{"abstract":false,"baseDefinition":"http://hl7.org/fhir/StructureDefinition/DomainResource","contact":[{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/fiwg"}]},{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/orders"}]}],"date":"2026-04-01T17:59:15+00:00","derivation":"specialization","description":"Represents a request a device to be provided to a specific patient. The device may be an implantable device to be subsequently implanted, or an external assistive device, such as a walker, to be delivered and subsequently be used.","differential":{"element":[{"definition":"Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.","id":"DeviceRequest","isModifier":false,"mapping":[{"identity":"workflow","map":"Request"},{"identity":"w5","map":"workflow.order"},{"identity":"v2","map":"ORC"},{"identity":"rim","map":"Act[moodCode<=INT]"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest","short":"Medical device request"},{"definition":"Identifiers assigned to this order by the orderer or by the receiver.","id":"DeviceRequest.identifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"ORC.2, ORC.3"},{"identity":"rim","map":".identifier"},{"identity":"quick","map":"ClinicalStatement.identifier"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.identifier","short":"External Request identifier","type":[{"code":"Identifier"}]},{"definition":"Plan/proposal/order fulfilled by this request.","id":"DeviceRequest.basedOn","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.basedOn"},{"identity":"v2","map":"ORC.8 (plus others)"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"},{"identity":"quick","map":"Proposal.prnReason.reason"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.basedOn","short":"What request fulfills","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]},{"definition":"The request takes the place of the referenced completed or terminated request(s).","id":"DeviceRequest.replaces","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.replaces"},{"identity":"v2","map":"Handled by message location of ORC (ORC.1=RO or RU)"},{"identity":"rim","map":".outboundRelationship[typeCode=RPLC].target"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.replaces","short":"What request replaces","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DeviceRequest"]}]},{"definition":"A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time.","id":"DeviceRequest.groupIdentifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.groupIdentifier"},{"identity":"v2","map":"ORC.4"},{"identity":"rim","map":".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.groupIdentifier","short":"Identifier of composite request","type":[{"code":"Identifier"}]},{"binding":{"description":"Codes representing the status of the request.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceRequestStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4"},"comment":"This element is labeled as a modifier because the status contains the codes revoked and entered-in-error that mark the request as not currently valid.","definition":"The status of the request.","id":"DeviceRequest.status","isModifier":true,"isModifierReason":"This element is labeled 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","isSummary":true,"mapping":[{"identity":"workflow","map":"Request.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"ORC.5"},{"identity":"rim","map":".status"},{"identity":"quick","map":"Action.currentStatus"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.status","short":"draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown","type":[{"code":"code"}]},{"binding":{"description":"The kind of diagnostic request.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RequestIntent"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/request-intent|6.0.0-ballot4"},"comment":"This element is immutable. It cannot be changed for the same resource instance.","definition":"Whether the request is a proposal, plan, an original order or a reflex order.","id":"DeviceRequest.intent","isModifier":true,"isModifierReason":"This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request","isSummary":true,"mapping":[{"identity":"workflow","map":"Request.intent"},{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"N/A"},{"identity":"rim","map":".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"}],"max":"1","min":1,"mustSupport":false,"path":"DeviceRequest.intent","short":"proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option","type":[{"code":"code"}]},{"binding":{"description":"Identifies the level of importance to be assigned to actioning the request.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RequestPriority"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"},"definition":"Indicates how quickly the request should be addressed with respect to other requests.","id":"DeviceRequest.priority","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.priority"},{"identity":"w5","map":"FiveWs.grade"},{"identity":"v2","map":"TQ1.9"},{"identity":"rim","map":".priorityCode"}],"max":"1","meaningWhenMissing":"If missing, normal priority","min":0,"mustSupport":false,"path":"DeviceRequest.priority","short":"routine | urgent | asap | stat","type":[{"code":"code"}]},{"comment":"If do not perform is not specified, the request is a positive request e.g. \"do perform\". DeviceRequest.reason includes the reason for marking the DeviceRequest as 'do not perform'.","definition":"If true, indicates that the provider is asking for the patient to either stop using or to not start using the specified device or category of devices. For example, the patient has undergone surgery and the provider is indicating that the patient should not wear contact lenses.","id":"DeviceRequest.doNotPerform","isModifier":true,"isModifierReason":"This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc.)","isSummary":true,"mapping":[{"identity":"workflow","map":"Request.doNotPerform"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.doNotPerform","short":"True if the request is to stop or not to start using the device","type":[{"code":"boolean"}]},{"binding":{"description":"Codes for devices that can be requested.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceRequestCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/device-type"},"definition":"The details of the device to be used.","id":"DeviceRequest.product[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.product"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".code"},{"identity":"quick","map":"DeviceUse.device"}],"max":"1","min":1,"mustSupport":false,"path":"DeviceRequest.product[x]","short":"Device requested","type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device"]},{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]}]},{"definition":"The number of devices to be provided.","id":"DeviceRequest.quantity","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"quantity"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.quantity","short":"Quantity of devices to supply","type":[{"code":"integer"}]},{"definition":"Specific parameters for the ordered item. For example, the prism value for lenses.","id":"DeviceRequest.parameter","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".code"},{"identity":"quick","map":"DeviceUse.device"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.parameter","short":"Device details","type":[{"code":"BackboneElement"}]},{"binding":{"description":"Codes for order detail parameters.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RequestOrderDetailParameterCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/request-orderdetail-parameter-code"},"definition":"A code or string that identifies the device detail being asserted.","id":"DeviceRequest.parameter.code","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".code"},{"identity":"quick","map":"DeviceUse.device"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.parameter.code","short":"Device detail","type":[{"code":"CodeableConcept"}]},{"comment":"Range means device should have a value that falls somewhere within the specified range.","definition":"The value of the device detail.","id":"DeviceRequest.parameter.value[x]","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".code"},{"identity":"quick","map":"DeviceUse.device"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.parameter.value[x]","short":"Value of detail","type":[{"code":"CodeableConcept"},{"code":"Quantity"},{"code":"Range"},{"code":"boolean"}]},{"definition":"The patient who will use the device.","id":"DeviceRequest.subject","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.subject"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"v2","map":"Accompanying PID segment"},{"identity":"rim","map":".participation[typeCode=SBJ].role"},{"identity":"quick","map":"ClinicalStatement.subject"}],"max":"1","min":1,"mustSupport":false,"path":"DeviceRequest.subject","short":"Focus of request","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Location","http://hl7.org/fhir/StructureDefinition/Device"]}]},{"definition":"An encounter that provides additional context in which this request is made.","id":"DeviceRequest.encounter","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.encounter"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"Accompanying PV1"},{"identity":"rim","map":".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"},{"identity":"quick","map":"ClinicalStatement.encounter"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.encounter","short":"Encounter motivating request","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}]},{"definition":"The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".","id":"DeviceRequest.occurrence[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"w5","map":"FiveWs.planned"},{"identity":"v2","map":"Accompanying TQ1/TQ2 segments"},{"identity":"rim","map":".effectiveTime"},{"identity":"quick","map":"DeviceUse.applicationSchedule"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.occurrence[x]","short":"Desired time or schedule for use","type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"}]},{"definition":"When the request transitioned to being actionable.","id":"DeviceRequest.authoredOn","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.authoredOn"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"ORC.9"},{"identity":"rim","map":".participation[typeCode=AUT].time"},{"identity":"quick","map":"ClinicalStatement.statementDateTime"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.authoredOn","short":"When recorded","type":[{"code":"dateTime"}]},{"definition":"The individual or entity who initiated the request and has responsibility for its activation.","id":"DeviceRequest.requester","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.requester"},{"identity":"w5","map":"FiveWs.author"},{"identity":"v2","map":"ORC.12"},{"identity":"rim","map":".participation[typeCode=AUT].role"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.requester","short":"Who/what submitted the device request","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"definition":"The desired individual or entity to provide the device to the subject of the request (e.g., patient, location).","id":"DeviceRequest.performer","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.performer"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"PRT"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.performer","short":"Requested Filler","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/HealthcareService","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"binding":{"description":"A location type where devices are delivered.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ServiceRequestLocation"}],"strength":"example","valueSet":"http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"},"definition":"The preferred location(s) where the device should actually be used in coded or free text form. E.g. at home or nursing day care center.","id":"DeviceRequest.location","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.location","short":"Requested location","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}]},{"binding":{"description":"Diagnosis or problem codes justifying the reason for requesting the device.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceRequestReason"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/condition-code"},"comment":"When doNotPerform is true, this is the reason for requesting not to provide the device.","definition":"Reason or justification for the use of this device.","id":"DeviceRequest.reason","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.reason"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"ORC.16"},{"identity":"rim","map":".reasonCode"},{"identity":"quick","map":"Action.indication.reason"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.reason","short":"Coded/Linked Reason for request","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference"]}]},{"definition":"This status is to indicate whether the request is a PRN or may be given as needed.","id":"DeviceRequest.asNeeded","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.asNeeded","short":"PRN status of request","type":[{"code":"boolean"}]},{"definition":"The reason for using the device.","id":"DeviceRequest.asNeededFor","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.asNeededFor","short":"Device usage reason","type":[{"code":"CodeableConcept"}]},{"definition":"Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.","id":"DeviceRequest.insurance","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.insurance"},{"identity":"v2","map":"IN1/IN2"},{"identity":"rim","map":".outboundRelationship[typeCode=COVBY].target"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.insurance","short":"Associated insurance coverage","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage","http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}]},{"definition":"Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site).","id":"DeviceRequest.supportingInfo","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.supportingInfo"},{"identity":"v2","map":"Accompanying segments"},{"identity":"rim","map":".outboundRelationship[typeCode=PERT].target"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.supportingInfo","requirements":"Knowing where the device is targeted is important for tracking if multiple sites are possible.","short":"Additional clinical information","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]},{"definition":"Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.","id":"DeviceRequest.note","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.note"},{"identity":"v2","map":"NTE"},{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"},{"identity":"quick","map":"ClinicalStatement.additionalText"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.note","short":"Notes or comments","type":[{"code":"Annotation"}]},{"comment":"This might not include provenances for all versions of the request - only those deemed \"relevant\" or important.\rThis SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a \"relevant\" change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude\rAll Provenances should have some historical version of this Request as their subject.","definition":"Key events in the history of the request.","id":"DeviceRequest.relevantHistory","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.relevantHistory"},{"identity":"v2","map":"N/A"},{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.relevantHistory","short":"Request provenance","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Provenance"]}]}]},"experimental":false,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"normative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"oo"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category","valueCode":"patient"}],"fhirVersion":"6.0.0-ballot4","id":"DeviceRequest","jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"kind":"resource","mapping":[{"identity":"workflow","name":"Workflow Pattern","uri":"http://hl7.org/fhir/workflow"},{"identity":"w5","name":"FiveWs Pattern Mapping","uri":"http://hl7.org/fhir/fivews"},{"identity":"v2","name":"HL7 V2 Mapping","uri":"http://hl7.org/v2"},{"identity":"rim","name":"RIM Mapping","uri":"http://hl7.org/v3"},{"identity":"quick","name":"Quality Improvement and Clinical Knowledge (QUICK)","uri":"http://siframework.org/cqf"}],"meta":{"lastUpdated":"2026-04-01T17:59:15.240+00:00"},"name":"DeviceRequest","publisher":"HL7 International / Orders and Observations","resourceType":"StructureDefinition","snapshot":{"element":[{"base":{"max":"*","min":0,"path":"DeviceRequest"},"constraint":[{"expression":"contained.contained.empty()","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","key":"dom-2","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()","human":"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","key":"dom-3","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","key":"dom-4","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.security.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a security label","key":"dom-5","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"text.`div`.exists()","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"human":"A resource should have narrative for robust management","key":"dom-6","severity":"warning","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"definition":"Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.","id":"DeviceRequest","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity, Role, or Act,Act[moodCode<=INT]"},{"identity":"workflow","map":"Request"},{"identity":"w5","map":"workflow.order"},{"identity":"v2","map":"ORC"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest","short":"Medical device request"},{"base":{"max":"1","min":0,"path":"Resource.id"},"comment":"Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","id":"DeviceRequest.id","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.id","short":"Logical id of this artifact","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"base":{"max":"1","min":0,"path":"Resource.meta"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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.","id":"DeviceRequest.meta","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.meta","short":"Metadata about the resource","type":[{"code":"Meta"}]},{"base":{"max":"1","min":0,"path":"Resource.implicitRules"},"comment":"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 its narrative along with other profiles, value sets, etc.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.","id":"DeviceRequest.implicitRules","isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation","isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.implicitRules","short":"A set of rules under which this content was created","type":[{"code":"uri"}]},{"base":{"max":"1","min":0,"path":"Resource.language"},"binding":{"additional":[{"purpose":"starter","valueSet":"http://hl7.org/fhir/ValueSet/languages"}],"description":"IETF language tag for a human language","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"},"comment":"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).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The base language in which the resource is written.","id":"DeviceRequest.language","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.language","short":"Language of the resource content","type":[{"code":"code"}]},{"alias":["narrative","html","xhtml","display"],"base":{"max":"1","min":0,"path":"DomainResource.text"},"comment":"Contained resources do not have a 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.","condition":["dom-6"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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.","id":"DeviceRequest.text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.text","short":"Text summary of the resource, for human interpretation","type":[{"code":"Narrative"}]},{"alias":["inline resources","anonymous resources","contained resources"],"base":{"max":"*","min":0,"path":"DomainResource.contained"},"comment":"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. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](resource.html#additional).","condition":["dom-2","dom-4","dom-3","dom-5"],"definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.","id":"DeviceRequest.contained","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.contained","short":"Contained, inline Resources","type":[{"code":"Resource"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"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 managable, 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.","id":"DeviceRequest.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"DeviceRequest.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.modifierExtension","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](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored","type":[{"code":"Extension"}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.identifier"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Identifiers assigned to this order by the orderer or by the receiver.","id":"DeviceRequest.identifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"ORC.2, ORC.3"},{"identity":"rim","map":".identifier"},{"identity":"quick","map":"ClinicalStatement.identifier"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.identifier","short":"External Request identifier","type":[{"code":"Identifier"}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.basedOn"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Plan/proposal/order fulfilled by this request.","id":"DeviceRequest.basedOn","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.basedOn"},{"identity":"v2","map":"ORC.8 (plus others)"},{"identity":"rim","map":".outboundRelationship[typeCode=FLFS].target"},{"identity":"quick","map":"Proposal.prnReason.reason"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.basedOn","short":"What request fulfills","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.replaces"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The request takes the place of the referenced completed or terminated request(s).","id":"DeviceRequest.replaces","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.replaces"},{"identity":"v2","map":"Handled by message location of ORC (ORC.1=RO or RU)"},{"identity":"rim","map":".outboundRelationship[typeCode=RPLC].target"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.replaces","short":"What request replaces","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DeviceRequest"]}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.groupIdentifier"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time.","id":"DeviceRequest.groupIdentifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.groupIdentifier"},{"identity":"v2","map":"ORC.4"},{"identity":"rim","map":".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.groupIdentifier","short":"Identifier of composite request","type":[{"code":"Identifier"}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.status"},"binding":{"description":"Codes representing the status of the request.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceRequestStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4"},"comment":"This element is labeled as a modifier because the status contains the codes revoked and entered-in-error that mark the request as not currently valid.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The status of the request.","id":"DeviceRequest.status","isModifier":true,"isModifierReason":"This element is labeled 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","isSummary":true,"mapping":[{"identity":"workflow","map":"Request.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"ORC.5"},{"identity":"rim","map":".status"},{"identity":"quick","map":"Action.currentStatus"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.status","short":"draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown","type":[{"code":"code"}]},{"base":{"max":"1","min":1,"path":"DeviceRequest.intent"},"binding":{"description":"The kind of diagnostic request.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RequestIntent"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/request-intent|6.0.0-ballot4"},"comment":"This element is immutable. It cannot be changed for the same resource instance.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Whether the request is a proposal, plan, an original order or a reflex order.","id":"DeviceRequest.intent","isModifier":true,"isModifierReason":"This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request","isSummary":true,"mapping":[{"identity":"workflow","map":"Request.intent"},{"identity":"w5","map":"FiveWs.class"},{"identity":"v2","map":"N/A"},{"identity":"rim","map":".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"}],"max":"1","min":1,"mustSupport":false,"path":"DeviceRequest.intent","short":"proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option","type":[{"code":"code"}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.priority"},"binding":{"description":"Identifies the level of importance to be assigned to actioning the request.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RequestPriority"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Indicates how quickly the request should be addressed with respect to other requests.","id":"DeviceRequest.priority","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.priority"},{"identity":"w5","map":"FiveWs.grade"},{"identity":"v2","map":"TQ1.9"},{"identity":"rim","map":".priorityCode"}],"max":"1","meaningWhenMissing":"If missing, normal priority","min":0,"mustSupport":false,"path":"DeviceRequest.priority","short":"routine | urgent | asap | stat","type":[{"code":"code"}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.doNotPerform"},"comment":"If do not perform is not specified, the request is a positive request e.g. \"do perform\". DeviceRequest.reason includes the reason for marking the DeviceRequest as 'do not perform'.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"If true, indicates that the provider is asking for the patient to either stop using or to not start using the specified device or category of devices. For example, the patient has undergone surgery and the provider is indicating that the patient should not wear contact lenses.","id":"DeviceRequest.doNotPerform","isModifier":true,"isModifierReason":"This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc.)","isSummary":true,"mapping":[{"identity":"workflow","map":"Request.doNotPerform"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.doNotPerform","short":"True if the request is to stop or not to start using the device","type":[{"code":"boolean"}]},{"base":{"max":"1","min":1,"path":"DeviceRequest.product[x]"},"binding":{"description":"Codes for devices that can be requested.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceRequestCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/device-type"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The details of the device to be used.","id":"DeviceRequest.product[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.product"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".code"},{"identity":"quick","map":"DeviceUse.device"}],"max":"1","min":1,"mustSupport":false,"path":"DeviceRequest.product[x]","short":"Device requested","type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device"]},{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.quantity"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The number of devices to be provided.","id":"DeviceRequest.quantity","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"quantity"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.quantity","short":"Quantity of devices to supply","type":[{"code":"integer"}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.parameter"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children or both","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Specific parameters for the ordered item. For example, the prism value for lenses.","id":"DeviceRequest.parameter","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".code"},{"identity":"quick","map":"DeviceUse.device"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.parameter","short":"Device details","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"DeviceRequest.parameter.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"DeviceRequest.parameter.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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 managable, 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.","id":"DeviceRequest.parameter.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"DeviceRequest.parameter.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"DeviceRequest.parameter.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"DeviceRequest.parameter.modifierExtension","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](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.parameter.code"},"binding":{"description":"Codes for order detail parameters.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RequestOrderDetailParameterCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/request-orderdetail-parameter-code"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A code or string that identifies the device detail being asserted.","id":"DeviceRequest.parameter.code","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".code"},{"identity":"quick","map":"DeviceUse.device"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.parameter.code","short":"Device detail","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.parameter.value[x]"},"comment":"Range means device should have a value that falls somewhere within the specified range.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The value of the device detail.","id":"DeviceRequest.parameter.value[x]","isModifier":false,"isSummary":false,"mapping":[{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".code"},{"identity":"quick","map":"DeviceUse.device"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.parameter.value[x]","short":"Value of detail","type":[{"code":"CodeableConcept"},{"code":"Quantity"},{"code":"Range"},{"code":"boolean"}]},{"base":{"max":"1","min":1,"path":"DeviceRequest.subject"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The patient who will use the device.","id":"DeviceRequest.subject","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.subject"},{"identity":"w5","map":"FiveWs.subject"},{"identity":"v2","map":"Accompanying PID segment"},{"identity":"rim","map":".participation[typeCode=SBJ].role"},{"identity":"quick","map":"ClinicalStatement.subject"}],"max":"1","min":1,"mustSupport":false,"path":"DeviceRequest.subject","short":"Focus of request","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Location","http://hl7.org/fhir/StructureDefinition/Device"]}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.encounter"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"An encounter that provides additional context in which this request is made.","id":"DeviceRequest.encounter","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.encounter"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"Accompanying PV1"},{"identity":"rim","map":".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"},{"identity":"quick","map":"ClinicalStatement.encounter"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.encounter","short":"Encounter motivating request","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.occurrence[x]"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".","id":"DeviceRequest.occurrence[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.occurrence[x]"},{"identity":"w5","map":"FiveWs.planned"},{"identity":"v2","map":"Accompanying TQ1/TQ2 segments"},{"identity":"rim","map":".effectiveTime"},{"identity":"quick","map":"DeviceUse.applicationSchedule"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.occurrence[x]","short":"Desired time or schedule for use","type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.authoredOn"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"When the request transitioned to being actionable.","id":"DeviceRequest.authoredOn","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.authoredOn"},{"identity":"w5","map":"FiveWs.recorded"},{"identity":"v2","map":"ORC.9"},{"identity":"rim","map":".participation[typeCode=AUT].time"},{"identity":"quick","map":"ClinicalStatement.statementDateTime"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.authoredOn","short":"When recorded","type":[{"code":"dateTime"}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.requester"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The individual or entity who initiated the request and has responsibility for its activation.","id":"DeviceRequest.requester","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.requester"},{"identity":"w5","map":"FiveWs.author"},{"identity":"v2","map":"ORC.12"},{"identity":"rim","map":".participation[typeCode=AUT].role"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.requester","short":"Who/what submitted the device request","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.performer"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The desired individual or entity to provide the device to the subject of the request (e.g., patient, location).","id":"DeviceRequest.performer","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.performer"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"PRT"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}],"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.performer","short":"Requested Filler","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/HealthcareService","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.location"},"binding":{"description":"A location type where devices are delivered.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ServiceRequestLocation"}],"strength":"example","valueSet":"http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The preferred location(s) where the device should actually be used in coded or free text form. E.g. at home or nursing day care center.","id":"DeviceRequest.location","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"rim","map":".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.location","short":"Requested location","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Location"]}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.reason"},"binding":{"description":"Diagnosis or problem codes justifying the reason for requesting the device.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"DeviceRequestReason"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/condition-code"},"comment":"When doNotPerform is true, this is the reason for requesting not to provide the device.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Reason or justification for the use of this device.","id":"DeviceRequest.reason","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Request.reason"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"ORC.16"},{"identity":"rim","map":".reasonCode"},{"identity":"quick","map":"Action.indication.reason"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.reason","short":"Coded/Linked Reason for request","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Condition","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/DocumentReference"]}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.asNeeded"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"This status is to indicate whether the request is a PRN or may be given as needed.","id":"DeviceRequest.asNeeded","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.asNeeded","short":"PRN status of request","type":[{"code":"boolean"}]},{"base":{"max":"1","min":0,"path":"DeviceRequest.asNeededFor"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The reason for using the device.","id":"DeviceRequest.asNeededFor","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"DeviceRequest.asNeededFor","short":"Device usage reason","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.insurance"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.","id":"DeviceRequest.insurance","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.insurance"},{"identity":"v2","map":"IN1/IN2"},{"identity":"rim","map":".outboundRelationship[typeCode=COVBY].target"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.insurance","short":"Associated insurance coverage","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Coverage","http://hl7.org/fhir/StructureDefinition/ClaimResponse"]}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.supportingInfo"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site).","id":"DeviceRequest.supportingInfo","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.supportingInfo"},{"identity":"v2","map":"Accompanying segments"},{"identity":"rim","map":".outboundRelationship[typeCode=PERT].target"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.supportingInfo","requirements":"Knowing where the device is targeted is important for tracking if multiple sites are possible.","short":"Additional clinical information","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.note"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.","id":"DeviceRequest.note","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.note"},{"identity":"v2","map":"NTE"},{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"},{"identity":"quick","map":"ClinicalStatement.additionalText"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.note","short":"Notes or comments","type":[{"code":"Annotation"}]},{"base":{"max":"*","min":0,"path":"DeviceRequest.relevantHistory"},"comment":"This might not include provenances for all versions of the request - only those deemed \"relevant\" or important.\rThis SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a \"relevant\" change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude\rAll Provenances should have some historical version of this Request as their subject.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Key events in the history of the request.","id":"DeviceRequest.relevantHistory","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Request.relevantHistory"},{"identity":"v2","map":"N/A"},{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"}],"max":"*","min":0,"mustSupport":false,"path":"DeviceRequest.relevantHistory","short":"Request provenance","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Provenance"]}]}]},"status":"active","text":{"div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DeviceRequest NDomainResourceMedical device request

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
\".\"\".\"\".\" identifier Σ0..*IdentifierExternal Request identifier

\".\"\".\"\".\" basedOn Σ0..*Reference(Any)What request fulfills

\".\"\".\"\".\" replaces Σ0..*Reference(DeviceRequest)What request replaces

\".\"\".\"\".\" groupIdentifier Σ0..1IdentifierIdentifier of composite request
\".\"\".\"\".\" status ?!Σ0..1codedraft | active | on-hold | entered-in-error | ended | completed | revoked | unknown
Binding: RequestStatus (Required)
\".\"\".\"\".\" intent ?!Σ1..1codeproposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (Required)
\".\"\".\"\".\" priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (Required)
\".\"\".\"\".\" doNotPerform ?!Σ0..1booleanTrue if the request is to stop or not to start using the device
\".\"\".\"\".\" product[x] Σ1..1Device requested
Binding: Device Type (Example)
\".\"\".\"\".\"\".\" productCodeableConceptCodeableConcept
\".\"\".\"\".\"\".\" productReferenceReference(Device)
\".\"\".\"\".\"\".\" productCanonicalcanonical(DeviceDefinition)
\".\"\".\"\".\" quantity 0..1integerQuantity of devices to supply
\".\"\".\"\".\" parameter 0..*BackboneElementDevice details

\".\"\".\"\".\"\".\" code 0..1CodeableConceptDevice detail
Binding: Request OrderDetail Parameter Code (Example)
\".\"\".\"\".\"\".\" value[x] 0..1Value of detail
\".\"\".\"\".\"\".\"\".\" valueCodeableConceptCodeableConcept
\".\"\".\"\".\"\".\"\".\" valueQuantityQuantity
\".\"\".\"\".\"\".\"\".\" valueRangeRange
\".\"\".\"\".\"\".\"\".\" valueBooleanboolean
\".\"\".\"\".\" subject Σ1..1Reference(Patient | Group | Location | Device)Focus of request
\".\"\".\"\".\" encounter Σ0..1Reference(Encounter)Encounter motivating request
\".\"\".\"\".\" occurrence[x] Σ0..1Desired time or schedule for use
\".\"\".\"\".\"\".\" occurrenceDateTimedateTime
\".\"\".\"\".\"\".\" occurrencePeriodPeriod
\".\"\".\"\".\"\".\" occurrenceTimingTiming
\".\"\".\"\".\" authoredOn Σ0..1dateTimeWhen recorded
\".\"\".\"\".\" requester Σ0..1Reference(Device | Practitioner | PractitionerRole | Organization | CareTeam | Group | Patient | RelatedPerson)Who/what submitted the device request
\".\"\".\"\".\" performer Σ0..1CodeableReference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested Filler
\".\"\".\"\".\" location Σ0..*CodeableReference(Location)Requested location
Binding: ServiceDeliveryLocationRoleType (Example)

\".\"\".\"\".\" reason Σ0..*CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference)Coded/Linked Reason for request
Binding: Condition/Problem/Diagnosis Codes (Example)

\".\"\".\"\".\" asNeeded 0..1booleanPRN status of request
\".\"\".\"\".\" asNeededFor 0..1CodeableConceptDevice usage reason
\".\"\".\"\".\" insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage

\".\"\".\"\".\" supportingInfo 0..*Reference(Any)Additional clinical information

\".\"\".\"\".\" note 0..*AnnotationNotes or comments

\".\"\".\"\".\" relevantHistory 0..*Reference(Provenance)Request provenance


\"doco\" Documentation for this format
","status":"generated"},"type":"DeviceRequest","url":"http://hl7.org/fhir/StructureDefinition/DeviceRequest","version":"6.0.0-ballot4"}