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
Page standards status: Trial-use | Maturity Level: 3 |
Definitions for the profile-devicerequest resource profile.
Guidance on how to interpret the contents of this table can be found here
0. DeviceRequest | |
2. DeviceRequest.extension | |
Slicing | This element introduces a set of slices on DeviceRequest.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
4. DeviceRequest.extension:Coverage-Information | |
Slice Name | Coverage-Information |
Control | 0..* |
Type | Extension(Coverage Information) (Complex Extension) |
Must Support | true |
6. DeviceRequest.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
Must Support | true |
8. DeviceRequest.basedOn | |
Must Support | true |
10. DeviceRequest.status | |
Comments | This will be 'draft' when using order-select or an initial order-sign, but may be 'active' or other values for order-sign representing edits to the order or for order-dispatch. |
Control | 1..? |
Must Support | true |
Example | <br/><b>General</b>:draft |
12. DeviceRequest.code[x] | |
Binding | Unless not suitable, these codes SHALL be taken from CRD Device Request Codes Value Set (extensible to http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest ) |
Type | Choice of: Reference(CRD Device), CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
14. DeviceRequest.parameter | |
Must Support | true |
16. DeviceRequest.subject | |
Type | Reference(CRD Patient) |
Must Support | true |
18. DeviceRequest.encounter | |
Comments | potentially relevant for CRD in some situations. |
Type | Reference(CRD Encounter) |
20. DeviceRequest.occurrence[x] | |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Must Support | true |
22. DeviceRequest.authoredOn | |
Control | 1..? |
Must Support | true |
24. DeviceRequest.requester | |
Control | 1..? |
Type | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) |
Must Support | true |
Must Support Types | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) |
26. DeviceRequest.performer | |
Type | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) |
Must Support | true |
Must Support Types | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) |
28. DeviceRequest.reasonCode | |
Must Support | true |
30. DeviceRequest.reasonReference | |
Comments | potentially relevant for CRD in some situations. |
Must Support | true |
Guidance on how to interpret the contents of this table can be found here
0. DeviceRequest | |
Definition | Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker. |
Short | Medical device request |
Control | 0..* |
Is Modifier | false |
Summary | false |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) 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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) |
2. DeviceRequest.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. DeviceRequest.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on DeviceRequest.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
6. DeviceRequest.extension:Coverage-Information | |
Slice Name | Coverage-Information |
Definition | Indicates coverage information. |
Short | CoverageInfo |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(Coverage Information) (Complex Extension) |
Is Modifier | false |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )crd-ci-q1: Questionnaire is only allowed when doc-needed exists ( extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() )crd-ci-q2: 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: '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: 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: '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: 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: 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') ) |
8. DeviceRequest.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
10. DeviceRequest.identifier | |
Definition | Identifiers assigned to this order by the orderer or by the receiver. |
Short | External Request identifier |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
12. DeviceRequest.basedOn | |
Definition | Plan/proposal/order fulfilled by this request. |
Short | What request fulfills |
Control | 0..* |
Type | Reference(Resource) |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
14. DeviceRequest.status | |
Definition | The status of the request. |
Short | draft | active | on-hold | revoked | completed | entered-in-error | unknown |
Comments | This will be 'draft' when using order-select or an initial order-sign, but may be 'active' or other values for order-sign representing edits to the order or for order-dispatch. This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid. |
Control | 10..1 |
Binding | The codes SHALL be taken from RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/request-status|4.0.1 )Codes representing the status of the request. |
Type | code |
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Example | <br/><b>General</b>:draft |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
16. DeviceRequest.intent | |
Definition | Whether the request is a proposal, plan, an original order or a reflex order. |
Short | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option |
Control | 1..1 |
Binding | The codes SHALL be taken from RequestIntenthttp://hl7.org/fhir/ValueSet/request-intent|4.0.1 (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 )The kind of diagnostic request. |
Type | code |
Is Modifier | true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. DeviceRequest.code[x] | |
Definition | The details of the device to be used. |
Short | Device requested |
Control | 1..1 |
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see CRD Device Request Codes Value Sethttp://hl7.org/fhir/ValueSet/device-kind (extensible to http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest ) |
Type | Choice of: Reference(CRD Device, Device), CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. DeviceRequest.parameter | |
Definition | Specific parameters for the ordered item. For example, the prism value for lenses. |
Short | Device details |
Control | 0..* |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. DeviceRequest.parameter.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
24. DeviceRequest.subject | |
Definition | The patient who will use the device. |
Short | Focus of request |
Control | 1..1 |
Type | Reference(CRD Patient, Patient, Group, Location, Device) |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
26. DeviceRequest.encounter | |
Definition | An encounter that provides additional context in which this request is made. |
Short | Encounter motivating request |
Comments | potentially relevant for CRD in some situations. |
Control | 0..1 |
Type | Reference(CRD Encounter, Encounter) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. DeviceRequest.occurrence[x] | |
Definition | The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". |
Short | Desired time or schedule for use |
Control | 0..1 |
Type | Choice of: dateTime, Period, Timing |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. DeviceRequest.authoredOn | |
Definition | When the request transitioned to being actionable. |
Short | When recorded |
Control | 10..1 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. DeviceRequest.requester | |
Definition | The individual who initiated the request and has responsibility for its activation. |
Short | Who/what is requesting diagnostics |
Control | 10..1 |
Type | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile, Device, Practitioner, PractitionerRole, Organization) |
Is Modifier | false |
Must Support | true |
Must Support Types | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
34. DeviceRequest.performer | |
Definition | The desired performer for doing the diagnostic testing. |
Short | Requested Filler |
Control | 0..1 |
Type | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile, Practitioner, PractitionerRole, Organization, CareTeam, HealthcareService, Patient, Device, RelatedPerson) |
Is Modifier | false |
Must Support | true |
Must Support Types | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
36. DeviceRequest.reasonCode | |
Definition | Reason or justification for the use of this device. |
Short | Coded Reason for request |
Control | 0..* |
Binding | For example codes, see Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code (example to http://hl7.org/fhir/ValueSet/condition-code )Diagnosis or problem codes justifying the reason for requesting the device. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
38. DeviceRequest.reasonReference | |
Definition | Reason or justification for the use of this device. |
Short | Linked Reason for request |
Comments | potentially relevant for CRD in some situations. |
Control | 0..* |
Type | Reference(Condition, Observation, DiagnosticReport, DocumentReference) |
Is Modifier | false |
Must Support | true |
Must Support Types | No must-support rules about the choice of types/profiles |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. DeviceRequest | |||||
Definition | Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker. | ||||
Short | Medical device request | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )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 ( 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. DeviceRequest.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. DeviceRequest.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. DeviceRequest.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. DeviceRequest.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. DeviceRequest.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. DeviceRequest.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. DeviceRequest.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on DeviceRequest.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
16. DeviceRequest.extension:Coverage-Information | |||||
Slice Name | Coverage-Information | ||||
Definition | Indicates coverage information. | ||||
Short | CoverageInfo | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Coverage Information) (Complex Extension) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() )crd-ci-q1: Questionnaire is only allowed when doc-needed exists ( extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() )crd-ci-q2: 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: '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: 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: '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: 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: 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') ) | ||||
18. DeviceRequest.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
20. DeviceRequest.identifier | |||||
Definition | Identifiers assigned to this order by the orderer or by the receiver. | ||||
Short | External Request identifier | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. DeviceRequest.instantiatesCanonical | |||||
Definition | The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest. | ||||
Short | Instantiates FHIR protocol or definition | ||||
Comments | Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. | ||||
Control | 0..* | ||||
Type | canonical(ActivityDefinition, PlanDefinition) | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. DeviceRequest.instantiatesUri | |||||
Definition | The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest. | ||||
Short | Instantiates external protocol or definition | ||||
Comments | This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier. | ||||
Control | 0..* | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. DeviceRequest.basedOn | |||||
Definition | Plan/proposal/order fulfilled by this request. | ||||
Short | What request fulfills | ||||
Control | 0..* | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. DeviceRequest.priorRequest | |||||
Definition | The request takes the place of the referenced completed or terminated request(s). | ||||
Short | What request replaces | ||||
Control | 0..* | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. DeviceRequest.groupIdentifier | |||||
Definition | Composite request this is part of. | ||||
Short | Identifier of composite request | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. DeviceRequest.status | |||||
Definition | The status of the request. | ||||
Short | draft | active | on-hold | revoked | completed | entered-in-error | unknown | ||||
Comments | This will be 'draft' when using order-select or an initial order-sign, but may be 'active' or other values for order-sign representing edits to the order or for order-dispatch. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from RequestStatus (required to http://hl7.org/fhir/ValueSet/request-status|4.0.1 )Codes representing the status of the request. | ||||
Type | code | ||||
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Example | <br/><b>General</b>:draft | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. DeviceRequest.intent | |||||
Definition | Whether the request is a proposal, plan, an original order or a reflex order. | ||||
Short | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from RequestIntent (required to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 )The kind of diagnostic request. | ||||
Type | code | ||||
Is Modifier | true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. DeviceRequest.priority | |||||
Definition | Indicates how quickly the {{title}} should be addressed with respect to other requests. | ||||
Short | routine | urgent | asap | stat | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from RequestPriority (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 )Identifies the level of importance to be assigned to actioning the request. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Meaning if Missing | If missing, normal priority | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. DeviceRequest.code[x] | |||||
Definition | The details of the device to be used. | ||||
Short | Device requested | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from CRD Device Request Codes Value Set (extensible to http://hl7.org/fhir/us/davinci-crd/ValueSet/deviceRequest ) | ||||
Type | Choice of: Reference(CRD Device), CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. DeviceRequest.parameter | |||||
Definition | Specific parameters for the ordered item. For example, the prism value for lenses. | ||||
Short | Device details | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
42. DeviceRequest.parameter.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
44. DeviceRequest.parameter.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
46. DeviceRequest.parameter.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
48. DeviceRequest.parameter.code | |||||
Definition | A code or string that identifies the device detail being asserted. | ||||
Short | Device detail | ||||
Control | 0..1 | ||||
Binding | A code that identifies the device detail. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. DeviceRequest.parameter.value[x] | |||||
Definition | The value of the device detail. | ||||
Short | Value of detail | ||||
Comments | Range means device should have a value that falls somewhere within the specified range. | ||||
Control | 0..1 | ||||
Type | Choice of: CodeableConcept, Quantity, Range, boolean | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. DeviceRequest.subject | |||||
Definition | The patient who will use the device. | ||||
Short | Focus of request | ||||
Control | 1..1 | ||||
Type | Reference(CRD Patient) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. DeviceRequest.encounter | |||||
Definition | An encounter that provides additional context in which this request is made. | ||||
Short | Encounter motivating request | ||||
Comments | potentially relevant for CRD in some situations. | ||||
Control | 0..1 | ||||
Type | Reference(CRD Encounter) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. DeviceRequest.occurrence[x] | |||||
Definition | The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". | ||||
Short | Desired time or schedule for use | ||||
Control | 0..1 | ||||
Type | Choice of: dateTime, Period, Timing | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. DeviceRequest.authoredOn | |||||
Definition | When the request transitioned to being actionable. | ||||
Short | When recorded | ||||
Control | 1..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
60. DeviceRequest.requester | |||||
Definition | The individual who initiated the request and has responsibility for its activation. | ||||
Short | Who/what is requesting diagnostics | ||||
Control | 1..1 | ||||
Type | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
62. DeviceRequest.performerType | |||||
Definition | Desired type of performer for doing the diagnostic testing. | ||||
Short | Filler role | ||||
Control | 0..1 | ||||
Binding | For example codes, see ParticipantRoles (example to http://hl7.org/fhir/ValueSet/participant-role )Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. DeviceRequest.performer | |||||
Definition | The desired performer for doing the diagnostic testing. | ||||
Short | Requested Filler | ||||
Control | 0..1 | ||||
Type | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | Reference(US Core Practitioner Profile, HRex PractitionerRole Profile) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. DeviceRequest.reasonCode | |||||
Definition | Reason or justification for the use of this device. | ||||
Short | Coded Reason for request | ||||
Control | 0..* | ||||
Binding | For example codes, see Condition/Problem/DiagnosisCodes (example to http://hl7.org/fhir/ValueSet/condition-code )Diagnosis or problem codes justifying the reason for requesting the device. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. DeviceRequest.reasonReference | |||||
Definition | Reason or justification for the use of this device. | ||||
Short | Linked Reason for request | ||||
Comments | potentially relevant for CRD in some situations. | ||||
Control | 0..* | ||||
Type | Reference(Condition, Observation, DiagnosticReport, DocumentReference) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. DeviceRequest.insurance | |||||
Definition | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. | ||||
Short | Associated insurance coverage | ||||
Control | 0..* | ||||
Type | Reference(Coverage, ClaimResponse) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. DeviceRequest.supportingInfo | |||||
Definition | Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site). | ||||
Short | Additional clinical information | ||||
Control | 0..* | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Knowing where the device is targeted is important for tracking if multiple sites are possible. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. DeviceRequest.note | |||||
Definition | Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement. | ||||
Short | Notes or comments | ||||
Control | 0..* | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
76. DeviceRequest.relevantHistory | |||||
Definition | Key events in the history of the request. | ||||
Short | Request provenance | ||||
Comments | This might not include provenances for all versions of the request - only those deemed "relevant" or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a "relevant" change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject. | ||||
Control | 0..* | ||||
Type | Reference(Provenance) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
IG © 2019+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-crd#2.1.0 based on FHIR 4.0.1. Generated 2024-12-11
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change