasonCode | Σ | 0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| DeviceRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DeviceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| DeviceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| DeviceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| DeviceRequest.code[x] | preferred | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindfrom the FHIR Standard | ||||
| DeviceRequest.parameter.code | example | |||||
| DeviceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-rolefrom the FHIR Standard | ||||
| DeviceRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dnr-1 | error | DeviceRequest | to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided : code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.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
Differential View
This structure is derived from DeviceRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DeviceRequest | C | 0..* | DeviceRequest | Medical device request dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided |
| doNotPerformReason | 1..1 | CodeableConcept | (QI-Core) Extension URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed | |
| modifierExtension:doNotPerform | ?! | 1..1 | R5 DeviceRequest.doNotPerform | (QI-Core) Extension |
| value[x] | 1..1 | boolean | (QI-Core) Value of extension Fixed Value: true | |
| status | 0..1 | code | (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown | |
| intent | 1..1 | code | (QI-Core) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | |
| code[x] | C | 1..1 | CodeableConcept | (QI-Core) Device requested Binding: FHIRDeviceTypes (preferred) |
| doNotPerformValueSet | C | 0..1 | canonical(ValueSet) | (QI-Core) What was not done URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet |
| subject | 1..1 | Reference(QICore Patient) | (QI-Core) Focus of request | |
| authoredOn | 1..1 | dateTime | (QI-Core) When recorded | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DeviceRequest.code[x] | preferred | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dnr-1 | error | DeviceRequest | to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided : code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DeviceRequest | C | 0..* | DeviceRequest | Medical device request dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| doNotPerformReason | 1..1 | CodeableConcept | (QI-Core) Extension URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed | |
| Slices for modifierExtension | ?! | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
| modifierExtension:doNotPerform | ?! | 1..1 | R5 DeviceRequest.doNotPerform | (QI-Core) Extension |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform" | |
| value[x] | 1..1 | boolean | (QI-Core) Value of extension Fixed Value: true | |
| status | ?!Σ | 0..1 | code | (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. |
| intent | ?!Σ | 1..1 | code | (QI-Core) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. |
| code[x] | ΣC | 1..1 | CodeableConcept | (QI-Core) Device requested Binding: FHIRDeviceTypes (preferred) |
| doNotPerformValueSet | C | 0..1 | canonical(ValueSet) | (QI-Core) What was not done URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet |
| subject | Σ | 1..1 | Reference(QICore Patient) | (QI-Core) Focus of request |
| authoredOn | Σ | 1..1 | dateTime | (QI-Core) When recorded |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DeviceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| DeviceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| DeviceRequest.code[x] | preferred | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dnr-1 | error | DeviceRequest | to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided : code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DeviceRequest | C | 0..* | DeviceRequest | Medical device request dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided | ||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| doNotPerformReason | 1..1 | CodeableConcept | (QI-Core) Extension URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed | |||||
| Slices for modifierExtension | ?! | 1..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
| modifierExtension:doNotPerform | ?! | 1..1 | R5 DeviceRequest.doNotPerform | (QI-Core) Extension | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform" | |||||
| value[x] | 1..1 | boolean | (QI-Core) Value of extension Fixed Value: true | |||||
| identifier | Σ | 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 | Σ | 0..* | Reference(Resource) | What request fulfills | ||||
| priorRequest | Σ | 0..* | Reference(Resource) | What request replaces | ||||
| groupIdentifier | Σ | 0..1 | Identifier | Identifier of composite request | ||||
| status | ?!Σ | 0..1 | code | (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | ||||
| intent | ?!Σ | 1..1 | code | (QI-Core) 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. | ||||
| code[x] | ΣC | 1..1 | CodeableConcept | (QI-Core) Device requested Binding: FHIRDeviceTypes (preferred) | ||||
| 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 | |||||
| doNotPerformValueSet | C | 0..1 | canonical(ValueSet) | (QI-Core) What was not done URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet | ||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| parameter | 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: (unbound) (example): A code that identifies the device detail. | |||||
| value[x] | 0..1 | Value of detail | ||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueQuantity | Quantity | |||||||
| valueRange | Range | |||||||
| valueBoolean | boolean | |||||||
| subject | Σ | 1..1 | Reference(QICore Patient) | (QI-Core) Focus of request | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter motivating request | ||||
| occurrence[x] | Σ | 0..1 | Desired time or schedule for use | |||||
| occurrenceDateTime | dateTime | |||||||
| occurrencePeriod | Period | |||||||
| occurrenceTiming | Timing | |||||||
| authoredOn | Σ | 1..1 | dateTime | (QI-Core) When recorded | ||||
| requester | Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | 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 | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | ||||
| reasonCode | Σ | 0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| DeviceRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DeviceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| DeviceRequest.intent | required | RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| DeviceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| DeviceRequest.code[x] | preferred | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindfrom the FHIR Standard | ||||
| DeviceRequest.parameter.code | example | |||||
| DeviceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-rolefrom the FHIR Standard | ||||
| DeviceRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dnr-1 | error | DeviceRequest | to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided : code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.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
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#6.0.0 based on FHIR 4.0.1. Generated 2024-03-01
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