Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

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Resource Profile: CRD Device Request

This profile specifies extensions and constraints on the DeviceRequest resource to support coverage requirements discovery.

Usage:

• Refer to this Resource Profile: Coverage Information

Formal Views of Profile Content

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

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

This structure is derived from DeviceRequest

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	External Request identifier
basedOn	S	0..*	Reference(Resource)	What request fulfills
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Example General: draft
code[x]	S	1..1		Device requested Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
parameter	S	0..*	BackboneElement	Device details
subject	S	1..1	Reference(CRD Patient)	Focus of request
encounter		0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	S	0..1	dateTime, Period, Timing	Desired time or schedule for use
authoredOn	S	1..1	dateTime	When recorded
requester	S	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting diagnostics
performer	S	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	S	0..*	CodeableConcept	Coded Reason for request
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Linked Reason for request
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest from this IG

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Request identifier
basedOn	SΣ	0..*	Reference(Resource)	What request fulfills
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Example General: draft
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]	SΣ	1..1		Device requested Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
parameter	S	0..*	BackboneElement	Device details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
subject	SΣ	1..1	Reference(CRD Patient)	Focus of request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	SΣ	0..1		Desired time or schedule for use
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When recorded
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile)	Who/what is requesting diagnostics
performer	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile)	Requested Filler
reasonCode	SΣ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	SΣ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Linked Reason for request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest from this IG
DeviceRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	DeviceRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	DeviceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	DeviceRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	DeviceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	DeviceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	DeviceRequest.extension:Coverage-Information	If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	DeviceRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
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()

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
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	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	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	SΣ	0..*	Reference(Resource)	What request fulfills
priorRequest	Σ	0..*	Reference(Resource)	What request replaces
groupIdentifier	Σ	0..1	Identifier	Identifier of composite request
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Example General: draft
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]	SΣ	1..1		Device requested Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
parameter	S	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 (No ValueSet): (example): A code that identifies the device detail.
value[x]		0..1		Value of detail
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueRange			Range
valueBoolean			boolean
subject	SΣ	1..1	Reference(CRD Patient)	Focus of request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	SΣ	0..1		Desired time or schedule for use
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When recorded
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	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	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	SΣ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	SΣ	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
DeviceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest from this IG
DeviceRequest.parameter.code	example
DeviceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
DeviceRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	DeviceRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	DeviceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	DeviceRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	DeviceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	DeviceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	DeviceRequest.extension:Coverage-Information	If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	DeviceRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
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

Summary

Mandatory: 3 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• CRD Device (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-device)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 3

Differential View

This structure is derived from DeviceRequest

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	External Request identifier
basedOn	S	0..*	Reference(Resource)	What request fulfills
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Example General: draft
code[x]	S	1..1		Device requested Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
parameter	S	0..*	BackboneElement	Device details
subject	S	1..1	Reference(CRD Patient)	Focus of request
encounter		0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	S	0..1	dateTime, Period, Timing	Desired time or schedule for use
authoredOn	S	1..1	dateTime	When recorded
requester	S	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Who/what is requesting diagnostics
performer	S	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	S	0..*	CodeableConcept	Coded Reason for request
reasonReference	S	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Linked Reason for request
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Request identifier
basedOn	SΣ	0..*	Reference(Resource)	What request fulfills
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Example General: draft
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]	SΣ	1..1		Device requested Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
parameter	S	0..*	BackboneElement	Device details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
subject	SΣ	1..1	Reference(CRD Patient)	Focus of request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	SΣ	0..1		Desired time or schedule for use
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When recorded
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile)	Who/what is requesting diagnostics
performer	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) | HRex PractitionerRole Profile)	Requested Filler
reasonCode	SΣ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	SΣ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Linked Reason for request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest from this IG
DeviceRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	DeviceRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	DeviceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	DeviceRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	DeviceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	DeviceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	DeviceRequest.extension:Coverage-Information	If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	DeviceRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
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	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	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	SΣ	0..*	Reference(Resource)	What request fulfills
priorRequest	Σ	0..*	Reference(Resource)	What request replaces
groupIdentifier	Σ	0..1	Identifier	Identifier of composite request
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Example General: draft
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]	SΣ	1..1		Device requested Binding: CRD Device Request Codes Value Set (extensible)
codeReference			Reference(CRD Device)
codeCodeableConcept			CodeableConcept
parameter	S	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 (No ValueSet): (example): A code that identifies the device detail.
value[x]		0..1		Value of detail
valueCodeableConcept			CodeableConcept
valueQuantity			Quantity
valueRange			Range
valueBoolean			boolean
subject	SΣ	1..1	Reference(CRD Patient)	Focus of request
encounter	Σ	0..1	Reference(CRD Encounter)	Encounter motivating request
occurrence[x]	SΣ	0..1		Desired time or schedule for use
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	1..1	dateTime	When recorded
requester	SΣ	1..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	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	SΣ	0..1	Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S)	Requested Filler
reasonCode	SΣ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	SΣ	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
DeviceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
DeviceRequest.code[x]	extensible	CRDDeviceRequests http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest from this IG
DeviceRequest.parameter.code	example
DeviceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
DeviceRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
crd-ci-q1	error	DeviceRequest.extension:Coverage-Information	Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
crd-ci-q2	error	DeviceRequest.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
crd-ci-q3	error	DeviceRequest.extension:Coverage-Information	'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
crd-ci-q4	error	DeviceRequest.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
crd-ci-q5	error	DeviceRequest.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
crd-ci-q6	error	DeviceRequest.extension:Coverage-Information	If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
crd-ci-q7	error	DeviceRequest.extension:Coverage-Information	If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
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

Summary

Mandatory: 3 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• CRD Device (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-device)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Encounter (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-encounter)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• HRex PractitionerRole Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-practitionerrole)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 3

Other representations of profile: CSV, Excel, Schematron