Canadian Baseline
1.2.0 - CI Build Canada flag

Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions

Resource Profile: Device Profile (Medical and Non-medical)

Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device-medical Version: 1.2.0
Draft as of 2024-08-09 Computable Name: DeviceProfileMedical

Proposed constraints on the Device resource for the minimal set of data to query and retrieve a medical or non-medical device.

CA Baseline Device (Medical and Non-medical) Profile

This profile sets minimum expectations for the Device resource to record and search for medical and non-medical devices, wearable devices personal health devices, virtual devices such as computer programs and systems, etc., except patient's implantable device(s). It identifies which core elements SHALL be present in the resource when using this profile.

This profile defines core localization concepts for use in the Canadian context.

Mandatory Data Elements

All elements or attributes within the FHIR specification have cardinality as part of their definition - a minimum number of required appearances and a maximum number of allowable appearances.

Most elements in the FHIR specification have a minimum cardinality of 0, so most elements are not required and subsequently they may be missing from a resource when it is exchanged between systems.

Required elements in the Device (Implantable) profile:

  • The type of the device (Device.type)

Must Support Data Elements

Some elements are marked as Must Support. This means that implementations generating, receiving, or otherwise using resources with Must Support elements SHALL provide support for those elements in some meaningful way (see Must Support definition).

The following elements are marked as Must Support in the Device (Medical and Non-medical) profile:

Must Support elements:

  • Device resource identifier
  • Unique Device Identifier (UDI) Barcode string
  • distinct identification string
  • device manufacturer
  • date/time when the device was made
  • expiration date/time of the device
  • serial number assigned by the manufacturer
  • name of the device
  • type of the device
  • version of the device
  • patient

Usage Note

The following are example usage scenarios for the Medical and Non-medical Device profile:

  • To record and query information about Personal Health Devices (PHDs) to be used in remote patient monitoring programs.
  • To record and query information about the Virtual Medical Device installed as software on the computer system.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Device 0..* Device Device Profile
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... Slices for identifier S 0..* Identifier Instance identifier
Slice: Unordered, Open by value:system
ele-1: All FHIR elements must have a @value or children
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


ele-1: All FHIR elements must have a @value or children
..... system SΣ 0..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 0..1 string The value that is unique within the system.
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... identifier:EUI-64 0..1 Identifier IEEE 64-bit Extended Unique Identifier (EUI-64)
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


ele-1: All FHIR elements must have a @value or children
..... system SΣ 1..1 uri EUI-64 system identifier
ele-1: All FHIR elements must have a @value or children
Fixed Value: urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680
..... value SΣ 1..1 string The value that is unique within the system.
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... identifier:EUI-48 0..1 Identifier MAC Transport address identifier (EUI-48)
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... type SΣ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


ele-1: All FHIR elements must have a @value or children
..... system SΣ 1..1 uri EUI-48 system identifier
ele-1: All FHIR elements must have a @value or children
Fixed Value: http://terminology.hl7.org/fhir/sid/eui-48
..... value SΣ 1..1 string The value that is unique within the system.
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... deviceIdentifier SΣ 0..1 string Mandatory fixed portion of UDI
ele-1: All FHIR elements must have a @value or children
.... carrierAIDC SΣ 0..1 base64Binary UDI Machine Readable Barcode String
ele-1: All FHIR elements must have a @value or children
.... carrierHRF SΣ 0..1 string UDI Human Readable Barcode String
ele-1: All FHIR elements must have a @value or children
... status ?!Σ 0..1 code active | inactive | entered-in-error | unknown
Binding: FHIRDeviceStatus (required): The availability status of the device.


ele-1: All FHIR elements must have a @value or children
... distinctIdentifier S 0..1 string The distinct identification string
ele-1: All FHIR elements must have a @value or children
... manufacturer S 0..1 string Name of device manufacturer
ele-1: All FHIR elements must have a @value or children
... manufactureDate S 0..1 dateTime Date when the device was made
ele-1: All FHIR elements must have a @value or children
... expirationDate S 0..1 dateTime Date and time of expiry of this device (if applicable)
ele-1: All FHIR elements must have a @value or children
... serialNumber S 0..1 string Serial number assigned by the manufacturer
ele-1: All FHIR elements must have a @value or children
... deviceName S 0..* BackboneElement The name of the device as given by the manufacturer
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... name 1..1 string The name of the device
ele-1: All FHIR elements must have a @value or children
.... type 1..1 code udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other
Binding: DeviceNameType (required): The type of name the device is referred by.


ele-1: All FHIR elements must have a @value or children
... type S 1..1 CodeableConcept The kind or type of device
Binding: FHIRDeviceTypes (extensible): Codes to identify medical devices


ele-1: All FHIR elements must have a @value or children
... version S 0..* BackboneElement The actual design of the device or software version running on the device
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... value 1..1 string The version text
ele-1: All FHIR elements must have a @value or children
... patient S 0..1 Reference(Patient Profile) Patient to whom Device is affixed
ele-1: All FHIR elements must have a @value or children
... parent 0..1 Reference(Device Profile (Medical and Non-medical)) The parent device
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Device.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Device.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Device.identifier:EUI-64.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Device.identifier:EUI-64.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Device.identifier:EUI-48.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Device.identifier:EUI-48.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Device.statusrequiredFHIRDeviceStatus
http://hl7.org/fhir/ValueSet/device-status|4.0.1
from the FHIR Standard
Device.deviceName.typerequiredDeviceNameType
http://hl7.org/fhir/ValueSet/device-nametype|4.0.1
from the FHIR Standard
Device.typeextensibleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDeviceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceIf 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-4errorDeviceIf 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-5errorDeviceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceA resource should have narrative for robust management
: text.`div`.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()

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Identifier

The Device.identifier specifies a unique instance identifiers assigned to a device by manufacturer. This Device profile constrains the use of the Extended Unique Identifier (EUI) such as 64-bit Extended Unique Identifier (EUI-64) or 48-bit Extended Unique Identifier (EUI-48) by fixing the Identifier.system namespace for the identifier value.