QI-Core Implementation Guide
            
            4.1.1 - STU 4.1.1
  US
            
          
This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 7.0.1. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-deviceusestatement | Version: 4.1.1 | |||
| Draft as of 2018-08-22 | Computable Name: QICoreDeviceUseStatement | |||
Profile of DeviceUseStatement for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
| The provision of a wheelchair to a patient example | 
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DeviceUseStatement
This structure is derived from DeviceUseStatement
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   DeviceUseStatement | 0..* | DeviceUseStatement | Record of use of a device | |
|    status | S | 1..1 | code | active | completed | entered-in-error + | 
|    subject | S | 1..1 | Reference(QICorePatient) | Patient using device | 
|    timing[x] | S | 0..1 | Timing, Period, dateTime | How often the device was used | 
|    recordedOn | S | 0..1 | dateTime | When statement was recorded | 
|    device | S | 1..1 | Reference(QICoreDevice) | Reference to device used | 
|    bodySite | S | 0..1 | CodeableConcept | Target body site | 
|  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   DeviceUseStatement | 0..* | DeviceUseStatement | Record of use of a device | |
|    id | Σ | 0..1 | string | Logical id of this artifact | 
|    meta | Σ | 0..1 | Meta | Metadata about the resource | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
|    contained | 0..* | Resource | Contained, inline Resources | |
|    extension | 0..* | Extension | Additional content defined by implementations | |
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    identifier | Σ | 0..* | Identifier | External identifier for this record | 
|    basedOn | Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order | 
|    status | ?!SΣ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage. | 
|    subject | SΣ | 1..1 | Reference(QICorePatient) | Patient using device | 
|    derivedFrom | Σ | 0..* | Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) | Supporting information | 
|    timing[x] | SΣ | 0..1 | How often the device was used | |
|     timingTiming | Timing | |||
|     timingPeriod | Period | |||
|     timingDateTime | dateTime | |||
|    recordedOn | SΣ | 0..1 | dateTime | When statement was recorded | 
|    source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who made the statement | 
|    device | SΣ | 1..1 | Reference(QICoreDevice) | Reference to device used | 
|    reasonCode | Σ | 0..* | CodeableConcept | Why device was used | 
|    reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) | Why was DeviceUseStatement performed? | 
|    bodySite | SΣ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | 
|    note | 0..* | Annotation | Addition details (comments, instructions) | |
|  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   DeviceUseStatement | 0..* | DeviceUseStatement | Record of use of a device | |
|    status | ?!Σ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage. | 
|    subject | Σ | 1..1 | Reference(QICorePatient) | Patient using device | 
|    timing[x] | Σ | 0..1 | How often the device was used | |
|     timingTiming | Timing | |||
|     timingPeriod | Period | |||
|     timingDateTime | dateTime | |||
|    recordedOn | Σ | 0..1 | dateTime | When statement was recorded | 
|    device | Σ | 1..1 | Reference(QICoreDevice) | Reference to device used | 
|    bodySite | Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | 
|  Documentation for this format | ||||
This structure is derived from DeviceUseStatement
Differential View
This structure is derived from DeviceUseStatement
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   DeviceUseStatement | 0..* | DeviceUseStatement | Record of use of a device | |
|    status | S | 1..1 | code | active | completed | entered-in-error + | 
|    subject | S | 1..1 | Reference(QICorePatient) | Patient using device | 
|    timing[x] | S | 0..1 | Timing, Period, dateTime | How often the device was used | 
|    recordedOn | S | 0..1 | dateTime | When statement was recorded | 
|    device | S | 1..1 | Reference(QICoreDevice) | Reference to device used | 
|    bodySite | S | 0..1 | CodeableConcept | Target body site | 
|  Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   DeviceUseStatement | 0..* | DeviceUseStatement | Record of use of a device | |
|    id | Σ | 0..1 | string | Logical id of this artifact | 
|    meta | Σ | 0..1 | Meta | Metadata about the resource | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
|    contained | 0..* | Resource | Contained, inline Resources | |
|    extension | 0..* | Extension | Additional content defined by implementations | |
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    identifier | Σ | 0..* | Identifier | External identifier for this record | 
|    basedOn | Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order | 
|    status | ?!SΣ | 1..1 | code | active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage. | 
|    subject | SΣ | 1..1 | Reference(QICorePatient) | Patient using device | 
|    derivedFrom | Σ | 0..* | Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) | Supporting information | 
|    timing[x] | SΣ | 0..1 | How often the device was used | |
|     timingTiming | Timing | |||
|     timingPeriod | Period | |||
|     timingDateTime | dateTime | |||
|    recordedOn | SΣ | 0..1 | dateTime | When statement was recorded | 
|    source | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who made the statement | 
|    device | SΣ | 1..1 | Reference(QICoreDevice) | Reference to device used | 
|    reasonCode | Σ | 0..* | CodeableConcept | Why device was used | 
|    reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) | Why was DeviceUseStatement performed? | 
|    bodySite | SΣ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | 
|    note | 0..* | Annotation | Addition details (comments, instructions) | |
|  Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | 
| DeviceUseStatement.language | preferred | CommonLanguages Max Binding: AllLanguages | 
| DeviceUseStatement.status | required | DeviceUseStatementStatus | 
| DeviceUseStatement.bodySite | example | SNOMEDCTBodyStructures | 
| Id | Grade | Path | Details | Requirements | 
| dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Best Practice | DeviceUseStatement | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | DeviceUseStatement.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | DeviceUseStatement.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | DeviceUseStatement.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | DeviceUseStatement.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | DeviceUseStatement.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.derivedFrom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.timing[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.recordedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.source | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.device | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.bodySite | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | DeviceUseStatement.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |