Advance Care Planning (PZP), published by IKNL. This guide is not an authorized publication; it is the continuous build for version 1.0.0-rc2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IKNL/PZP-FHIR-R4/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: ACP MedicalDevice

Any internally implanted and external devices and/or aids used by the patient (in the past) to reduce the effects of functional limitations in organ systems or to facilitate the treatment of a disease. In the context of ACP, this profile is used to declare the use of an implantable cardioverter defibrillator (ICD). Based on nl-core-MedicalDevice and HCIM MedicalDevice.

Usages:

• Examples for this Profile: DeviceUseStatement/ACP-MedicalDevice-ICD-Pat1 and DeviceUseStatement/ACP-MedicalDevice-ICD-Pat2
• CapabilityStatements using this Profile: ACP CapabilityStatement Consulter and ACP CapabilityStatement Provider

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	NlcoreMedicalDevice	MedicalDevice
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:healthProfessional	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional"
extension:location	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location"
extension:treatmentObjective		0..*	(Complex)	Pertains to goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x]		1..1	Reference(Goal | nl core TreatmentObjective)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	OΣ	1..1	Reference(ACP Patient(1.0.0-rc2))	Patient using device Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for derivedFrom	Σ	0..*	Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)	Supporting information Slice: Unordered, Open by profile:resolve()
derivedFrom:procedure-request	Σ	0..*	Reference(nl core Procedure request)	Procedure
derivedFrom:procedure-event	Σ	0..*	Reference(nl core Procedure event)	Procedure
Slices for timing[x]	Σ	0..1		How often the device was used Slice: Unordered, Closed by type:$this
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
timing[x]:timingPeriod	Σ	0..1	Period	How often the device was used
start	OΣC	0..1	dateTime	StartDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
end	OΣC	0..1	dateTime	EndDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
device	OΣ	1..1	Reference(ACP MedicalDevice Product ICD(1.0.0-rc2) | nl core MedicalDevice.Product)	Reference to device used Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)	Why was DeviceUseStatement performed? Slice: Unordered, Open by profile:resolve()
reasonReference:indication	OΣ	0..*	Reference(nl core Problem)	Indication Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonReference:stoma	Σ	0..*	Reference(nl core Stoma)	Stoma
bodySite	OΣ	0..1	NlcoreAnatomicalLocation	Location Binding: LocatieCodelijsten (2020-09-01T00:00:00) (required): Codes describing anatomical locations. May include laterality. Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for extension				Content/Rules for all slices
extension:laterality	O	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
note		0..1	Annotation	Addition details (comments, instructions)
text	OΣ	1..1	markdown	Comment Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DeviceUseStatement.status	Base	required	DeviceUseStatementStatus	📍4.0.1	FHIR Std.
DeviceUseStatement.bodySite	Base	required	LocatieCodelijsten	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DeviceUseStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DeviceUseStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DeviceUseStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DeviceUseStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DeviceUseStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	DeviceUseStatement.implicitRules, DeviceUseStatement.extension:healthProfessional, DeviceUseStatement.extension:location, DeviceUseStatement.extension:treatmentObjective, DeviceUseStatement.extension:treatmentObjective.value[x], DeviceUseStatement.modifierExtension, DeviceUseStatement.status, DeviceUseStatement.subject, DeviceUseStatement.derivedFrom, DeviceUseStatement.derivedFrom:procedure-request, DeviceUseStatement.derivedFrom:procedure-event, DeviceUseStatement.timing[x], DeviceUseStatement.timing[x]:timingPeriod, DeviceUseStatement.timing[x]:timingPeriod.start, DeviceUseStatement.timing[x]:timingPeriod.end, DeviceUseStatement.device, DeviceUseStatement.reasonReference, DeviceUseStatement.reasonReference:indication, DeviceUseStatement.reasonReference:stoma, DeviceUseStatement.bodySite, DeviceUseStatement.bodySite.extension:laterality, DeviceUseStatement.note, DeviceUseStatement.note.text	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DeviceUseStatement.extension:healthProfessional, DeviceUseStatement.extension:location, DeviceUseStatement.extension:treatmentObjective, DeviceUseStatement.modifierExtension, DeviceUseStatement.bodySite.extension:laterality	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from NlcoreMedicalDevice

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	NlcoreMedicalDevice	MedicalDevice
Slices for extension				Content/Rules for all slices
extension:healthProfessional	O	0..1	ExtMedicalDeviceHealthProfessional	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
extension:location	O	0..1	ExtMedicalDeviceLocation	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
subject	O	1..1	Reference(ACP Patient(1.0.0-rc2))	Patient using device Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for timing[x]				Content/Rules for all slices
timing[x]:timingPeriod		0..1	Period	How often the device was used
start	O	0..1	dateTime	StartDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
end	O	0..1	dateTime	EndDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
device	O	1..1	Reference(ACP MedicalDevice Product ICD(1.0.0-rc2) | nl core MedicalDevice.Product)	Reference to device used Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for reasonReference				Content/Rules for all slices
reasonReference:indication	O	0..*	Reference(nl core Problem)	Indication Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
bodySite	O	0..1	NlcoreAnatomicalLocation	Location Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for extension				Content/Rules for all slices
extension:laterality	O	0..1	ExtAnatomicalLocationLaterality	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
note
text	O	1..1	markdown	Comment Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	NlcoreMedicalDevice	MedicalDevice
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:healthProfessional	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional"
value[x]		0..1	Reference(nl core HealthProfessional PractitionerRole)	HealthProfessional
extension:location	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location"
value[x]		0..1	Reference(nl core HealthcareProvider)	Location
extension:treatmentObjective		0..*	(Complex)	Pertains to goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x]		1..1	Reference(Goal | nl core TreatmentObjective)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	External identifier for this record
basedOn	Σ	0..*	Reference(ServiceRequest)	Fulfills plan, proposal or order
status	?!Σ	1..1	code	active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	OΣ	1..1	Reference(ACP Patient(1.0.0-rc2))	Patient using device Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for derivedFrom	Σ	0..*	Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)	Supporting information Slice: Unordered, Open by profile:resolve()
derivedFrom:procedure-request	Σ	0..*	Reference(nl core Procedure request)	Procedure
derivedFrom:procedure-event	Σ	0..*	Reference(nl core Procedure event)	Procedure
Slices for timing[x]	Σ	0..1		How often the device was used Slice: Unordered, Closed by type:$this
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
timing[x]:timingPeriod	Σ	0..1	Period	How often the device was used
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
start	OΣC	0..1	dateTime	StartDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
end	OΣC	0..1	dateTime	EndDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
recordedOn	Σ	0..1	dateTime	When statement was recorded
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	Who made the statement
device	OΣ	1..1	Reference(ACP MedicalDevice Product ICD(1.0.0-rc2) | nl core MedicalDevice.Product)	Reference to device used Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonCode	Σ	0..*	CodeableConcept	Why device was used
Slices for reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)	Why was DeviceUseStatement performed? Slice: Unordered, Open by profile:resolve()
reasonReference:indication	OΣ	0..*	Reference(nl core Problem)	Indication Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonReference:stoma	Σ	0..*	Reference(nl core Stoma)	Stoma
bodySite	OΣ	0..1	NlcoreAnatomicalLocation	Location Binding: LocatieCodelijsten (2020-09-01T00:00:00) (required): Codes describing anatomical locations. May include laterality. Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
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 Constraints: ext-1
extension:laterality	O	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
note		0..1	Annotation	Addition details (comments, instructions)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	OΣ	1..1	markdown	Comment Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DeviceUseStatement.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DeviceUseStatement.status	Base	required	DeviceUseStatementStatus	📍4.0.1	FHIR Std.
DeviceUseStatement.bodySite	Base	required	LocatieCodelijsten	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DeviceUseStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DeviceUseStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DeviceUseStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DeviceUseStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DeviceUseStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	DeviceUseStatement.meta, DeviceUseStatement.implicitRules, DeviceUseStatement.language, DeviceUseStatement.text, DeviceUseStatement.extension, DeviceUseStatement.extension:healthProfessional, DeviceUseStatement.extension:healthProfessional.extension, DeviceUseStatement.extension:healthProfessional.value[x], DeviceUseStatement.extension:location, DeviceUseStatement.extension:location.extension, DeviceUseStatement.extension:location.value[x], DeviceUseStatement.extension:treatmentObjective, DeviceUseStatement.extension:treatmentObjective.value[x], DeviceUseStatement.modifierExtension, DeviceUseStatement.identifier, DeviceUseStatement.basedOn, DeviceUseStatement.status, DeviceUseStatement.subject, DeviceUseStatement.derivedFrom, DeviceUseStatement.derivedFrom:procedure-request, DeviceUseStatement.derivedFrom:procedure-event, DeviceUseStatement.timing[x], DeviceUseStatement.timing[x]:timingPeriod, DeviceUseStatement.timing[x]:timingPeriod.extension, DeviceUseStatement.timing[x]:timingPeriod.start, DeviceUseStatement.timing[x]:timingPeriod.end, DeviceUseStatement.recordedOn, DeviceUseStatement.source, DeviceUseStatement.device, DeviceUseStatement.reasonCode, DeviceUseStatement.reasonReference, DeviceUseStatement.reasonReference:indication, DeviceUseStatement.reasonReference:stoma, DeviceUseStatement.bodySite, DeviceUseStatement.bodySite.extension, DeviceUseStatement.bodySite.extension:laterality, DeviceUseStatement.bodySite.coding, DeviceUseStatement.bodySite.text, DeviceUseStatement.note, DeviceUseStatement.note.extension, DeviceUseStatement.note.author[x], DeviceUseStatement.note.time, DeviceUseStatement.note.text	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DeviceUseStatement.extension, DeviceUseStatement.extension:healthProfessional, DeviceUseStatement.extension:healthProfessional.extension, DeviceUseStatement.extension:location, DeviceUseStatement.extension:location.extension, DeviceUseStatement.extension:treatmentObjective, DeviceUseStatement.modifierExtension, DeviceUseStatement.timing[x]:timingPeriod.extension, DeviceUseStatement.bodySite.extension, DeviceUseStatement.bodySite.extension:laterality, DeviceUseStatement.note.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from NlcoreMedicalDevice

Summary

Structures

This structure refers to these other structures:

• ACP Patient (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc2)
• ACP MedicalDevice Product ICD (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-MedicalDevice.Product-ICD|1.0.0-rc2)
• nl core MedicalDevice.Product (http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice.Product)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	NlcoreMedicalDevice	MedicalDevice
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:healthProfessional	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional"
extension:location	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location"
extension:treatmentObjective		0..*	(Complex)	Pertains to goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x]		1..1	Reference(Goal | nl core TreatmentObjective)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!Σ	1..1	code	active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	OΣ	1..1	Reference(ACP Patient(1.0.0-rc2))	Patient using device Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for derivedFrom	Σ	0..*	Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)	Supporting information Slice: Unordered, Open by profile:resolve()
derivedFrom:procedure-request	Σ	0..*	Reference(nl core Procedure request)	Procedure
derivedFrom:procedure-event	Σ	0..*	Reference(nl core Procedure event)	Procedure
Slices for timing[x]	Σ	0..1		How often the device was used Slice: Unordered, Closed by type:$this
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
timing[x]:timingPeriod	Σ	0..1	Period	How often the device was used
start	OΣC	0..1	dateTime	StartDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
end	OΣC	0..1	dateTime	EndDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
device	OΣ	1..1	Reference(ACP MedicalDevice Product ICD(1.0.0-rc2) | nl core MedicalDevice.Product)	Reference to device used Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)	Why was DeviceUseStatement performed? Slice: Unordered, Open by profile:resolve()
reasonReference:indication	OΣ	0..*	Reference(nl core Problem)	Indication Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonReference:stoma	Σ	0..*	Reference(nl core Stoma)	Stoma
bodySite	OΣ	0..1	NlcoreAnatomicalLocation	Location Binding: LocatieCodelijsten (2020-09-01T00:00:00) (required): Codes describing anatomical locations. May include laterality. Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for extension				Content/Rules for all slices
extension:laterality	O	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
note		0..1	Annotation	Addition details (comments, instructions)
text	OΣ	1..1	markdown	Comment Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DeviceUseStatement.status	Base	required	DeviceUseStatementStatus	📍4.0.1	FHIR Std.
DeviceUseStatement.bodySite	Base	required	LocatieCodelijsten	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DeviceUseStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DeviceUseStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DeviceUseStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DeviceUseStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DeviceUseStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	DeviceUseStatement.implicitRules, DeviceUseStatement.extension:healthProfessional, DeviceUseStatement.extension:location, DeviceUseStatement.extension:treatmentObjective, DeviceUseStatement.extension:treatmentObjective.value[x], DeviceUseStatement.modifierExtension, DeviceUseStatement.status, DeviceUseStatement.subject, DeviceUseStatement.derivedFrom, DeviceUseStatement.derivedFrom:procedure-request, DeviceUseStatement.derivedFrom:procedure-event, DeviceUseStatement.timing[x], DeviceUseStatement.timing[x]:timingPeriod, DeviceUseStatement.timing[x]:timingPeriod.start, DeviceUseStatement.timing[x]:timingPeriod.end, DeviceUseStatement.device, DeviceUseStatement.reasonReference, DeviceUseStatement.reasonReference:indication, DeviceUseStatement.reasonReference:stoma, DeviceUseStatement.bodySite, DeviceUseStatement.bodySite.extension:laterality, DeviceUseStatement.note, DeviceUseStatement.note.text	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DeviceUseStatement.extension:healthProfessional, DeviceUseStatement.extension:location, DeviceUseStatement.extension:treatmentObjective, DeviceUseStatement.modifierExtension, DeviceUseStatement.bodySite.extension:laterality	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from NlcoreMedicalDevice

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	NlcoreMedicalDevice	MedicalDevice
Slices for extension				Content/Rules for all slices
extension:healthProfessional	O	0..1	ExtMedicalDeviceHealthProfessional	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
extension:location	O	0..1	ExtMedicalDeviceLocation	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
subject	O	1..1	Reference(ACP Patient(1.0.0-rc2))	Patient using device Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for timing[x]				Content/Rules for all slices
timing[x]:timingPeriod		0..1	Period	How often the device was used
start	O	0..1	dateTime	StartDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
end	O	0..1	dateTime	EndDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
device	O	1..1	Reference(ACP MedicalDevice Product ICD(1.0.0-rc2) | nl core MedicalDevice.Product)	Reference to device used Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for reasonReference				Content/Rules for all slices
reasonReference:indication	O	0..*	Reference(nl core Problem)	Indication Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
bodySite	O	0..1	NlcoreAnatomicalLocation	Location Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for extension				Content/Rules for all slices
extension:laterality	O	0..1	ExtAnatomicalLocationLaterality	Optional Extensions Element Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
note
text	O	1..1	markdown	Comment Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	NlcoreMedicalDevice	MedicalDevice
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
extension:healthProfessional	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.HealthProfessional"
value[x]		0..1	Reference(nl core HealthProfessional PractitionerRole)	HealthProfessional
extension:location	O	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicalDevice.Location"
value[x]		0..1	Reference(nl core HealthcareProvider)	Location
extension:treatmentObjective		0..*	(Complex)	Pertains to goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x]		1..1	Reference(Goal | nl core TreatmentObjective)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	External identifier for this record
basedOn	Σ	0..*	Reference(ServiceRequest)	Fulfills plan, proposal or order
status	?!Σ	1..1	code	active | completed | entered-in-error + Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	OΣ	1..1	Reference(ACP Patient(1.0.0-rc2))	Patient using device Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for derivedFrom	Σ	0..*	Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)	Supporting information Slice: Unordered, Open by profile:resolve()
derivedFrom:procedure-request	Σ	0..*	Reference(nl core Procedure request)	Procedure
derivedFrom:procedure-event	Σ	0..*	Reference(nl core Procedure event)	Procedure
Slices for timing[x]	Σ	0..1		How often the device was used Slice: Unordered, Closed by type:$this
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
timing[x]:timingPeriod	Σ	0..1	Period	How often the device was used
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
start	OΣC	0..1	dateTime	StartDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
end	OΣC	0..1	dateTime	EndDate Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
recordedOn	Σ	0..1	dateTime	When statement was recorded
source	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	Who made the statement
device	OΣ	1..1	Reference(ACP MedicalDevice Product ICD(1.0.0-rc2) | nl core MedicalDevice.Product)	Reference to device used Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonCode	Σ	0..*	CodeableConcept	Why device was used
Slices for reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)	Why was DeviceUseStatement performed? Slice: Unordered, Open by profile:resolve()
reasonReference:indication	OΣ	0..*	Reference(nl core Problem)	Indication Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
reasonReference:stoma	Σ	0..*	Reference(nl core Stoma)	Stoma
bodySite	OΣ	0..1	NlcoreAnatomicalLocation	Location Binding: LocatieCodelijsten (2020-09-01T00:00:00) (required): Codes describing anatomical locations. May include laterality. Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
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 Constraints: ext-1
extension:laterality	O	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required) Constraints: ext-1 Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
note		0..1	Annotation	Addition details (comments, instructions)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	OΣ	1..1	markdown	Comment Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DeviceUseStatement.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DeviceUseStatement.status	Base	required	DeviceUseStatementStatus	📍4.0.1	FHIR Std.
DeviceUseStatement.bodySite	Base	required	LocatieCodelijsten	📍2020-09-01T00:00:00	FHIR implementation of zibs 2020 v0.12

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DeviceUseStatement	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DeviceUseStatement	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DeviceUseStatement	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DeviceUseStatement	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DeviceUseStatement	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	DeviceUseStatement.meta, DeviceUseStatement.implicitRules, DeviceUseStatement.language, DeviceUseStatement.text, DeviceUseStatement.extension, DeviceUseStatement.extension:healthProfessional, DeviceUseStatement.extension:healthProfessional.extension, DeviceUseStatement.extension:healthProfessional.value[x], DeviceUseStatement.extension:location, DeviceUseStatement.extension:location.extension, DeviceUseStatement.extension:location.value[x], DeviceUseStatement.extension:treatmentObjective, DeviceUseStatement.extension:treatmentObjective.value[x], DeviceUseStatement.modifierExtension, DeviceUseStatement.identifier, DeviceUseStatement.basedOn, DeviceUseStatement.status, DeviceUseStatement.subject, DeviceUseStatement.derivedFrom, DeviceUseStatement.derivedFrom:procedure-request, DeviceUseStatement.derivedFrom:procedure-event, DeviceUseStatement.timing[x], DeviceUseStatement.timing[x]:timingPeriod, DeviceUseStatement.timing[x]:timingPeriod.extension, DeviceUseStatement.timing[x]:timingPeriod.start, DeviceUseStatement.timing[x]:timingPeriod.end, DeviceUseStatement.recordedOn, DeviceUseStatement.source, DeviceUseStatement.device, DeviceUseStatement.reasonCode, DeviceUseStatement.reasonReference, DeviceUseStatement.reasonReference:indication, DeviceUseStatement.reasonReference:stoma, DeviceUseStatement.bodySite, DeviceUseStatement.bodySite.extension, DeviceUseStatement.bodySite.extension:laterality, DeviceUseStatement.bodySite.coding, DeviceUseStatement.bodySite.text, DeviceUseStatement.note, DeviceUseStatement.note.extension, DeviceUseStatement.note.author[x], DeviceUseStatement.note.time, DeviceUseStatement.note.text	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	DeviceUseStatement.extension, DeviceUseStatement.extension:healthProfessional, DeviceUseStatement.extension:healthProfessional.extension, DeviceUseStatement.extension:location, DeviceUseStatement.extension:location.extension, DeviceUseStatement.extension:treatmentObjective, DeviceUseStatement.modifierExtension, DeviceUseStatement.timing[x]:timingPeriod.extension, DeviceUseStatement.bodySite.extension, DeviceUseStatement.bodySite.extension:laterality, DeviceUseStatement.note.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from NlcoreMedicalDevice

Summary

Structures

This structure refers to these other structures:

• ACP Patient (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc2)
• ACP MedicalDevice Product ICD (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-MedicalDevice.Product-ICD|1.0.0-rc2)
• nl core MedicalDevice.Product (http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice.Product)

Other representations of profile: CSV, Excel, Schematron