HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions

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Resource Profile: DeviceUseStatement (HDR)

This profile represents the constraints applied to the DeviceUseStatement resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

Usages:

• Refer to this Profile: Composition (HDR CZ)
• Examples for this Profile: DeviceUseStatement/DeviceUseStatement-Pacemaker

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatement	Record of use of a device This profile also imposes the profile Device Use Statement (IPS)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text		0..1	Narrative	Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	Σ	1..1	Reference(Patient (EU core)(0.1.0-ballotRecon))	Patient using device
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
timing[x]	Σ	1..1		How often the device was used
timing[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
device	Σ	1..1	Reference(Device (HDR))	Reference to device used
reasonCode	Σ	0..*	CodeableConcept	Why is used (code)
reasonReference	Σ	0..*	Reference(Condition (HDR) | Observation | Media | DiagnosticReport | DocumentReference)	Why is used (details)
bodySite	Σ	0..1	CodeableConceptIPS	Target body site Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceUseStatement.status	required	DeviceUseStatementStatus http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1 From the FHIR Standard
DeviceUseStatement.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement			DeviceUseStatement	This profile also imposes the profile Device Use Statement (IPS)
text		0..1	Narrative	Device usage description
subject		1..1	Reference(Patient (EU core)(0.1.0-ballotRecon))	Patient using device
reference		1..1	string	Literal reference, Relative, internal or absolute URL
timing[x]		1..1	Timing, Period, dateTime	How often the device was used
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
device		1..1	Reference(Device (HDR))	Reference to device used
reasonCode		0..*	CodeableConcept	Why is used (code)
reasonReference		0..*	Reference(Condition (HDR) | Observation | Media | DiagnosticReport | DocumentReference)	Why is used (details)
bodySite		0..1	CodeableConceptIPS	Target body site Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DeviceUseStatement.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatement	Record of use of a device This profile also imposes the profile Device Use Statement (IPS)
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Device usage description 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	active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	Σ	1..1	Reference(Patient (EU core)(0.1.0-ballotRecon))	Patient using device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
derivedFrom	Σ	0..*	Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)	Supporting information
timing[x]	Σ	1..1		How often the device was used
timing[x]All Types				Content/Rules for all Types
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:data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
recordedOn	Σ	0..1	dateTime	When statement was recorded
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	Who made the statement
device	Σ	1..1	Reference(Device (HDR))	Reference to device used
reasonCode	Σ	0..*	CodeableConcept	Why is used (code)
reasonReference	Σ	0..*	Reference(Condition (HDR) | Observation | Media | DiagnosticReport | DocumentReference)	Why is used (details)
bodySite	Σ	0..1	CodeableConceptIPS	Target body site Binding: SNOMEDCTBodyStructures (preferred)
note		0..*	Annotation	Addition details (comments, instructions)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceUseStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DeviceUseStatement.status	required	DeviceUseStatementStatus http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1 From the FHIR Standard
DeviceUseStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DeviceUseStatement.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core|0.1.0-ballotRecon)
• Device (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/device-eu-hdr)
• Condition (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0-ballot-tc1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatement	Record of use of a device This profile also imposes the profile Device Use Statement (IPS)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text		0..1	Narrative	Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	Σ	1..1	Reference(Patient (EU core)(0.1.0-ballotRecon))	Patient using device
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
timing[x]	Σ	1..1		How often the device was used
timing[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
device	Σ	1..1	Reference(Device (HDR))	Reference to device used
reasonCode	Σ	0..*	CodeableConcept	Why is used (code)
reasonReference	Σ	0..*	Reference(Condition (HDR) | Observation | Media | DiagnosticReport | DocumentReference)	Why is used (details)
bodySite	Σ	0..1	CodeableConceptIPS	Target body site Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceUseStatement.status	required	DeviceUseStatementStatus http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1 From the FHIR Standard
DeviceUseStatement.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement			DeviceUseStatement	This profile also imposes the profile Device Use Statement (IPS)
text		0..1	Narrative	Device usage description
subject		1..1	Reference(Patient (EU core)(0.1.0-ballotRecon))	Patient using device
reference		1..1	string	Literal reference, Relative, internal or absolute URL
timing[x]		1..1	Timing, Period, dateTime	How often the device was used
Slices for extension				Content/Rules for all slices
extension:data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
device		1..1	Reference(Device (HDR))	Reference to device used
reasonCode		0..*	CodeableConcept	Why is used (code)
reasonReference		0..*	Reference(Condition (HDR) | Observation | Media | DiagnosticReport | DocumentReference)	Why is used (details)
bodySite		0..1	CodeableConceptIPS	Target body site Binding: SNOMEDCTBodyStructures (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DeviceUseStatement.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatement	Record of use of a device This profile also imposes the profile Device Use Statement (IPS)
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Device usage description 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	active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	Σ	1..1	Reference(Patient (EU core)(0.1.0-ballotRecon))	Patient using device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
derivedFrom	Σ	0..*	Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)	Supporting information
timing[x]	Σ	1..1		How often the device was used
timing[x]All Types				Content/Rules for all Types
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:data-absent-reason		0..1	code	unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
recordedOn	Σ	0..1	dateTime	When statement was recorded
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	Who made the statement
device	Σ	1..1	Reference(Device (HDR))	Reference to device used
reasonCode	Σ	0..*	CodeableConcept	Why is used (code)
reasonReference	Σ	0..*	Reference(Condition (HDR) | Observation | Media | DiagnosticReport | DocumentReference)	Why is used (details)
bodySite	Σ	0..1	CodeableConceptIPS	Target body site Binding: SNOMEDCTBodyStructures (preferred)
note		0..*	Annotation	Addition details (comments, instructions)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceUseStatement.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DeviceUseStatement.status	required	DeviceUseStatementStatus http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1 From the FHIR Standard
DeviceUseStatement.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DeviceUseStatement.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core|0.1.0-ballotRecon)
• Device (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/device-eu-hdr)
• Condition (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0-ballot-tc1

Other representations of profile: CSV, Excel, Schematron