QI-Core Implementation Guide
7.0.2 - STU 7 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 7.0.2 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 DeviceUseStatement

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-deviceusestatement Version: 7.0.2
Standards status: Trial-use Maturity Level: 4 Computable Name: QICoreDeviceUseStatement

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

"Must Have", "QI Elements" and "primary code path" are defined in the QI-Core Must Support section.
QI Elements:
  • subject: (QI) Patient using device
  • bodySite: (QI) Target body site
  • status: (QI) active | completed | entered-in-error +
  • recordedOn: (QI) When statement was recorded
  • device: (QI) Reference to device used
  • timing[x]: (QI) How often the device was used
Primary code path: device.type
(PCPath) This element is the primary code path for this resource CQL Retrieve

Usage

See the patterns page for implementation and usage patterns.

Examples

The provision of a wheelchair to a patient example

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code (QI) active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
... timing[x] Σ 0..1 (QI) How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn Σ 0..1 dateTime (QI) When statement was recorded
... device Σ 1..1 Reference(QICore Device | US Core Implantable Device Profile) (QI) Reference to device used
... bodySite Σ 0..1 CodeableConcept (QI) Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DeviceUseStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceUseStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DeviceUseStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DeviceUseStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceUseStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DeviceUseStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... status 1..1 code (QI) active | completed | entered-in-error +
... subject 1..1 Reference(QICore Patient) (QI) Patient using device
... timing[x] 0..1 Timing, Period, dateTime (QI) How often the device was used
... device 1..1 Reference(QICore Device | US Core Implantable Device Profile) (QI) Reference to device used
... bodySite 0..1 CodeableConcept (QI) Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier for this record
... basedOn Σ 0..* Reference(ServiceRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code (QI) active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
... subject Σ 1..1 Reference(QICore Patient) (QI) Patient using device
... derivedFrom Σ 0..* Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) Supporting information
... timing[x] Σ 0..1 (QI) How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn Σ 0..1 dateTime (QI) When statement was recorded
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who made the statement
... device Σ 1..1 Reference(QICore Device | US Core Implantable Device Profile) (QI) Reference to device used
... reasonCode Σ 0..* CodeableConcept Why device was used
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) Why was DeviceUseStatement performed?
... bodySite Σ 0..1 CodeableConcept (QI) Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Addition details (comments, instructions)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DeviceUseStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceUseStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DeviceUseStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DeviceUseStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceUseStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code (QI) active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
... timing[x] Σ 0..1 (QI) How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn Σ 0..1 dateTime (QI) When statement was recorded
... device Σ 1..1 Reference(QICore Device | US Core Implantable Device Profile) (QI) Reference to device used
... bodySite Σ 0..1 CodeableConcept (QI) Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DeviceUseStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceUseStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DeviceUseStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DeviceUseStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceUseStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DeviceUseStatement

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... status 1..1 code (QI) active | completed | entered-in-error +
... subject 1..1 Reference(QICore Patient) (QI) Patient using device
... timing[x] 0..1 Timing, Period, dateTime (QI) How often the device was used
... device 1..1 Reference(QICore Device | US Core Implantable Device Profile) (QI) Reference to device used
... bodySite 0..1 CodeableConcept (QI) Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier for this record
... basedOn Σ 0..* Reference(ServiceRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code (QI) active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
... subject Σ 1..1 Reference(QICore Patient) (QI) Patient using device
... derivedFrom Σ 0..* Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) Supporting information
... timing[x] Σ 0..1 (QI) How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn Σ 0..1 dateTime (QI) When statement was recorded
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who made the statement
... device Σ 1..1 Reference(QICore Device | US Core Implantable Device Profile) (QI) Reference to device used
... reasonCode Σ 0..* CodeableConcept Why device was used
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) Why was DeviceUseStatement performed?
... bodySite Σ 0..1 CodeableConcept (QI) Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Addition details (comments, instructions)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DeviceUseStatement If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceUseStatement If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DeviceUseStatement If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DeviceUseStatement If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceUseStatement A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron