QI-Core Implementation Guide
7.0.0 - 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 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 DeviceRequest

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

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

QI Elements:
  • modifierExtension: (QI) Extension
  • modifierExtension.value[x]: (QI) Value of extension
  • identifier: (QI) External Request identifier
  • 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
  • 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

The FHIR R4 and the QI-Core DeviceRequest profile describes the request to use of a device by a patient. The device may be any pertinent device specified in the Device resource. Examples of devices that may be requested include a wheelchair, hearing aids, or an insulin pump. The request may lead to the dispensing of the device to the patient or for use by the patient. Orders or recommendations for use of a device for a patient use the ServiceRequest resource.

The following example illustrates the use of DeviceRequest:

define "Device Indicating Frailty":
  [DeviceRequest: "Frailty Device"] FrailtyDeviceOrder
    where FrailtyDeviceOrder.status in { 'active', 'on-hold', 'completed' }
      and FrailtyDeviceOrder.intent in { 'order', 'original-order', 'reflex-order', 'filler-order', 'instance-order' }
      and FrailtyDeviceOrder.doNotPerform is not true

The DeviceRequest profile defines the conformance expectations for a DeviceRequest, regardless of whether it is a positive or negative statement. The DeviceRequested and DeviceProhibited profiles derive from DeviceRequest and represent the positive and negative statements for a device request.

To create an expression indicating existence of a request for a device use the profile QICoreDeviceRequested; to specifically request information that a DeviceRequest intentionally did not occur for a medical, patient or system reason, use the profile QICoreDeviceProhibited.

See the patterns page for implementation and usage patterns.

Examples

General DeviceRequest Example

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
drq-1: to indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
... Slices for modifierExtension Content/Rules for all slices
.... modifierExtension:doNotPerform ?! 0..1 R5 DeviceRequest.doNotPerform (QI) Extension
... identifier 0..* Identifier (QI) External Request identifier
... status 0..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 Reference(Device), CodeableConcept (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate devices
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
... subject 1..1 Reference(QICore Patient) (QI) Focus of request
... authoredOn 0..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
drq-1errorDeviceRequestto indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
: (code is Reference).not() implies code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
drq-1: to indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 0..1 R5 DeviceRequest.doNotPerform (QI) Extension
... identifier Σ 0..* Identifier (QI) External Request identifier
... 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 (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... code[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate devices
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
.... codeReference Reference(Device)
.... codeCodeableConcept CodeableConcept
... subject Σ 1..1 Reference(QICore Patient) (QI) Focus of request
... authoredOn Σ 0..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
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()
drq-1errorDeviceRequestto indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
: (code is Reference).not() implies code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.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
drq-1: to indicate what device, either at least one coding in the code or a codeOptions 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
... extension 0..* Extension Additional content defined by implementations
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 0..1 R5 DeviceRequest.doNotPerform (QI) Extension
... identifier Σ 0..* Identifier (QI) 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 (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... code[x]All Types Content/Rules for all Types
..... 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
...... codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate devices
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
.... codeReference Reference(Device)
.... codeCodeableConcept CodeableConcept
... 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 Description (No ValueSet): (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 0..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
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()
drq-1errorDeviceRequestto indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
: (code is Reference).not() implies code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.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()

This structure is derived from DeviceRequest

Differential View

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
drq-1: to indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
... Slices for modifierExtension Content/Rules for all slices
.... modifierExtension:doNotPerform ?! 0..1 R5 DeviceRequest.doNotPerform (QI) Extension
... identifier 0..* Identifier (QI) External Request identifier
... status 0..1 code (QI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 Reference(Device), CodeableConcept (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate devices
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
... subject 1..1 Reference(QICore Patient) (QI) Focus of request
... authoredOn 0..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
drq-1errorDeviceRequestto indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
: (code is Reference).not() implies code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
drq-1: to indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 0..1 R5 DeviceRequest.doNotPerform (QI) Extension
... identifier Σ 0..* Identifier (QI) External Request identifier
... 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 (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... code[x]All Types Content/Rules for all Types
..... Slices for extension Content/Rules for all slices
...... codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate devices
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
.... codeReference Reference(Device)
.... codeCodeableConcept CodeableConcept
... subject Σ 1..1 Reference(QICore Patient) (QI) Focus of request
... authoredOn Σ 0..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
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()
drq-1errorDeviceRequestto indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
: (code is Reference).not() implies code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.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
drq-1: to indicate what device, either at least one coding in the code or a codeOptions 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
... extension 0..* Extension Additional content defined by implementations
... Slices for modifierExtension ?! 0..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 0..1 R5 DeviceRequest.doNotPerform (QI) Extension
... identifier Σ 0..* Identifier (QI) 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 (QI) Device requested
Binding: FHIRDeviceTypes (preferred)
.... code[x]All Types Content/Rules for all Types
..... 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
...... codeOptions C 0..1 canonical(ValueSet) (QI) Url of a value set of candidate devices
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
.... codeReference Reference(Device)
.... codeCodeableConcept CodeableConcept
... 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 Description (No ValueSet): (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 0..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
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()
drq-1errorDeviceRequestto indicate what device, either at least one coding in the code or a codeOptions extension shall be provided
: (code is Reference).not() implies code.extension('http://hl7.org/fhir/StructureDefinition/codeOptions').exists() xor code.coding.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()

This structure is derived from DeviceRequest

 

Other representations of profile: CSV, Excel, Schematron