QI-Core Implementation Guide
7.0.0-ballot - STU7 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

Resource Profile: QICore Device Not Requested

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicenotrequested Version: 7.0.0-ballot
Active as of 2019-07-11 Computable Name: QICoreDeviceNotRequested

Profile of DeviceRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

QI Elements:
  • doNotPerformReason: (QI) Extension
  • modifierExtension: (QI) Extension
  • modifierExtension.value[x]: (QI) Value of extension
  • status: (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
  • intent: (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
  • code[x]: (QI) Device requested
  • doNotPerformValueSet: (QI) What was not done
  • subject: (QI) Focus of request
  • authoredOn: (QI) When recorded
Primary code path: code
(PCPath) This element is the primary code path for this resource CQL Retrieve


NOTE TO BALLOT REVIEWERS:
  • US Core 7.0, and thus QI-Core 7.0, has a new approach to USCDI requirements.
    • As noted in the US Core 7.0 Must Support section, US Core 7.0 no longer highlights mandatory (cardinality 1..* or 1..1) and Must Support elements with a (USCDI) indicator as such items must be supported for interoperability.
    • Those USCDI elements that are not mandatory or Must Support now include an indicator (ADDITIONAL USCDI) in US Core. QI-Core 7.0 does not reference USCDI elements; rather, users should access US Core 7.0 to understand its implementation of USCDI version 4.
  • We invite comments about the approach and suggestions for other options that would also avoid unnecessary noise or reading load to the QI-Core profile representation.
  • Further, QI-Core 7.0 does not discuss USCDI+Quality because at the time of ballot preparation, no published version of USCDI+Quality is available. We seek reviewer advice regarding how QI-Core might address future USCDI+Quality.

Usage

See the patterns page for implementation and usage patterns.

The DeviceRequest and DeviceNotRequested profiles represent the positive and negative statements for a device request.

The following example illustrates accessing DeviceRequest not requested data:

  define "Venous Foot Pumps Not Ordered":
[DeviceNotRequested: "Venous Foot Pumps (VFP)"] DeviceNotOrdered
  where (DeviceNotOrdered.doNotPerformReason in "Medical Reason"
    or DeviceNotOrdered.doNotPerformReason in "Patient Refusal"
  )

Examples

Negation Example with valuesetDevice not indicated; indicates that none of the devices in the given "not done value set" were requested.
Negation Example with codeDevice not indicated; indicates that a specific device, by code, was not requested.

For a more complete discussion of representation of negation within QI-Core and quality improvement artifacts, see the Negation in QI-Core topic.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... Slices for extension Content/Rules for all slices
.... doNotPerformReason 1..1 CodeableConcept (QI) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed

... Slices for modifierExtension Content/Rules for all slices
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI) Extension
..... value[x] 1..1 boolean (QI) Value of extension
Fixed Value: true
... status 0..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 CodeableConcept (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject 1..1 Reference(QICore Patient) (QI) Focus of request
... authoredOn 1..1 dateTime (QI) When recorded

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... doNotPerformReason 1..1 CodeableConcept (QI) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI) Extension
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean (QI) Value of extension
Fixed Value: true
... intent ?!Σ 1..1 code (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.

... code[x] ΣC 1..1 CodeableConcept (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject Σ 1..1 Reference(QICore Patient) (QI) Focus of request
... authoredOn Σ 1..1 dateTime (QI) When recorded

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... doNotPerformReason 1..1 CodeableConcept (QI) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI) Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean (QI) Value of extension
Fixed Value: true
... identifier Σ 0..* Identifier External Request identifier
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!Σ 0..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.

... intent ?!Σ 1..1 code (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.

... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code[x] ΣC 1..1 CodeableConcept (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... parameter 0..* BackboneElement Device details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Device detail
Binding: (unbound) (example): A code that identifies the device detail.

.... value[x] 0..1 Value of detail
..... valueCodeableConcept CodeableConcept
..... valueQuantity Quantity
..... valueRange Range
..... valueBoolean boolean
... subject Σ 1..1 Reference(QICore Patient) (QI) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] Σ 0..1 Desired time or schedule for use
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn Σ 1..1 dateTime (QI) When recorded
... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) Who/what is requesting diagnostics
... performerType Σ 0..1 CodeableConcept Filler role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.


... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Linked Reason for request
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... note 0..* Annotation Notes or comments
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DeviceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DeviceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard
DeviceRequest.parameter.codeexample
DeviceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
DeviceRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... Slices for extension Content/Rules for all slices
.... doNotPerformReason 1..1 CodeableConcept (QI) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed

... Slices for modifierExtension Content/Rules for all slices
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI) Extension
..... value[x] 1..1 boolean (QI) Value of extension
Fixed Value: true
... status 0..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 CodeableConcept (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject 1..1 Reference(QICore Patient) (QI) Focus of request
... authoredOn 1..1 dateTime (QI) When recorded

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... doNotPerformReason 1..1 CodeableConcept (QI) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI) Extension
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean (QI) Value of extension
Fixed Value: true
... intent ?!Σ 1..1 code (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.

... code[x] ΣC 1..1 CodeableConcept (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject Σ 1..1 Reference(QICore Patient) (QI) Focus of request
... authoredOn Σ 1..1 dateTime (QI) When recorded

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... doNotPerformReason 1..1 CodeableConcept (QI) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI) Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean (QI) Value of extension
Fixed Value: true
... identifier Σ 0..* Identifier External Request identifier
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!Σ 0..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.

... intent ?!Σ 1..1 code (QI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.

... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code[x] ΣC 1..1 CodeableConcept (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... parameter 0..* BackboneElement Device details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Device detail
Binding: (unbound) (example): A code that identifies the device detail.

.... value[x] 0..1 Value of detail
..... valueCodeableConcept CodeableConcept
..... valueQuantity Quantity
..... valueRange Range
..... valueBoolean boolean
... subject Σ 1..1 Reference(QICore Patient) (QI) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] Σ 0..1 Desired time or schedule for use
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn Σ 1..1 dateTime (QI) When recorded
... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) Who/what is requesting diagnostics
... performerType Σ 0..1 CodeableConcept Filler role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.


... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Linked Reason for request
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... note 0..* Annotation Notes or comments
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DeviceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DeviceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard
DeviceRequest.parameter.codeexample
DeviceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
DeviceRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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