QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.0)

QI-Core Implementation Guide, Clinical Quality Improvement WG - CI build for vesion 4.0.0). This version is based on the current content of https://github.com/cqframework/qi-core/ and changes regularly. See the Directory of published versions

D.4.1 StructureDefinition-qicore-deviceusestatement

Introduction:

See the patterns page for implementation and usage patterns.

Examples:

The provision of a wheelchair to a patient example

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is:

http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-deviceusestatement

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

This profile builds on DeviceUseStatement.

This profile was published on Wed Aug 22 00:00:00 UTC 2018 as a draft by Health Level Seven, Inc. - CQI WG.

Description of Profiles, Differentials, and Snapshots.

Summary

Must-Support: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceUseStatement I0..*Record of use of a device
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... qicore-deviceusestatement-notDone SI0..1booleanDevice Not Used Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-deviceusestatement-notDone
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal identifier for this record
... basedOn Σ0..*Reference(ServiceRequest)Fulfills plan, proposal or order
... status ?!SΣ1..1codeactive | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required)
... subject SΣ1..1Reference(QICorePatient)Patient using device
... derivedFrom Σ0..*Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)Supporting information
... timing[x] SΣ0..1How often the device was used
.... timingTimingTiming
.... timingPeriodPeriod
.... timingDateTimedateTime
... recordedOn SΣ0..1dateTimeWhen statement was recorded
... source Σ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)Who made the statement
... device SΣ1..1Reference(QICoreDevice)Reference to device used
... reasonCode Σ0..*CodeableConceptWhy device was used
... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)Why was DeviceUseStatement performed?
... bodySite SΣ0..1CodeableConceptTarget body site
Binding: SNOMEDCTBodyStructures (example)
... note 0..*AnnotationAddition details (comments, instructions)

doco Documentation for this format

Summary

Must-Support: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceUseStatement I0..*Record of use of a device
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... qicore-deviceusestatement-notDone SI0..1booleanDevice Not Used Extension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-deviceusestatement-notDone
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal identifier for this record
... basedOn Σ0..*Reference(ServiceRequest)Fulfills plan, proposal or order
... status ?!SΣ1..1codeactive | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required)
... subject SΣ1..1Reference(QICorePatient)Patient using device
... derivedFrom Σ0..*Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)Supporting information
... timing[x] SΣ0..1How often the device was used
.... timingTimingTiming
.... timingPeriodPeriod
.... timingDateTimedateTime
... recordedOn SΣ0..1dateTimeWhen statement was recorded
... source Σ0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)Who made the statement
... device SΣ1..1Reference(QICoreDevice)Reference to device used
... reasonCode Σ0..*CodeableConceptWhy device was used
... reasonReference Σ0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)Why was DeviceUseStatement performed?
... bodySite SΣ0..1CodeableConceptTarget body site
Binding: SNOMEDCTBodyStructures (example)
... note 0..*AnnotationAddition details (comments, instructions)

doco Documentation for this format

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathConformanceValueSet
DeviceUseStatement.languagepreferredCommonLanguages
Max Binding: AllLanguages
DeviceUseStatement.statusrequiredDeviceUseStatementStatus
DeviceUseStatement.bodySiteexampleSNOMEDCTBodyStructures

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2DeviceUseStatementIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-4DeviceUseStatementIf 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-3DeviceUseStatementIf 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-6DeviceUseStatementA resource should have narrative for robust management
: text.div.exists()
dom-5DeviceUseStatementIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
ele-1DeviceUseStatement.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DeviceUseStatement.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1DeviceUseStatement.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1DeviceUseStatement.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()