US Quality Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-quality-core/ and changes regularly. See the Directory of published versions

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: DeviceRequest general example

Page standards status: Informative

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<DeviceRequest xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-devicerequest"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DeviceRequest example</b></p><a name="example"> </a><a name="hcexample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-quality-core-devicerequest.html">US Quality Core DeviceRequest</a></p></div><p><b>R5: True if the request is to stop or not to start using the device (new)</b>: false</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 86184003}">Electrocardiographic monitor and recorder</span></p><p><b>subject</b>: <a href="Patient-example.html">Example Patient  Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --&gt; (ongoing)))</a></p><p><b>authoredOn</b>: 2026-07-09</p><p><b>requester</b>: <a href="Practitioner-example.html">Practitioner Example Practitioner </a></p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm R00.2}">Palpitations</span></p></div>
  </text>
  <modifierExtension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform">
    <valueBoolean value="false"/>
  </modifierExtension>
  <status value="active"/>
  <intent value="order"/>
  <codeCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="86184003"/>
      <display value="Electrocardiographic monitor and recorder"/>
    </coding>
    <text value="Electrocardiographic monitor and recorder"/>
  </codeCodeableConcept>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <authoredOn value="2026-07-09"/>
  <requester>🔗 
    <reference value="Practitioner/example"/>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
      <code value="R00.2"/>
      <display value="Palpitations"/>
    </coding>
    <text value="Palpitations"/>
  </reasonCode>
</DeviceRequest>