US Quality Core Implementation Guide
0.1.0 - cibuild United States of America flag

US Quality Core Implementation Guide, published by ASTP. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

Resource Profile: US Quality Core Device Not Requested

Official URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-devicenotrequested Version: 0.1.0
Active as of 2019-07-11 Computable Name: USQualityCoreDeviceNotRequested

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

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 US Quality Core and quality improvement artifacts, see the Negation in US Quality Core topic.

USCDI+ Quality Elements:

  • code[x]: (USCDI+ Quality) Device requested

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
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... 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
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore 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 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... intent ?!Σ 1..1 code 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 (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject Σ 1..1 Reference(US Quality Core Patient) Focus of request
... authoredOn Σ 1..1 dateTime When recorded

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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 DeviceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... Slices for extension Content/Rules for all slices
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore 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 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... status 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 CodeableConcept (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject 1..1 Reference(US Quality Core Patient) Focus of request
... authoredOn 1..1 dateTime When recorded

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore 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 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean 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 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 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 (USCDI+ Quality) 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
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-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 Description: (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(US Quality Core Patient) 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 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

Path Status Usage ValueSet Version Source
DeviceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.
DeviceRequest.parameter.​code Base example Not State Unknown
DeviceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
DeviceRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... 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
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore 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 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... intent ?!Σ 1..1 code 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 (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject Σ 1..1 Reference(US Quality Core Patient) Focus of request
... authoredOn Σ 1..1 dateTime When recorded

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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 DeviceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... Slices for extension Content/Rules for all slices
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore 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 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... status 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 CodeableConcept (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject 1..1 Reference(US Quality Core Patient) Focus of request
... authoredOn 1..1 dateTime When recorded

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore 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 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean 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 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 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 (USCDI+ Quality) 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
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-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 Description: (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(US Quality Core Patient) 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 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

Path Status Usage ValueSet Version Source
DeviceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.
DeviceRequest.parameter.​code Base example Not State Unknown
DeviceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
DeviceRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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