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Orders and Observations Work Group | Maturity Level: 0 | Draft | Security Category: Patient | Compartments: Device, Patient, Practitioner |
A record of association or dissociation of a device with a patient.
Device Association records the relationship between a device and a subject and/or operator. The scope covers all devices including, but not limited to: implantables (which previously was documented as the .association in the Device resource), wheelchairs, RTLS, personal health and point of care devices, diagnostic, imaging and durable medical equipment. This resource is intended to apply to any delivery environment and discipline where a device association is useful to record.
The subjects may include:
These are not exclusive, i.e. when associating a device with a patient, the it is possible to capture the patient's clinical information with a DeviceUsage resource, include the device in a Procedure for reporting, and keep the Device's traceability information with a DeviceAssociation resource.
To track changes in settings, Observation resource can be used, where Observation has the subject (e.g., patient), device, and time window that enable to relate to the proper DeviceAssociation or vice-versa. It is valid and common that a patient is associated with the same device (yielding multiple DeviceAssociation instances) over time.
No references for this Resource.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DeviceAssociation | ΣD | DomainResource | A record of association or dissociation of a device with a patient Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | |
identifier | Σ | 0..* | Identifier | Instance identifier |
device | Σ | 1..1 | Reference(Device) | Reference to the devices associated with the patient or group |
category | Σ | 0..* | CodeableConcept | Describes the relationship between the device and subject |
status | Σ | 1..1 | CodeableConcept | implanted | explanted | attached | entered-in-error | unknown Binding: DeviceAssociation Status Codes (Required) |
statusReason | Σ | 0..* | CodeableConcept | The reasons given for the current association status Binding: DeviceAssociation Status Reason Codes (Required) |
subject | Σ | 0..1 | Reference(Patient | Group | Practitioner | RelatedPerson | Device) | The individual, group of individuals or device that the device is on or associated with |
bodyStructure | Σ | 0..1 | Reference(BodyStructure) | Current anatomical location of the device in/on subject |
period | Σ | 0..1 | Period | Begin and end dates and times for the device association |
operation | Σ | 0..* | BackboneElement | The details about the device when it is in use to describe its operation |
status | Σ | 1..1 | CodeableConcept | Device operational condition Binding: FHIR Device Association Operation Status (Example) |
operator | Σ | 0..* | Reference(Patient | Practitioner | RelatedPerson) | The individual performing the action enabled by the device |
period | Σ | 0..1 | Period | Begin and end dates and times for the device's operation |
Documentation for this format |
See the Extensions for this resource
UML Diagram (Legend)
XML Template
<DeviceAssociation xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier Instance identifier --></identifier> <device><!-- 1..1 Reference(Device) Reference to the devices associated with the patient or group --></device> <category><!-- 0..* CodeableConcept Describes the relationship between the device and subject --></category> <status><!-- 1..1 CodeableConcept implanted | explanted | attached | entered-in-error | unknown --></status> <statusReason><!-- 0..* CodeableConcept The reasons given for the current association status --></statusReason> <subject><!-- 0..1 Reference(Device|Group|Patient|Practitioner|RelatedPerson) The individual, group of individuals or device that the device is on or associated with --></subject> <bodyStructure><!-- 0..1 Reference(BodyStructure) Current anatomical location of the device in/on subject --></bodyStructure> <period><!-- 0..1 Period Begin and end dates and times for the device association --></period> <operation> <!-- 0..* The details about the device when it is in use to describe its operation --> <status><!-- 1..1 CodeableConcept Device operational condition --></status> <operator><!-- 0..* Reference(Patient|Practitioner|RelatedPerson) The individual performing the action enabled by the device --></operator> <period><!-- 0..1 Period Begin and end dates and times for the device's operation --></period> </operation> </DeviceAssociation>
JSON Template
{ "resourceType" : "DeviceAssociation", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // Instance identifier "device" : { Reference(Device) }, // R! Reference to the devices associated with the patient or group "category" : [{ CodeableConcept }], // Describes the relationship between the device and subject "status" : { CodeableConcept }, // R! implanted | explanted | attached | entered-in-error | unknown "statusReason" : [{ CodeableConcept }], // The reasons given for the current association status "subject" : { Reference(Device|Group|Patient|Practitioner|RelatedPerson) }, // The individual, group of individuals or device that the device is on or associated with "bodyStructure" : { Reference(BodyStructure) }, // Current anatomical location of the device in/on subject "period" : { Period }, // Begin and end dates and times for the device association "operation" : [{ // The details about the device when it is in use to describe its operation "status" : { CodeableConcept }, // R! Device operational condition "operator" : [{ Reference(Patient|Practitioner|RelatedPerson) }], // The individual performing the action enabled by the device "period" : { Period } // Begin and end dates and times for the device's operation }] }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:DeviceAssociation; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension fhir:identifier ( [ Identifier ] ... ) ; # 0..* Instance identifier fhir:device [ Reference(Device) ] ; # 1..1 Reference to the devices associated with the patient or group fhir:category ( [ CodeableConcept ] ... ) ; # 0..* Describes the relationship between the device and subject fhir:status [ CodeableConcept ] ; # 1..1 implanted | explanted | attached | entered-in-error | unknown fhir:statusReason ( [ CodeableConcept ] ... ) ; # 0..* The reasons given for the current association status fhir:subject [ Reference(Device|Group|Patient|Practitioner|RelatedPerson) ] ; # 0..1 The individual, group of individuals or device that the device is on or associated with fhir:bodyStructure [ Reference(BodyStructure) ] ; # 0..1 Current anatomical location of the device in/on subject fhir:period [ Period ] ; # 0..1 Begin and end dates and times for the device association fhir:operation ( [ # 0..* The details about the device when it is in use to describe its operation fhir:status [ CodeableConcept ] ; # 1..1 Device operational condition fhir:operator ( [ Reference(Patient|Practitioner|RelatedPerson) ] ... ) ; # 0..* The individual performing the action enabled by the device fhir:period [ Period ] ; # 0..1 Begin and end dates and times for the device's operation ] ... ) ; ]
Changes from both R4 and R4B
This resource did not exist in Release R4
See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DeviceAssociation | ΣD | DomainResource | A record of association or dissociation of a device with a patient Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | |
identifier | Σ | 0..* | Identifier | Instance identifier |
device | Σ | 1..1 | Reference(Device) | Reference to the devices associated with the patient or group |
category | Σ | 0..* | CodeableConcept | Describes the relationship between the device and subject |
status | Σ | 1..1 | CodeableConcept | implanted | explanted | attached | entered-in-error | unknown Binding: DeviceAssociation Status Codes (Required) |
statusReason | Σ | 0..* | CodeableConcept | The reasons given for the current association status Binding: DeviceAssociation Status Reason Codes (Required) |
subject | Σ | 0..1 | Reference(Patient | Group | Practitioner | RelatedPerson | Device) | The individual, group of individuals or device that the device is on or associated with |
bodyStructure | Σ | 0..1 | Reference(BodyStructure) | Current anatomical location of the device in/on subject |
period | Σ | 0..1 | Period | Begin and end dates and times for the device association |
operation | Σ | 0..* | BackboneElement | The details about the device when it is in use to describe its operation |
status | Σ | 1..1 | CodeableConcept | Device operational condition Binding: FHIR Device Association Operation Status (Example) |
operator | Σ | 0..* | Reference(Patient | Practitioner | RelatedPerson) | The individual performing the action enabled by the device |
period | Σ | 0..1 | Period | Begin and end dates and times for the device's operation |
Documentation for this format |
See the Extensions for this resource
XML Template
<DeviceAssociation xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier Instance identifier --></identifier> <device><!-- 1..1 Reference(Device) Reference to the devices associated with the patient or group --></device> <category><!-- 0..* CodeableConcept Describes the relationship between the device and subject --></category> <status><!-- 1..1 CodeableConcept implanted | explanted | attached | entered-in-error | unknown --></status> <statusReason><!-- 0..* CodeableConcept The reasons given for the current association status --></statusReason> <subject><!-- 0..1 Reference(Device|Group|Patient|Practitioner|RelatedPerson) The individual, group of individuals or device that the device is on or associated with --></subject> <bodyStructure><!-- 0..1 Reference(BodyStructure) Current anatomical location of the device in/on subject --></bodyStructure> <period><!-- 0..1 Period Begin and end dates and times for the device association --></period> <operation> <!-- 0..* The details about the device when it is in use to describe its operation --> <status><!-- 1..1 CodeableConcept Device operational condition --></status> <operator><!-- 0..* Reference(Patient|Practitioner|RelatedPerson) The individual performing the action enabled by the device --></operator> <period><!-- 0..1 Period Begin and end dates and times for the device's operation --></period> </operation> </DeviceAssociation>
JSON Template
{ "resourceType" : "DeviceAssociation", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // Instance identifier "device" : { Reference(Device) }, // R! Reference to the devices associated with the patient or group "category" : [{ CodeableConcept }], // Describes the relationship between the device and subject "status" : { CodeableConcept }, // R! implanted | explanted | attached | entered-in-error | unknown "statusReason" : [{ CodeableConcept }], // The reasons given for the current association status "subject" : { Reference(Device|Group|Patient|Practitioner|RelatedPerson) }, // The individual, group of individuals or device that the device is on or associated with "bodyStructure" : { Reference(BodyStructure) }, // Current anatomical location of the device in/on subject "period" : { Period }, // Begin and end dates and times for the device association "operation" : [{ // The details about the device when it is in use to describe its operation "status" : { CodeableConcept }, // R! Device operational condition "operator" : [{ Reference(Patient|Practitioner|RelatedPerson) }], // The individual performing the action enabled by the device "period" : { Period } // Begin and end dates and times for the device's operation }] }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:DeviceAssociation; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension fhir:identifier ( [ Identifier ] ... ) ; # 0..* Instance identifier fhir:device [ Reference(Device) ] ; # 1..1 Reference to the devices associated with the patient or group fhir:category ( [ CodeableConcept ] ... ) ; # 0..* Describes the relationship between the device and subject fhir:status [ CodeableConcept ] ; # 1..1 implanted | explanted | attached | entered-in-error | unknown fhir:statusReason ( [ CodeableConcept ] ... ) ; # 0..* The reasons given for the current association status fhir:subject [ Reference(Device|Group|Patient|Practitioner|RelatedPerson) ] ; # 0..1 The individual, group of individuals or device that the device is on or associated with fhir:bodyStructure [ Reference(BodyStructure) ] ; # 0..1 Current anatomical location of the device in/on subject fhir:period [ Period ] ; # 0..1 Begin and end dates and times for the device association fhir:operation ( [ # 0..* The details about the device when it is in use to describe its operation fhir:status [ CodeableConcept ] ; # 1..1 Device operational condition fhir:operator ( [ Reference(Patient|Practitioner|RelatedPerson) ] ... ) ; # 0..* The individual performing the action enabled by the device fhir:period [ Period ] ; # 0..1 Begin and end dates and times for the device's operation ] ... ) ; ]
Changes from both R4 and R4B
This resource did not exist in Release R4
See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.
Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis
Path | ValueSet | Type | Documentation |
---|---|---|---|
DeviceAssociation.status | DeviceAssociationCodes (a valid code from DeviceAssociation Status Codes) | Required | DeviceAssociation Status Codes |
DeviceAssociation.statusReason | DeviceAssociationCodes (a valid code from DeviceAssociation Status Reason Codes) | Required | DeviceAssociation Status Reason Codes |
DeviceAssociation.operation.status | FHIRDeviceAssociationOperationStatus | Example | The status for the device association operation. |
Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.
Name | Type | Description | Expression | In Common |
device TU | reference | Search for products that match this code | DeviceAssociation.device (Device) |
|
identifier TU | token | The identifier of the device association | DeviceAssociation.identifier | |
operator TU | reference | The identity of a operator for whom to list associations | DeviceAssociation.operation.operator (Practitioner, Patient, RelatedPerson) |
|
patient TU | reference | The identity of a patient for whom to list associations | DeviceAssociation.subject.where(resolve() is Patient) (Practitioner, Group, Device, Patient, RelatedPerson) |
|
status TU | token | The status of the device associations | DeviceAssociation.status | |
subject TU | reference | The identity of a patient for whom to list associations | DeviceAssociation.subject.where(resolve() is Patient) (Practitioner, Group, Device, Patient, RelatedPerson) |