International Patient Summary Implementation Guide
2.0.0 - STU 2
International Patient Summary Implementation Guide
2.0.0 - STU 2
This page is part of the International Patient Summary Implementation Guide (v2.0.0: STU 2) 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/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips | Version: 2.0.0 | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: DeviceUseStatementUvIps | ||
This profile represents the constraints applied to the DeviceUseStatement resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A statement about a device used by or implanted on the patient is described in the patient summary as an instance of a DeviceUseStatement resource constrained by this profile.
This profile constrains the representation of a statement about a medical device used by or impanted on the patient, part of the "Medical Devices" section of the Composition resource representing the international patient summary, as specified by the IPS project of HL7 International.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  DeviceUseStatement |
0..* | DeviceUseStatement | Record of use of a device | |||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage. | ||||||||
  subject |
SOΣ | 1..1 | Reference(Patient (IPS)) | Patient using device
| ||||||||
  reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
 Slices for timing[x] |
SOΣ | 1..1 | How often the device was used Slice: Unordered, Open by type:$this
| |||||||||
  timingPeriod |
Period | |||||||||||
| timingDateTime |
dateTime | |||||||||||
  timing[x]:timingDateTime |
SOΣ | 0..1 | dateTime | How often the device was used
| ||||||||
| device |
SOΣ | 1..1 | Reference(Device (IPS)) | Reference to device used
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DeviceUseStatement | 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 | DeviceUseStatement | 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 | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DeviceUseStatement | 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 DeviceUseStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DeviceUseStatement |
0..* | DeviceUseStatement | Record of use of a device | |||||||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | External identifier for this record | ||||||||
| basedOn |
Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| status |
?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage. | ||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS)) | Patient using device
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| derivedFrom |
Σ | 0..* | Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) | Supporting information | ||||||||
| Slices for timing[x] |
SOΣ | 1..1 | How often the device was used Slice: Unordered, Open by type:$this
| |||||||||
| timingPeriod |
Period | |||||||||||
| timingDateTime |
dateTime | |||||||||||
| timing[x]:timingDateTime |
SOΣ | 0..1 | dateTime | How often the device was used
| ||||||||
| recordedOn |
Σ | 0..1 | dateTime | When statement was recorded | ||||||||
| source |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who made the statement | ||||||||
| device |
SOΣ | 1..1 | Reference(Device (IPS)) | Reference to device used
| ||||||||
| reasonCode |
Σ | 0..* | CodeableConcept | Why device was used | ||||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) | Why was DeviceUseStatement performed? | ||||||||
| bodySite |
Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||||||
| note |
0..* | Annotation | Addition details (comments, instructions) | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceUseStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std. |
| DeviceUseStatement.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DeviceUseStatement.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DeviceUseStatement | 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 | DeviceUseStatement | 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 | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DeviceUseStatement | 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 DeviceUseStatement
Summary
Mandatory: 2 elements
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DeviceUseStatement |
0..* | DeviceUseStatement | Record of use of a device | |||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| status |
?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage. | ||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS)) | Patient using device
| ||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for timing[x] |
SOΣ | 1..1 | How often the device was used Slice: Unordered, Open by type:$this
| |||||||||
| timingPeriod |
Period | |||||||||||
| timingDateTime |
dateTime | |||||||||||
| timing[x]:timingDateTime |
SOΣ | 0..1 | dateTime | How often the device was used
| ||||||||
| device |
SOΣ | 1..1 | Reference(Device (IPS)) | Reference to device used
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DeviceUseStatement | 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 | DeviceUseStatement | 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 | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DeviceUseStatement | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from DeviceUseStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DeviceUseStatement |
DeviceUseStatement | |||||||||||
| subject |
SO | 1..1 | Reference(Patient (IPS)) | Patient using device
| ||||||||
 reference |
SO | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| Slices for timing[x] |
SO | 1..1 | How often the device was used Slice: Unordered, Open by type:$this
| |||||||||
| timingPeriod |
Period | |||||||||||
| timingDateTime |
dateTime | |||||||||||
| timing[x]:timingDateTime |
SO | 0..1 | dateTime | How often the device was used
| ||||||||
| device |
SO | 1..1 | Reference(Device (IPS)) | Reference to device used
| ||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DeviceUseStatement |
0..* | DeviceUseStatement | Record of use of a device | |||||||||
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
Σ | 0..* | Identifier | External identifier for this record | ||||||||
| basedOn |
Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order | ||||||||
| status |
?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage. | ||||||||
| subject |
SOΣ | 1..1 | Reference(Patient (IPS)) | Patient using device
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| derivedFrom |
Σ | 0..* | Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) | Supporting information | ||||||||
| Slices for timing[x] |
SOΣ | 1..1 | How often the device was used Slice: Unordered, Open by type:$this
| |||||||||
| timingPeriod |
Period | |||||||||||
| timingDateTime |
dateTime | |||||||||||
| timing[x]:timingDateTime |
SOΣ | 0..1 | dateTime | How often the device was used
| ||||||||
| recordedOn |
Σ | 0..1 | dateTime | When statement was recorded | ||||||||
| source |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who made the statement | ||||||||
| device |
SOΣ | 1..1 | Reference(Device (IPS)) | Reference to device used
| ||||||||
| reasonCode |
Σ | 0..* | CodeableConcept | Why device was used | ||||||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) | Why was DeviceUseStatement performed? | ||||||||
| bodySite |
Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||||||
| note |
0..* | Annotation | Addition details (comments, instructions) | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceUseStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std. |
| DeviceUseStatement.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DeviceUseStatement.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DeviceUseStatement | 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 | DeviceUseStatement | 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 | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DeviceUseStatement | 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 DeviceUseStatement
Summary
Mandatory: 2 elements
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Patient Care. Package hl7.fhir.uv.ips#2.0.0 based on FHIR 4.0.1. Generated 2025-10-03
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