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Orders and Observations icon Work GroupMaturity Level: 1 Trial UseSecurity Category: Patient Compartments: Patient

Detailed Descriptions for the elements in the DeviceUsage resource.

DeviceUsage
Element IdDeviceUsage
Definition

A record of a device being used by a patient where the record is the result of a report from the patient or a clinician.

Short DisplayRecord of use of a device
Cardinality0..*
TypeDomainResource
Summaryfalse
DeviceUsage.identifier
Element IdDeviceUsage.identifier
Definition

An external identifier for this statement such as an IRI.

Short DisplayExternal identifier for this record
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Summarytrue
DeviceUsage.basedOn
Element IdDeviceUsage.basedOn
Definition

A plan, proposal or order that is fulfilled in whole or in part by this DeviceUsage.

Short DisplayFulfills plan, proposal or order
Cardinality0..*
TypeReference(ServiceRequest)
Requirements

Allows tracing of authorization for the DeviceUsage and tracking whether proposals/recommendations were acted upon.

Alternate Namesfulfills
Summarytrue
DeviceUsage.status
Element IdDeviceUsage.status
Definition

A code representing the patient or other source's judgment about the state of the device used that this statement is about. Generally this will be active or completed.

Short Displayactive | completed | not-done | entered-in-error +
Cardinality1..1
Terminology BindingDeviceUsageStatus (Required)
Typecode
Is Modifiertrue (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Summarytrue
Comments

DeviceUseStatment is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for contains codes that assert the status of the use by the patient (for example, stopped or on hold) as well as codes that assert the status of the resource itself (for example, entered in error).

This element is labeled as a modifier because the status contains the codes that mark the statement as not currently valid.

DeviceUsage.category
Element IdDeviceUsage.category
Definition

This attribute indicates a category for the statement - The device statement may be made in an inpatient or outpatient settting (inpatient | outpatient | community | patientspecified).

Short DisplayThe category of the statement - classifying how the statement is made
Cardinality0..*
TypeCodeableConcept
Summaryfalse
DeviceUsage.patient
Element IdDeviceUsage.patient
Definition

The patient who used the device.

Short DisplayPatient using device
Cardinality1..1
TypeReference(Patient)
Summarytrue
DeviceUsage.derivedFrom
Element IdDeviceUsage.derivedFrom
Definition

Allows linking the DeviceUsage to the underlying Request, or to other information that supports or is used to derive the DeviceUsage.

Short DisplaySupporting information
Cardinality0..*
TypeReference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)
Summarytrue
Comments

The most common use cases for deriving a DeviceUsage comes from creating it from a request or from an observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the DeviceUsage from.

DeviceUsage.context
Element IdDeviceUsage.context
Definition

The encounter or episode of care that establishes the context for this device use statement.

Short DisplayThe encounter or episode of care that establishes the context for this device use statement
Cardinality0..1
TypeReference(Encounter | EpisodeOfCare)
Summarytrue
DeviceUsage.timing[x]
Element IdDeviceUsage.timing[x]
Definition

How often the device was used.

Short DisplayHow often the device was used
Cardinality0..1
TypeTiming|Period|dateTime
[x] NoteSee Choice of Datatypes for further information about how to use [x]
Summarytrue
DeviceUsage.dateAsserted
Element IdDeviceUsage.dateAsserted
Definition

The time at which the statement was recorded by informationSource.

Short DisplayWhen the statement was made (and recorded)
Cardinality0..1
TypedateTime
Summarytrue
DeviceUsage.usageStatus
Element IdDeviceUsage.usageStatus
Definition

The status of the device usage, for example always, sometimes, never. This is not the same as the status of the statement.

Short DisplayThe status of the device usage, for example always, sometimes, never. This is not the same as the status of the statement
Cardinality0..1
Terminology BindingDeviceUsageStatus (Required)
TypeCodeableConcept
Summaryfalse
DeviceUsage.usageReason
Element IdDeviceUsage.usageReason
Definition

The reason for asserting the usage status - for example forgot, lost, stolen, broken.

Short DisplayThe reason for asserting the usage status - for example forgot, lost, stolen, broken
Cardinality0..*
TypeCodeableConcept
Summaryfalse
DeviceUsage.adherence
Element IdDeviceUsage.adherence
Definition

This indicates how or if the device is being used.

Short DisplayHow device is being used
Cardinality0..1
Summaryfalse
DeviceUsage.adherence.code
Element IdDeviceUsage.adherence.code
Definition

Type of adherence.

Short Displayalways | never | sometimes
Cardinality1..1
Terminology BindingDeviceUsageAdherenceCode (Example)
TypeCodeableConcept
Summaryfalse
DeviceUsage.adherence.reason
Element IdDeviceUsage.adherence.reason
Definition

Reason for adherence type.

Short Displaylost | stolen | prescribed | broken | burned | forgot
Cardinality1..*
Terminology BindingDeviceUsageAdherenceReason (Example)
TypeCodeableConcept
Summaryfalse
DeviceUsage.informationSource
Element IdDeviceUsage.informationSource
Definition

Who reported the device was being used by the patient.

Short DisplayWho made the statement
Cardinality0..1
TypeReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Summarytrue
DeviceUsage.device
Element IdDeviceUsage.device
Definition

Code or Reference to device used.

Short DisplayCode or Reference to device used
Cardinality1..1
TypeCodeableReference(Device | DeviceDefinition)
Summarytrue
DeviceUsage.reason
Element IdDeviceUsage.reason
Definition

Reason or justification for the use of the device. A coded concept, or another resource whose existence justifies this DeviceUsage.

Short DisplayWhy device was used
Cardinality0..*
TypeCodeableReference(Condition | Observation | DiagnosticReport | DocumentReference | Procedure)
Summarytrue
Comments

When the status is not done, the reason code indicates why it was not done.

DeviceUsage.bodySite
Element IdDeviceUsage.bodySite
Definition

Indicates the anotomic location on the subject's body where the device was used ( i.e. the target).

Short DisplayTarget body site
Cardinality0..1
Terminology BindingSNOMED CT Body Structures (Example)
TypeCodeableReference(BodyStructure)
Requirements

Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension http://hl7.org/fhir/StructureDefinition/bodySite.

Summarytrue
DeviceUsage.note
Element IdDeviceUsage.note
Definition

Details about the device statement that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.

Short DisplayAddition details (comments, instructions)
Cardinality0..*
TypeAnnotation
Summaryfalse