HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build Czechia flag

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 0.1.0 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

Resource Profile: DeviceUseStatement (HDR)

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-deviceUseStatement-hdr Version: 0.1.0
Draft as of 2025-11-03 Computable Name: CZ_DeviceUseStatementHdr

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:

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
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
This profile also imposes the profile DeviceUseStatement (IPS) (2.0.0)
... 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
... subject Σ 1..1 Reference(Patient (EU core)(0.2.0-ci-build)) 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(2.0.0) Target body site
Binding: SNOMEDCTBodyStructures (preferred)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
This profile also imposes the profile DeviceUseStatement (IPS) (2.0.0)
... text 0..1 Narrative Device usage description
... subject 1..1 Reference(Patient (EU core)(0.2.0-ci-build)) 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)
... reasonCode 0..* CodeableConcept Why is used (code)
... reasonReference 0..* Reference(Condition (HDR) | Observation | Media | DiagnosticReport | DocumentReference) Why is used (details)
... bodySite 0..1 CodeableConceptIPS(2.0.0) Target body site
Binding: SNOMEDCTBodyStructures (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
This profile also imposes the profile DeviceUseStatement (IPS) (2.0.0)
... 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
... 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)(0.2.0-ci-build)) 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(2.0.0) Target body site
Binding: SNOMEDCTBodyStructures (preferred)
... note 0..* Annotation Addition details (comments, instructions)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
This profile also imposes the profile DeviceUseStatement (IPS) (2.0.0)
... 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
... subject Σ 1..1 Reference(Patient (EU core)(0.2.0-ci-build)) 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(2.0.0) Target body site
Binding: SNOMEDCTBodyStructures (preferred)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
This profile also imposes the profile DeviceUseStatement (IPS) (2.0.0)
... text 0..1 Narrative Device usage description
... subject 1..1 Reference(Patient (EU core)(0.2.0-ci-build)) 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)
... reasonCode 0..* CodeableConcept Why is used (code)
... reasonReference 0..* Reference(Condition (HDR) | Observation | Media | DiagnosticReport | DocumentReference) Why is used (details)
... bodySite 0..1 CodeableConceptIPS(2.0.0) Target body site
Binding: SNOMEDCTBodyStructures (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
This profile also imposes the profile DeviceUseStatement (IPS) (2.0.0)
... 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
... 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)(0.2.0-ci-build)) 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(2.0.0) Target body site
Binding: SNOMEDCTBodyStructures (preferred)
... note 0..* Annotation Addition details (comments, instructions)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

 

Other representations of profile: CSV, Excel, Schematron