QI-Core Implementation Guide
6.0.0 - STU6 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 6.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

Resource Profile: QICore Device Not Requested

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-devicenotrequested Version: 6.0.0
Active as of 2019-07-11 Computable Name: QICoreDeviceNotRequested

Profile of DeviceRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Usage

See the patterns page for implementation and usage patterns.

The DeviceRequest and DeviceNotRequested profiles represent the positive and negative statements for a device request.

The following example illustrates accessing DeviceRequest not requested data:

  define "Venous Foot Pumps Not Ordered":
[DeviceNotRequested: "Venous Foot Pumps (VFP)"] DeviceNotOrdered
  where (DeviceNotOrdered.doNotPerformReason in "Medical Reason"
    or DeviceNotOrdered.doNotPerformReason in "Patient Refusal"
  )
  

Examples

Negation Example with valuesetDevice not indicated; indicates that none of the devices in the given "not done value set" were requested.
Negation Example with codeDevice not indicated; indicates that a specific device, by code, was not requested.

For a more complete discussion of representation of negation within QI-Core and quality improvement artifacts, see the Negation in QI-Core topic.

Usage:

Formal Views of Profile Content

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

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... Slices for extension Content/Rules for all slices
.... doNotPerformReason 1..1 CodeableConcept (QI-Core) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed

... Slices for modifierExtension Content/Rules for all slices
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI-Core) Extension
..... value[x] 1..1 boolean (QI-Core) Value of extension
Fixed Value: true
... status 0..1 code (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 CodeableConcept (QI-Core) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI-Core) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject 1..1 Reference(QICore Patient) (QI-Core) Focus of request
... authoredOn 1..1 dateTime (QI-Core) When recorded

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... doNotPerformReason 1..1 CodeableConcept (QI-Core) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI-Core) Extension
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean (QI-Core) Value of extension
Fixed Value: true
... intent ?!Σ 1..1 code (QI-Core) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.

... code[x] ΣC 1..1 CodeableConcept (QI-Core) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI-Core) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject Σ 1..1 Reference(QICore Patient) (QI-Core) Focus of request
... authoredOn Σ 1..1 dateTime (QI-Core) When recorded

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... doNotPerformReason 1..1 CodeableConcept (QI-Core) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI-Core) Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean (QI-Core) Value of extension
Fixed Value: true
... identifier Σ 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 Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!Σ 0..1 code (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.

... intent ?!Σ 1..1 code (QI-Core) 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] ΣC 1..1 CodeableConcept (QI-Core) Device requested
Binding: FHIRDeviceTypes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI-Core) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... parameter 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: (unbound) (example): A code that identifies the device detail.

.... value[x] 0..1 Value of detail
..... valueCodeableConcept CodeableConcept
..... valueQuantity Quantity
..... valueRange Range
..... valueBoolean boolean
... subject Σ 1..1 Reference(QICore Patient) (QI-Core) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] Σ 0..1 Desired time or schedule for use
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn Σ 1..1 dateTime (QI-Core) When recorded
... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) 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 Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.


... reasonReference Σ 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DeviceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DeviceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard
DeviceRequest.parameter.codeexample
DeviceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
DeviceRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... Slices for extension Content/Rules for all slices
.... doNotPerformReason 1..1 CodeableConcept (QI-Core) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed

... Slices for modifierExtension Content/Rules for all slices
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI-Core) Extension
..... value[x] 1..1 boolean (QI-Core) Value of extension
Fixed Value: true
... status 0..1 code (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 CodeableConcept (QI-Core) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI-Core) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject 1..1 Reference(QICore Patient) (QI-Core) Focus of request
... authoredOn 1..1 dateTime (QI-Core) When recorded

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... doNotPerformReason 1..1 CodeableConcept (QI-Core) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI-Core) Extension
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean (QI-Core) Value of extension
Fixed Value: true
... intent ?!Σ 1..1 code (QI-Core) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.

... code[x] ΣC 1..1 CodeableConcept (QI-Core) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI-Core) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject Σ 1..1 Reference(QICore Patient) (QI-Core) Focus of request
... authoredOn Σ 1..1 dateTime (QI-Core) When recorded

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
dnr-1: to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
... 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... doNotPerformReason 1..1 CodeableConcept (QI-Core) Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: QICore Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 R5 DeviceRequest.doNotPerform (QI-Core) Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean (QI-Core) Value of extension
Fixed Value: true
... identifier Σ 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 Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!Σ 0..1 code (QI-Core) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.

... intent ?!Σ 1..1 code (QI-Core) 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] ΣC 1..1 CodeableConcept (QI-Core) Device requested
Binding: FHIRDeviceTypes (preferred)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... doNotPerformValueSet C 0..1 canonical(ValueSet) (QI-Core) What was not done
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... parameter 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: (unbound) (example): A code that identifies the device detail.

.... value[x] 0..1 Value of detail
..... valueCodeableConcept CodeableConcept
..... valueQuantity Quantity
..... valueRange Range
..... valueBoolean boolean
... subject Σ 1..1 Reference(QICore Patient) (QI-Core) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] Σ 0..1 Desired time or schedule for use
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn Σ 1..1 dateTime (QI-Core) When recorded
... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) 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 Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.


... reasonReference Σ 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DeviceRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DeviceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredRequestIntent
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DeviceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
DeviceRequest.code[x]preferredFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard
DeviceRequest.parameter.codeexample
DeviceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
DeviceRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dnr-1errorDeviceRequestto indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided
: code.extension('http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists() xor code.coding.exists()
dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDeviceRequestIf 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-4errorDeviceRequestIf 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-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDeviceRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron