Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R5_Device_R4 - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the profile-Device resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Device
Definition

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.

ShortItem used in healthcare
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Device.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Device.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Device.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Device.extension:availabilityStatus
    Slice NameavailabilityStatus
    Definition

    R5: Device.availabilityStatus (new:CodeableConcept)

    ShortR5: lost | damaged | destroyed | available (new)
    Comments

    Element Device.availabilityStatus has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.availabilityStatus has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: lost | damaged | destroyed | available (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Device.extension:biologicalSourceEvent
    Slice NamebiologicalSourceEvent
    Definition

    R5: Device.biologicalSourceEvent (new:Identifier)

    ShortR5: An identifier that supports traceability to the event during which material in this product from one or more biological entities was obtained or pooled (new)
    Comments

    Element Device.biologicalSourceEvent has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.biologicalSourceEvent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Necessary to support mandatory requirements for traceability from donor/source to recipient and vice versa, while also satisfying donor anonymity requirements. The element is defined consistently across BiologicallyDerivedProduct, NutritionProduct, and Device. The identifier references an event that links to a single biological entity such as a blood donor, or to multiple biological entities (e.g. when the product is an embryo or a pooled platelet product). A single biologicalSourceEvent identifier may appear on multiple products of many types derived from a single donation event or source extraction. As an example, a single donation event may provide 2 kidneys and a liver for organ transplantation, 2 corneas for eye surgery, heart valves and arterial tissue for cardiovascular surgery, multiple skin grafts, tendons, multiple shaped bone grafts and a large number of bone putty/paste products; and each of them may be assigned to the same biological source event identifier.

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: An identifier that supports traceability to the event during which material in this product from one or more biological entities was obtained or pooled (new)) (Extension Type: Identifier)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Device.extension:category
    Slice Namecategory
    Definition

    R5: Device.category (new:CodeableConcept)

    ShortR5: Indicates a high-level grouping of the device (new)
    Comments

    Element Device.category has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.category has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Indicates a high-level grouping of the device (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Device.extension:mode
    Slice Namemode
    Definition

    R5: Device.mode (new:CodeableConcept)

    ShortR5: The designated condition for performing a task (new)
    Comments

    Element Device.mode has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The designated condition for performing a task (new)) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Device.extension:cycle
    Slice Namecycle
    Definition

    R5: Device.cycle (new:Count)

    ShortR5: The series of occurrences that repeats during the operation of the device (new)
    Comments

    Element Device.cycle has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.cycle has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: The series of occurrences that repeats during the operation of the device (new)) (Extension Type: Count)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Device.extension:duration
    Slice Nameduration
    Definition

    R5: Device.duration (new:Duration)

    ShortR5: A measurement of time during the device's operation (e.g., days, hours, mins, etc.) (new)
    Comments

    Element Device.duration has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.duration has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: A measurement of time during the device's operation (e.g., days, hours, mins, etc.) (new)) (Extension Type: Duration)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Device.extension:endpoint
    Slice Nameendpoint
    Definition

    R5: Device.endpoint (new:Reference(Endpoint))

    ShortR5: Technical endpoints providing access to electronic services provided by the device (new)
    Comments

    Element Device.endpoint has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.endpoint has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Technical endpoints providing access to electronic services provided by the device (new)) (Extension Type: Reference(Cross-version Profile for R5.Endpoint for use in FHIR R4, Endpoint))
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. Device.extension:gateway
    Slice Namegateway
    Definition

    R5: Device.gateway (new:CodeableReference(Device))

    ShortR5: Linked device acting as a communication/data collector, translator or controller (new)
    Comments

    Element Device.gateway has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.gateway has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The Device.gateway may be used when the Device being referenced has a gateway and/or to capture one or more gateways associated with the device. If the Gateway is included in the Observation resource, the Observation.gatewayDevice should be used instead.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(R5: Linked device acting as a communication/data collector, translator or controller (new)) (Complex Extension)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. Device.modifierExtension
    Definition

    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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Device.status
    Definition

    Status of the Device availability.

    Shortactive | inactive | entered-in-error | unknown
    Comments

    This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the device (record)as not currently valid.

    Control0..1
    BindingThe codes SHALL be taken from FHIRDeviceStatushttp://hl7.org/fhir/ValueSet/device-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/device-status|4.0.1)

    The availability status of the device.

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. Device
    2. Device.extension
    Control0..*
    SlicingThis element introduces a set of slices on Device.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 4. Device.extension:availabilityStatus
      Slice NameavailabilityStatus
      Definition

      R5: Device.availabilityStatus (new:CodeableConcept)

      ShortR5: lost | damaged | destroyed | available (new)
      Comments

      Element Device.availabilityStatus has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.availabilityStatus has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      TypeExtension(R5: lost | damaged | destroyed | available (new)) (Extension Type: CodeableConcept)
      6. Device.extension:biologicalSourceEvent
      Slice NamebiologicalSourceEvent
      Definition

      R5: Device.biologicalSourceEvent (new:Identifier)

      ShortR5: An identifier that supports traceability to the event during which material in this product from one or more biological entities was obtained or pooled (new)
      Comments

      Element Device.biologicalSourceEvent has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.biologicalSourceEvent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Necessary to support mandatory requirements for traceability from donor/source to recipient and vice versa, while also satisfying donor anonymity requirements. The element is defined consistently across BiologicallyDerivedProduct, NutritionProduct, and Device. The identifier references an event that links to a single biological entity such as a blood donor, or to multiple biological entities (e.g. when the product is an embryo or a pooled platelet product). A single biologicalSourceEvent identifier may appear on multiple products of many types derived from a single donation event or source extraction. As an example, a single donation event may provide 2 kidneys and a liver for organ transplantation, 2 corneas for eye surgery, heart valves and arterial tissue for cardiovascular surgery, multiple skin grafts, tendons, multiple shaped bone grafts and a large number of bone putty/paste products; and each of them may be assigned to the same biological source event identifier.

      Control0..1
      TypeExtension(R5: An identifier that supports traceability to the event during which material in this product from one or more biological entities was obtained or pooled (new)) (Extension Type: Identifier)
      8. Device.extension:category
      Slice Namecategory
      Definition

      R5: Device.category (new:CodeableConcept)

      ShortR5: Indicates a high-level grouping of the device (new)
      Comments

      Element Device.category has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.category has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..*
      TypeExtension(R5: Indicates a high-level grouping of the device (new)) (Extension Type: CodeableConcept)
      10. Device.extension:mode
      Slice Namemode
      Definition

      R5: Device.mode (new:CodeableConcept)

      ShortR5: The designated condition for performing a task (new)
      Comments

      Element Device.mode has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      TypeExtension(R5: The designated condition for performing a task (new)) (Extension Type: CodeableConcept)
      12. Device.extension:cycle
      Slice Namecycle
      Definition

      R5: Device.cycle (new:Count)

      ShortR5: The series of occurrences that repeats during the operation of the device (new)
      Comments

      Element Device.cycle has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.cycle has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      TypeExtension(R5: The series of occurrences that repeats during the operation of the device (new)) (Extension Type: Count)
      14. Device.extension:duration
      Slice Nameduration
      Definition

      R5: Device.duration (new:Duration)

      ShortR5: A measurement of time during the device's operation (e.g., days, hours, mins, etc.) (new)
      Comments

      Element Device.duration has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.duration has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..1
      TypeExtension(R5: A measurement of time during the device's operation (e.g., days, hours, mins, etc.) (new)) (Extension Type: Duration)
      16. Device.extension:endpoint
      Slice Nameendpoint
      Definition

      R5: Device.endpoint (new:Reference(Endpoint))

      ShortR5: Technical endpoints providing access to electronic services provided by the device (new)
      Comments

      Element Device.endpoint has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.endpoint has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

      Control0..*
      TypeExtension(R5: Technical endpoints providing access to electronic services provided by the device (new)) (Extension Type: Reference(Cross-version Profile for R5.Endpoint for use in FHIR R4, Endpoint))
      18. Device.extension:gateway
      Slice Namegateway
      Definition

      R5: Device.gateway (new:CodeableReference(Device))

      ShortR5: Linked device acting as a communication/data collector, translator or controller (new)
      Comments

      Element Device.gateway has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.gateway has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The Device.gateway may be used when the Device being referenced has a gateway and/or to capture one or more gateways associated with the device. If the Gateway is included in the Observation resource, the Observation.gatewayDevice should be used instead.

      Control0..*
      TypeExtension(R5: Linked device acting as a communication/data collector, translator or controller (new)) (Complex Extension)
      20. Device.definition
      22. Device.definition.extension
      Control0..*
      SlicingThis element introduces a set of slices on Device.definition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 24. Device.definition.extension:definition
        Slice Namedefinition
        Definition

        R5: Device.definition additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/DeviceDefinition)) additional types from child elements (concept)

        ShortR5: definition additional types
        Comments

        Element Device.definition is mapped to FHIR R4 element Device.definition as SourceIsBroaderThanTarget. The mappings for Device.definition do not cover the following types: CodeableReference. The mappings for Device.definition do not cover the following types based on type expansion: concept.

        Control0..1
        TypeExtension(R5: definition additional types) (Extension Type: CodeableConcept)
        26. Device.udiCarrier
        28. Device.udiCarrier.entryType
        30. Device.udiCarrier.entryType.extension
        Control0..*
        SlicingThis element introduces a set of slices on Device.udiCarrier.entryType.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 32. Device.udiCarrier.entryType.extension:entryType
          Slice NameentryType
          Definition

          R5: Device.udiCarrier.entryType additional codes

          ShortR5: barcode | rfid | manual | card | self-reported | electronic-transmission | unknown additional codes
          Comments

          Element Device.udiCarrier.entryType is mapped to FHIR R4 element Device.udiCarrier.entryType as RelatedTo. The mappings for Device.udiCarrier.entryType do not allow expression of the necessary codes, per the bindings on the source and target.

          Control0..1
          TypeExtension(R5: barcode | rfid | manual | card | self-reported | electronic-transmission | unknown additional codes) (Extension Type: code)
          34. Device.deviceName
          36. Device.deviceName.extension
          Control0..*
          SlicingThis element introduces a set of slices on Device.deviceName.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 38. Device.deviceName.extension:displayName
            Slice NamedisplayName
            Definition

            R5: Device.displayName additional types (string) additional types from child elements (value)

            ShortR5: The name used to display by default when the device is referenced additional types
            Comments

            Element Device.displayName is mapped to FHIR R4 element Device.deviceName as RelatedTo. The mappings for Device.displayName do not cover the following types: string. The mappings for Device.displayName do not cover the following types based on type expansion: value.

            Control0..1
            TypeExtension(R5: The name used to display by default when the device is referenced additional types) (Extension Type: string)
            40. Device.specialization
            42. Device.specialization.extension
            Control0..*
            SlicingThis element introduces a set of slices on Device.specialization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 44. Device.specialization.extension:conformsTo
              Slice NameconformsTo
              Definition

              R5: Device.conformsTo

              ShortR5: Identifies the standards, specifications, or formal guidances for the capabilities supported by the device
              Comments

              Element Device.conformsTo is mapped to FHIR R4 element Device.specialization as Equivalent. An externally-defined extension that has been mapped as the representation of FHIR R5 element Device.conformsTo: http://hl7.org/fhir/StructureDefinition/device-conformsTo.

              Control0..*
              TypeExtension(http://hl7.org/fhir/StructureDefinition/device-conformsTo)
              46. Device.specialization.extension:version
              Slice Nameversion
              Definition

              R5: Device.conformsTo.version (new:string)

              ShortR5: Specific form or variant of the standard (new)
              Comments

              Element Device.conformsTo.version has a context of Device.specialization based on following the parent source element upwards and mapping to Device. Element Device.conformsTo.version has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

              Control0..1
              TypeExtension(R5: Specific form or variant of the standard (new)) (Extension Type: string)
              48. Device.version
              NoteThis is a business version Id, not a resource version Id (see discussion)
              50. Device.version.extension
              Control0..*
              SlicingThis element introduces a set of slices on Device.version.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 52. Device.version.extension:installDate
                Slice NameinstallDate
                Definition

                R5: Device.version.installDate (new:dateTime)

                ShortR5: The date the version was installed on the device (new)
                Comments

                Element Device.version.installDate has a context of Device.version based on following the parent source element upwards and mapping to Device. Element Device.version.installDate has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                Control0..1
                TypeExtension(R5: The date the version was installed on the device (new)) (Extension Type: dateTime)
                54. Device.property
                56. Device.property.extension
                Control1..*
                SlicingThis element introduces a set of slices on Device.property.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 58. Device.property.extension:value
                  Slice Namevalue
                  Definition

                  R5: Device.property.value[x] additional types (string, boolean, integer, Range, Attachment)

                  ShortR5: Value of the property additional types
                  Comments

                  Element Device.property.value[x] is mapped to FHIR R4 element Device.property.valueQuantity as RelatedTo. Element Device.property.value[x] is mapped to FHIR R4 element Device.property.valueCode as RelatedTo. The mappings for Device.property.value[x] do not cover the following types: Attachment, boolean, integer, Range, string. The text element in CodeableConcept.text is used for properties which would usually be coded (such as the size of an implant, or a security classification) but for which there is not currently an appropriate concept in the vocabulary (e.g. a custom implant size, or a security classification which depends on configuration). Otherwise the string choice type is used for descriptive properties, or instructions.

                  Control1..1
                  TypeExtension(R5: Value of the property additional types) (Extension Type: Choice of: string, boolean, integer, Range, Attachment)

                  Guidance on how to interpret the contents of this table can be foundhere

                  0. Device
                  Definition

                  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.

                  ShortItem used in healthcare
                  Control0..*
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                  dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                  2. Device.id
                  Definition

                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                  ShortLogical id of this artifact
                  Comments

                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                  Control0..1
                  Typeid
                  Is Modifierfalse
                  Summarytrue
                  4. Device.meta
                  Definition

                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                  ShortMetadata about the resource
                  Control0..1
                  TypeMeta
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  6. Device.implicitRules
                  Definition

                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                  ShortA set of rules under which this content was created
                  Comments

                  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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                  Control0..1
                  Typeuri
                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  8. Device.language
                  Definition

                  The base language in which the resource is written.

                  ShortLanguage of the resource content
                  Comments

                  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).

                  Control0..1
                  BindingThe codes SHOULD be taken from CommonLanguages .
                  (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                  A human language.

                  Additional BindingsPurpose
                  AllLanguagesMax Binding
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  10. Device.text
                  Definition

                  A human-readable narrative that contains a summary of the resource and can 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.

                  ShortText summary of the resource, for human interpretation
                  Comments

                  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 information is added later.

                  Control0..1
                  TypeNarrative
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesnarrative, html, xhtml, display
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  12. Device.contained
                  Definition

                  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.

                  ShortContained, inline Resources
                  Comments

                  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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                  Control0..*
                  TypeResource
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesinline resources, anonymous resources, contained resources
                  14. Device.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Device.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 16. Device.extension:availabilityStatus
                    Slice NameavailabilityStatus
                    Definition

                    R5: Device.availabilityStatus (new:CodeableConcept)

                    ShortR5: lost | damaged | destroyed | available (new)
                    Comments

                    Element Device.availabilityStatus has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.availabilityStatus has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: lost | damaged | destroyed | available (new)) (Extension Type: CodeableConcept)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    18. Device.extension:biologicalSourceEvent
                    Slice NamebiologicalSourceEvent
                    Definition

                    R5: Device.biologicalSourceEvent (new:Identifier)

                    ShortR5: An identifier that supports traceability to the event during which material in this product from one or more biological entities was obtained or pooled (new)
                    Comments

                    Element Device.biologicalSourceEvent has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.biologicalSourceEvent has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Necessary to support mandatory requirements for traceability from donor/source to recipient and vice versa, while also satisfying donor anonymity requirements. The element is defined consistently across BiologicallyDerivedProduct, NutritionProduct, and Device. The identifier references an event that links to a single biological entity such as a blood donor, or to multiple biological entities (e.g. when the product is an embryo or a pooled platelet product). A single biologicalSourceEvent identifier may appear on multiple products of many types derived from a single donation event or source extraction. As an example, a single donation event may provide 2 kidneys and a liver for organ transplantation, 2 corneas for eye surgery, heart valves and arterial tissue for cardiovascular surgery, multiple skin grafts, tendons, multiple shaped bone grafts and a large number of bone putty/paste products; and each of them may be assigned to the same biological source event identifier.

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: An identifier that supports traceability to the event during which material in this product from one or more biological entities was obtained or pooled (new)) (Extension Type: Identifier)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    20. Device.extension:category
                    Slice Namecategory
                    Definition

                    R5: Device.category (new:CodeableConcept)

                    ShortR5: Indicates a high-level grouping of the device (new)
                    Comments

                    Element Device.category has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.category has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: Indicates a high-level grouping of the device (new)) (Extension Type: CodeableConcept)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    22. Device.extension:mode
                    Slice Namemode
                    Definition

                    R5: Device.mode (new:CodeableConcept)

                    ShortR5: The designated condition for performing a task (new)
                    Comments

                    Element Device.mode has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.mode has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: The designated condition for performing a task (new)) (Extension Type: CodeableConcept)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    24. Device.extension:cycle
                    Slice Namecycle
                    Definition

                    R5: Device.cycle (new:Count)

                    ShortR5: The series of occurrences that repeats during the operation of the device (new)
                    Comments

                    Element Device.cycle has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.cycle has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: The series of occurrences that repeats during the operation of the device (new)) (Extension Type: Count)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    26. Device.extension:duration
                    Slice Nameduration
                    Definition

                    R5: Device.duration (new:Duration)

                    ShortR5: A measurement of time during the device's operation (e.g., days, hours, mins, etc.) (new)
                    Comments

                    Element Device.duration has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.duration has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: A measurement of time during the device's operation (e.g., days, hours, mins, etc.) (new)) (Extension Type: Duration)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    28. Device.extension:endpoint
                    Slice Nameendpoint
                    Definition

                    R5: Device.endpoint (new:Reference(Endpoint))

                    ShortR5: Technical endpoints providing access to electronic services provided by the device (new)
                    Comments

                    Element Device.endpoint has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.endpoint has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: Technical endpoints providing access to electronic services provided by the device (new)) (Extension Type: Reference(Cross-version Profile for R5.Endpoint for use in FHIR R4, Endpoint))
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    30. Device.extension:gateway
                    Slice Namegateway
                    Definition

                    R5: Device.gateway (new:CodeableReference(Device))

                    ShortR5: Linked device acting as a communication/data collector, translator or controller (new)
                    Comments

                    Element Device.gateway has a context of Device based on following the parent source element upwards and mapping to Device. Element Device.gateway has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The Device.gateway may be used when the Device being referenced has a gateway and/or to capture one or more gateways associated with the device. If the Gateway is included in the Observation resource, the Observation.gatewayDevice should be used instead.

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    TypeExtension(R5: Linked device acting as a communication/data collector, translator or controller (new)) (Complex Extension)
                    Is Modifierfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    32. Device.modifierExtension
                    Definition

                    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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored
                    Comments

                    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.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                    Summaryfalse
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    34. Device.identifier
                    Definition

                    Unique instance identifiers assigned to a device by manufacturers other organizations or owners.

                    ShortInstance identifier
                    Comments

                    The barcode string from a barcode present on a device label or package may identify the instance, include names given to the device in local usage, or may identify the type of device. If the identifier identifies the type of device, Device.type element should be used.

                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control0..*
                    TypeIdentifier
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    36. Device.definition
                    Definition

                    The reference to the definition for the device.

                    ShortThe reference to the definition for the device
                    Control0..1
                    TypeReference(DeviceDefinition)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    38. Device.definition.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    40. Device.definition.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Device.definition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 42. Device.definition.extension:definition
                      Slice Namedefinition
                      Definition

                      R5: Device.definition additional types (CodeableReference(http://hl7.org/fhir/StructureDefinition/DeviceDefinition)) additional types from child elements (concept)

                      ShortR5: definition additional types
                      Comments

                      Element Device.definition is mapped to FHIR R4 element Device.definition as SourceIsBroaderThanTarget. The mappings for Device.definition do not cover the following types: CodeableReference. The mappings for Device.definition do not cover the following types based on type expansion: concept.

                      Control0..1
                      TypeExtension(R5: definition additional types) (Extension Type: CodeableConcept)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      44. Device.definition.reference
                      Definition

                      A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                      ShortLiteral reference, Relative, internal or absolute URL
                      Comments

                      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                      Control0..1
                      This element is affected by the following invariants: ref-1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      46. Device.definition.type
                      Definition

                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                      ShortType the reference refers to (e.g. "Patient")
                      Comments

                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                      Control0..1
                      BindingUnless not suitable, these codes SHALL be taken from ResourceType .
                      (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

                      Aa resource (or, for logical models, the URI of the logical model).

                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      48. Device.definition.identifier
                      Definition

                      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                      ShortLogical reference, when literal reference is not known
                      Comments

                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control0..1
                      TypeIdentifier
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      50. Device.definition.display
                      Definition

                      Plain text narrative that identifies the resource in addition to the resource reference.

                      ShortText alternative for the resource
                      Comments

                      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      52. Device.udiCarrier
                      Definition

                      Unique device identifier (UDI) assigned to device label or package. Note that the Device may include multiple udiCarriers as it either may include just the udiCarrier for the jurisdiction it is sold, or for multiple jurisdictions it could have been sold.

                      ShortUnique Device Identifier (UDI) Barcode string
                      Comments

                      UDI may identify an unique instance of a device, or it may only identify the type of the device. See UDI mappings for a complete mapping of UDI parts to Device.

                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      54. Device.udiCarrier.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      56. Device.udiCarrier.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      58. Device.udiCarrier.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      60. Device.udiCarrier.deviceIdentifier
                      Definition

                      The device identifier (DI) is a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device.

                      ShortMandatory fixed portion of UDI
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Alternate NamesDI
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      62. Device.udiCarrier.issuer
                      Definition

                      Organization that is charged with issuing UDIs for devices. For example, the US FDA issuers include :

                      1. GS1: http://hl7.org/fhir/NamingSystem/gs1-di,
                      2. HIBCC: http://hl7.org/fhir/NamingSystem/hibcc-dI,
                      3. ICCBBA for blood containers: http://hl7.org/fhir/NamingSystem/iccbba-blood-di,
                      4. ICCBA for other devices: http://hl7.org/fhir/NamingSystem/iccbba-other-di.
                      ShortUDI Issuing Organization
                      Control0..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Alternate NamesBarcode System
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      64. Device.udiCarrier.jurisdiction
                      Definition

                      The identity of the authoritative source for UDI generation within a jurisdiction. All UDIs are globally unique within a single namespace with the appropriate repository uri as the system. For example, UDIs of devices managed in the U.S. by the FDA, the value is http://hl7.org/fhir/NamingSystem/fda-udi.

                      ShortRegional UDI authority
                      Control0..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Requirements

                      Allows a recipient of a UDI to know which database will contain the UDI-associated metadata.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      66. Device.udiCarrier.carrierAIDC
                      Definition

                      The full UDI carrier of the Automatic Identification and Data Capture (AIDC) technology representation of the barcode string as printed on the packaging of the device - e.g., a barcode or RFID. Because of limitations on character sets in XML and the need to round-trip JSON data through XML, AIDC Formats SHALL be base64 encoded.

                      ShortUDI Machine Readable Barcode String
                      Comments

                      The AIDC form of UDIs should be scanned or otherwise used for the identification of the device whenever possible to minimize errors in records resulting from manual transcriptions. If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.

                      Control0..1
                      Typebase64Binary
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Alternate NamesAutomatic Identification and Data Capture
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      68. Device.udiCarrier.carrierHRF
                      Definition

                      The full UDI carrier as the human readable form (HRF) representation of the barcode string as printed on the packaging of the device.

                      ShortUDI Human Readable Barcode String
                      Comments

                      If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Alternate NamesHuman Readable Form
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      70. Device.udiCarrier.entryType
                      Definition

                      A coded entry to indicate how the data was entered.

                      Shortbarcode | rfid | manual +
                      Control0..1
                      BindingThe codes SHALL be taken from UDIEntryType .
                      (required to http://hl7.org/fhir/ValueSet/udi-entry-type|4.0.1)

                      Codes to identify how UDI data was entered.

                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Requirements

                      Supports a way to distinguish hand entered from machine read data.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      72. Device.udiCarrier.entryType.id
                      Definition

                      unique id for the element within a resource (for internal references)

                      Shortxml:id (or equivalent in JSON)
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      74. Device.udiCarrier.entryType.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Device.udiCarrier.entryType.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 76. Device.udiCarrier.entryType.extension:entryType
                        Slice NameentryType
                        Definition

                        R5: Device.udiCarrier.entryType additional codes

                        ShortR5: barcode | rfid | manual | card | self-reported | electronic-transmission | unknown additional codes
                        Comments

                        Element Device.udiCarrier.entryType is mapped to FHIR R4 element Device.udiCarrier.entryType as RelatedTo. The mappings for Device.udiCarrier.entryType do not allow expression of the necessary codes, per the bindings on the source and target.

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(R5: barcode | rfid | manual | card | self-reported | electronic-transmission | unknown additional codes) (Extension Type: code)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        78. Device.udiCarrier.entryType.value
                        Definition

                        Primitive value for code

                        ShortPrimitive value for code
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        80. Device.status
                        Definition

                        Status of the Device availability.

                        Shortactive | inactive | entered-in-error | unknown
                        Comments

                        This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the device (record)as not currently valid.

                        Control0..1
                        BindingThe codes SHALL be taken from FHIRDeviceStatus
                        (required to http://hl7.org/fhir/ValueSet/device-status|4.0.1)

                        The availability status of the device.

                        Typecode
                        Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        82. Device.statusReason
                        Definition

                        Reason for the dtatus of the Device availability.

                        Shortonline | paused | standby | offline | not-ready | transduc-discon | hw-discon | off
                        Control0..*
                        BindingUnless not suitable, these codes SHALL be taken from FHIRDeviceStatusReason
                        (extensible to http://hl7.org/fhir/ValueSet/device-status-reason|4.0.1)

                        The availability status reason of the device.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        84. Device.distinctIdentifier
                        Definition

                        The distinct identification string as required by regulation for a human cell, tissue, or cellular and tissue-based product.

                        ShortThe distinct identification string
                        Comments

                        For example, this applies to devices in the United States regulated under Code of Federal Regulation 21CFR§1271.290(c).

                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Alternate NamesDistinct Identification Code (DIC)
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        86. Device.manufacturer
                        Definition

                        A name of the manufacturer.

                        ShortName of device manufacturer
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        88. Device.manufactureDate
                        Definition

                        The date and time when the device was manufactured.

                        ShortDate when the device was made
                        Control0..1
                        TypedateTime
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        90. Device.expirationDate
                        Definition

                        The date and time beyond which this device is no longer valid or should not be used (if applicable).

                        ShortDate and time of expiry of this device (if applicable)
                        Control0..1
                        TypedateTime
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        92. Device.lotNumber
                        Definition

                        Lot number assigned by the manufacturer.

                        ShortLot number of manufacture
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        94. Device.serialNumber
                        Definition

                        The serial number assigned by the organization when the device was manufactured.

                        ShortSerial number assigned by the manufacturer
                        Comments

                        Alphanumeric Maximum 20.

                        Control0..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        96. Device.deviceName
                        Definition

                        This represents the manufacturer's name of the device as provided by the device, from a UDI label, or by a person describing the Device. This typically would be used when a person provides the name(s) or when the device represents one of the names available from DeviceDefinition.

                        ShortThe name of the device as given by the manufacturer
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        98. Device.deviceName.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        100. Device.deviceName.extension
                        Definition

                        An Extension

                        ShortExtension
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Device.deviceName.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 102. Device.deviceName.extension:displayName
                          Slice NamedisplayName
                          Definition

                          R5: Device.displayName additional types (string) additional types from child elements (value)

                          ShortR5: The name used to display by default when the device is referenced additional types
                          Comments

                          Element Device.displayName is mapped to FHIR R4 element Device.deviceName as RelatedTo. The mappings for Device.displayName do not cover the following types: string. The mappings for Device.displayName do not cover the following types based on type expansion: value.

                          Control0..1
                          This element is affected by the following invariants: ele-1
                          TypeExtension(R5: The name used to display by default when the device is referenced additional types) (Extension Type: string)
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          104. Device.deviceName.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          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.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          106. Device.deviceName.name
                          Definition

                          The name of the device.

                          ShortThe name of the device
                          Control1..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Alternate NamesΣ
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          108. Device.deviceName.type
                          Definition

                          The type of deviceName. UDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName | ModelName.

                          Shortudi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other
                          Control1..1
                          BindingThe codes SHALL be taken from DeviceNameType
                          (required to http://hl7.org/fhir/ValueSet/device-nametype|4.0.1)

                          The type of name the device is referred by.

                          Typecode
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          110. Device.modelNumber
                          Definition

                          The model number for the device.

                          ShortThe model number for the device
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          112. Device.partNumber
                          Definition

                          The part number of the device.

                          ShortThe part number of the device
                          Comments

                          Alphanumeric Maximum 20.

                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          114. Device.type
                          Definition

                          The kind or type of device.

                          ShortThe kind or type of device
                          Control0..1
                          BindingFor example codes, see DeviceType
                          (example to http://hl7.org/fhir/ValueSet/device-type|4.0.1)

                          Codes to identify medical devices.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          116. Device.specialization
                          Definition

                          The capabilities supported on a device, the standards to which the device conforms for a particular purpose, and used for the communication.

                          ShortThe capabilities supported on a device, the standards to which the device conforms for a particular purpose, and used for the communication
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          118. Device.specialization.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          120. Device.specialization.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Device.specialization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 122. Device.specialization.extension:conformsTo
                            Slice NameconformsTo
                            Definition

                            R5: Device.conformsTo

                            ShortR5: Identifies the standards, specifications, or formal guidances for the capabilities supported by the device
                            Comments

                            Element Device.conformsTo is mapped to FHIR R4 element Device.specialization as Equivalent. An externally-defined extension that has been mapped as the representation of FHIR R5 element Device.conformsTo: http://hl7.org/fhir/StructureDefinition/device-conformsTo.

                            Control0..*
                            TypeExtension(http://hl7.org/fhir/StructureDefinition/device-conformsTo)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            124. Device.specialization.extension:version
                            Slice Nameversion
                            Definition

                            R5: Device.conformsTo.version (new:string)

                            ShortR5: Specific form or variant of the standard (new)
                            Comments

                            Element Device.conformsTo.version has a context of Device.specialization based on following the parent source element upwards and mapping to Device. Element Device.conformsTo.version has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(R5: Specific form or variant of the standard (new)) (Extension Type: string)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            126. Device.specialization.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            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.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            128. Device.specialization.systemType
                            Definition

                            The standard that is used to operate and communicate.

                            ShortThe standard that is used to operate and communicate
                            Control1..1
                            TypeCodeableConcept
                            Is Modifierfalse
                            Summaryfalse
                            Alternate NamesΣ
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            130. Device.specialization.version
                            Definition

                            The version of the standard that is used to operate and communicate.

                            ShortThe version of the standard that is used to operate and communicate
                            NoteThis is a business version Id, not a resource version Id (see discussion)
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            132. Device.version
                            Definition

                            The actual design of the device or software version running on the device.

                            ShortThe actual design of the device or software version running on the device
                            NoteThis is a business version Id, not a resource version Id (see discussion)
                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            134. Device.version.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            136. Device.version.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Device.version.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 138. Device.version.extension:installDate
                              Slice NameinstallDate
                              Definition

                              R5: Device.version.installDate (new:dateTime)

                              ShortR5: The date the version was installed on the device (new)
                              Comments

                              Element Device.version.installDate has a context of Device.version based on following the parent source element upwards and mapping to Device. Element Device.version.installDate has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(R5: The date the version was installed on the device (new)) (Extension Type: dateTime)
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              140. Device.version.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              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.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              142. Device.version.type
                              Definition

                              The type of the device version.

                              ShortThe type of the device version
                              Control0..1
                              TypeCodeableConcept
                              Is Modifierfalse
                              Summaryfalse
                              Alternate NamesΣ
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              144. Device.version.component
                              Definition

                              A single component of the device version.

                              ShortA single component of the device version
                              Control0..1
                              TypeIdentifier
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              146. Device.version.value
                              Definition

                              The version text.

                              ShortThe version text
                              Control1..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              148. Device.property
                              Definition

                              The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties.

                              ShortThe actual configuration settings of a device as it actually operates, e.g., regulation status, time properties
                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              150. Device.property.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              152. Device.property.extension
                              Definition

                              An Extension

                              ShortExtension
                              Control1..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Device.property.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 154. Device.property.extension:value
                                Slice Namevalue
                                Definition

                                R5: Device.property.value[x] additional types (string, boolean, integer, Range, Attachment)

                                ShortR5: Value of the property additional types
                                Comments

                                Element Device.property.value[x] is mapped to FHIR R4 element Device.property.valueQuantity as RelatedTo. Element Device.property.value[x] is mapped to FHIR R4 element Device.property.valueCode as RelatedTo. The mappings for Device.property.value[x] do not cover the following types: Attachment, boolean, integer, Range, string. The text element in CodeableConcept.text is used for properties which would usually be coded (such as the size of an implant, or a security classification) but for which there is not currently an appropriate concept in the vocabulary (e.g. a custom implant size, or a security classification which depends on configuration). Otherwise the string choice type is used for descriptive properties, or instructions.

                                Control1..1
                                This element is affected by the following invariants: ele-1
                                TypeExtension(R5: Value of the property additional types) (Extension Type: Choice of: string, boolean, integer, Range, Attachment)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                156. Device.property.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                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.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                158. Device.property.type
                                Definition

                                Code that specifies the property DeviceDefinitionPropetyCode (Extensible).

                                ShortCode that specifies the property DeviceDefinitionPropetyCode (Extensible)
                                Control1..1
                                TypeCodeableConcept
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                160. Device.property.valueQuantity
                                Definition

                                Property value as a quantity.

                                ShortProperty value as a quantity
                                Control0..*
                                TypeQuantity
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                162. Device.property.valueCode
                                Definition

                                Property value as a code, e.g., NTP4 (synced to NTP).

                                ShortProperty value as a code, e.g., NTP4 (synced to NTP)
                                Control0..*
                                TypeCodeableConcept
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                164. Device.patient
                                Definition

                                Patient information, If the device is affixed to a person.

                                ShortPatient to whom Device is affixed
                                Control0..1
                                TypeReference(Patient)
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                If the device is implanted in a patient, then need to associate the device to the patient.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                166. Device.owner
                                Definition

                                An organization that is responsible for the provision and ongoing maintenance of the device.

                                ShortOrganization responsible for device
                                Control0..1
                                TypeReference(Organization)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                168. Device.contact
                                Definition

                                Contact details for an organization or a particular human that is responsible for the device.

                                ShortDetails for human/organization for support
                                Comments

                                used for troubleshooting etc.

                                Control0..*
                                TypeContactPoint
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                170. Device.location
                                Definition

                                The place where the device can be found.

                                ShortWhere the device is found
                                Control0..1
                                TypeReference(Location)
                                Is Modifierfalse
                                Summaryfalse
                                Requirements

                                Device.location can be used to track device location.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                172. Device.url
                                Definition

                                A network address on which the device may be contacted directly.

                                ShortNetwork address to contact device
                                Comments

                                If the device is running a FHIR server, the network address should be the Base URL from which a conformance statement may be retrieved.

                                Control0..1
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                174. Device.note
                                Definition

                                Descriptive information, usage information or implantation information that is not captured in an existing element.

                                ShortDevice notes and comments
                                Control0..*
                                TypeAnnotation
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                176. Device.safety
                                Definition

                                Provides additional safety characteristics about a medical device. For example devices containing latex.

                                ShortSafety Characteristics of Device
                                Control0..*
                                TypeCodeableConcept
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                178. Device.parent
                                Definition

                                The parent device.

                                ShortThe parent device
                                Control0..1
                                TypeReference(Device)
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))