HL7 Europe Hospital Discharge Report
1.0.0-ci - draft 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

Resource Profile: DeviceUseStatementEuHdrObligation - Detailed Descriptions

Page standards status: Informative Maturity Level: 0

Definitions for the deviceUseStatement-obl-eu-hdr resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. DeviceUseStatement
Definition

A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.

ShortRecord of use of a device
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-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. DeviceUseStatement.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.

ShortA 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.

Control0..1
Typeuri
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. DeviceUseStatement.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).

ShortExtensions 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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
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 Namesextensions, user content
Invariantsele-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())
6. DeviceUseStatement.status
Definition

A code representing the patient or other source's judgment about the state of the device used that this statement is about. Generally this will be active or completed.

Shortactive | completed | entered-in-error +
Comments

DeviceUseStatment is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for contains codes that assert the status of the use by the patient (for example, stopped or on hold) as well as codes that assert the status of the resource itself (for example, entered in error).

This element is labeled as a modifier because the status contains the codes that mark the statement as not currently valid.

Control1..1
BindingThe codes SHALL be taken from DeviceUseStatementStatushttp://hl7.org/fhir/ValueSet/device-statement-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1)

A coded concept indicating the current status of the Device Usage.

Typecode
Is Modifiertrue because This element is labelled 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Obligations
    ObligationsActor
    SHALL:able-to-populateProducer
    Summarytrue
    Requirements

    EHDSDeviceUse.header.status

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. DeviceUseStatement.subject
    Definition

    The patient who used the device.

    ShortPatient using device
    Control1..1
    TypeReference(Patient: obligations, Patient, Group)
    Is Modifierfalse
    Obligations
      ObligationsActor
      SHALL:able-to-populateProducer
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. DeviceUseStatement.timing[x]
      Definition

      How often the device was used.

      ShortHow often the device was used
      Control0..1
      TypeChoice of: Timing, Period, dateTime
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Obligations
        ObligationsActor
        SHOULD:able-to-populateProducer
        Summarytrue
        Requirements

        EHDSDeviceUse.periodOfUse

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on DeviceUseStatement.timing[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
        • type @ $this
        • 12. DeviceUseStatement.timing[x]:timingPeriod
          Slice NametimingPeriod
          Definition

          How often the device was used.

          ShortHow often the device was used
          Control0..1
          TypePeriod, dateTime, Timing
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. DeviceUseStatement.source
          Definition

          Who reported the device was being used by the patient.

          ShortWho made the statement
          Control0..1
          TypeReference(Patient: obligations, Practitioner: obligations, PractitionerRole: obligations, RelatedPerson: obligations, Patient, Practitioner, PractitionerRole, RelatedPerson)
          Is Modifierfalse
          Summarytrue
          Requirements

          EHDSDeviceUse.header.author[x], EHDSDeviceUse.header.source

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          16. DeviceUseStatement.device
          Definition

          The details of the device used.

          ShortReference to device used
          Control1..1
          TypeReference(Device: obligations, Device)
          Is Modifierfalse
          Obligations
            ObligationsActor
            SHALL:able-to-populateProducer
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            18. DeviceUseStatement.bodySite
            Definition

            Indicates the anotomic location on the subject's body where the device was used ( i.e. the target).

            ShortTarget body site
            Control0..1
            BindingThe codes SHOULD be taken from For example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1
            (preferred to http://hl7.org/fhir/ValueSet/body-site)
            TypeCodeableConcept
            Is Modifierfalse
            Obligations
              ObligationsActor
              SHOULD:able-to-populateProducer
              Summarytrue
              Requirements

              EHDSDeviceUse.bodySite


              Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension http://hl7.org/fhir/StructureDefinition/bodySite.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              20. DeviceUseStatement.note
              Definition

              Details about the device statement 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.

              ShortAddition details (comments, instructions)
              Control0..*
              TypeAnnotation
              Is Modifierfalse
              Obligations
                ObligationsActor
                SHOULD:able-to-populateProducer
                Summaryfalse
                Requirements

                EHDSDeviceUse.note

                Invariantsele-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 foundhere

                0. DeviceUseStatement
                2. DeviceUseStatement.status
                Obligations
                  ObligationsActor
                  SHALL:able-to-populateProducer
                  4. DeviceUseStatement.subject
                  TypeReference(Patient: obligations)
                  Obligations
                    ObligationsActor
                    SHALL:able-to-populateProducer
                    6. DeviceUseStatement.timing[x]
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Obligations
                      ObligationsActor
                      SHOULD:able-to-populateProducer
                      8. DeviceUseStatement.source
                      TypeReference(Patient: obligations, Practitioner: obligations, PractitionerRole: obligations, RelatedPerson: obligations)
                      10. DeviceUseStatement.device
                      TypeReference(Device: obligations)
                      Obligations
                        ObligationsActor
                        SHALL:able-to-populateProducer
                        12. DeviceUseStatement.bodySite
                        Obligations
                          ObligationsActor
                          SHOULD:able-to-populateProducer
                          14. DeviceUseStatement.note
                          Obligations
                            ObligationsActor
                            SHOULD:able-to-populateProducer

                            Guidance on how to interpret the contents of this table can be foundhere

                            0. DeviceUseStatement
                            Definition

                            A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.

                            ShortRecord of use of a device
                            Control0..*
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsdom-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. DeviceUseStatement.id
                            Definition

                            The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                            ShortLogical 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.

                            Control0..1
                            Typeid
                            Is Modifierfalse
                            Summarytrue
                            4. DeviceUseStatement.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.

                            ShortMetadata about the resource
                            Control0..1
                            TypeMeta
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            6. DeviceUseStatement.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.

                            ShortA 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.

                            Control0..1
                            Typeuri
                            Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            8. DeviceUseStatement.language
                            Definition

                            The base language in which the resource is written.

                            ShortLanguage 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).

                            Control0..1
                            BindingThe codes SHOULD be taken from CommonLanguages
                            (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                            A human language.

                            Additional BindingsPurpose
                            AllLanguagesMax Binding
                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summaryfalse
                            Requirements

                            EHDSDeviceUse.header.language

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            10. DeviceUseStatement.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.

                            ShortDevice usage description
                            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.

                            Control0..1
                            TypeNarrative
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesnarrative, html, xhtml, display
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            12. DeviceUseStatement.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.

                            ShortContained, 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.

                            Control0..*
                            TypeResource
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesinline resources, anonymous resources, contained resources
                            14. DeviceUseStatement.extension
                            Definition

                            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.

                            ShortAdditional 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.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-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())
                            16. DeviceUseStatement.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).

                            ShortExtensions 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.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                            Summaryfalse
                            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 Namesextensions, user content
                            Invariantsele-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())
                            18. DeviceUseStatement.identifier
                            Definition

                            An external identifier for this statement such as an IRI.

                            ShortExternal identifier for this record
                            NoteThis is a business identifier, not a resource identifier (see discussion)
                            Control0..*
                            TypeIdentifier
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            EHDSDeviceUse.header.identifier

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            20. DeviceUseStatement.basedOn
                            Definition

                            A plan, proposal or order that is fulfilled in whole or in part by this DeviceUseStatement.

                            ShortFulfills plan, proposal or order
                            Control0..*
                            TypeReference(ServiceRequest)
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            Allows tracing of authorization for the DeviceUseStatement and tracking whether proposals/recommendations were acted upon.

                            Alternate Namesfulfills
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            22. DeviceUseStatement.status
                            Definition

                            A code representing the patient or other source's judgment about the state of the device used that this statement is about. Generally this will be active or completed.

                            Shortactive | completed | entered-in-error +
                            Comments

                            DeviceUseStatment is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for contains codes that assert the status of the use by the patient (for example, stopped or on hold) as well as codes that assert the status of the resource itself (for example, entered in error).

                            This element is labeled as a modifier because the status contains the codes that mark the statement as not currently valid.

                            Control1..1
                            BindingThe codes SHALL be taken from DeviceUseStatementStatus
                            (required to http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1)

                            A coded concept indicating the current status of the Device Usage.

                            Typecode
                            Is Modifiertrue because This element is labelled 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 ValueThis primitive element may be present, or absent, or replaced by an extension
                            Obligations
                              ObligationsActor
                              SHALL:able-to-populateProducer
                              Summarytrue
                              Requirements

                              EHDSDeviceUse.header.status

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              24. DeviceUseStatement.subject
                              Definition

                              The patient who used the device.

                              ShortPatient using device
                              Control1..1
                              TypeReference(Patient: obligations)
                              Is Modifierfalse
                              Obligations
                                ObligationsActor
                                SHALL:able-to-populateProducer
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                26. DeviceUseStatement.derivedFrom
                                Definition

                                Allows linking the DeviceUseStatement to the underlying Request, or to other information that supports or is used to derive the DeviceUseStatement.

                                ShortSupporting information
                                Comments

                                The most common use cases for deriving a DeviceUseStatement comes from creating it from a request or from an observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the DeviceUseStatement from.

                                Control0..*
                                TypeReference(ServiceRequest, Procedure, Claim, Observation, QuestionnaireResponse, DocumentReference)
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                28. DeviceUseStatement.timing[x]
                                Definition

                                How often the device was used.

                                ShortHow often the device was used
                                Control0..1
                                TypeChoice of: Timing, Period, dateTime
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Obligations
                                  ObligationsActor
                                  SHOULD:able-to-populateProducer
                                  Summarytrue
                                  Requirements

                                  EHDSDeviceUse.periodOfUse

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on DeviceUseStatement.timing[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                  • type @ $this
                                  • 30. DeviceUseStatement.timing[x]:timingPeriod
                                    Slice NametimingPeriod
                                    Definition

                                    How often the device was used.

                                    ShortHow often the device was used
                                    Control0..1
                                    TypePeriod
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    32. DeviceUseStatement.recordedOn
                                    Definition

                                    The time at which the statement was made/recorded.

                                    ShortWhen statement was recorded
                                    Control0..1
                                    TypedateTime
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Requirements

                                    EHDSDeviceUse.header.date

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    34. DeviceUseStatement.source
                                    Definition

                                    Who reported the device was being used by the patient.

                                    ShortWho made the statement
                                    Control0..1
                                    TypeReference(Patient: obligations, Practitioner: obligations, PractitionerRole: obligations, RelatedPerson: obligations)
                                    Is Modifierfalse
                                    Summarytrue
                                    Requirements

                                    EHDSDeviceUse.header.author[x], EHDSDeviceUse.header.source

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    36. DeviceUseStatement.device
                                    Definition

                                    The details of the device used.

                                    ShortReference to device used
                                    Control1..1
                                    TypeReference(Device: obligations)
                                    Is Modifierfalse
                                    Obligations
                                      ObligationsActor
                                      SHALL:able-to-populateProducer
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      38. DeviceUseStatement.reasonCode
                                      Definition

                                      Reason or justification for the use of the device.

                                      ShortWhy device was used
                                      Control0..*
                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      EHDSDeviceUse.reason[x]

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      40. DeviceUseStatement.reasonReference
                                      Definition

                                      Indicates another resource whose existence justifies this DeviceUseStatement.

                                      ShortWhy was DeviceUseStatement performed?
                                      Control0..*
                                      TypeReference(Condition, Observation, DiagnosticReport, DocumentReference, Media)
                                      Is Modifierfalse
                                      Summarytrue
                                      Requirements

                                      EHDSDeviceUse.reason[x]

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      42. DeviceUseStatement.bodySite
                                      Definition

                                      Indicates the anotomic location on the subject's body where the device was used ( i.e. the target).

                                      ShortTarget body site
                                      Control0..1
                                      BindingThe codes SHOULD be taken from SNOMEDCTBodyStructures
                                      (preferred to http://hl7.org/fhir/ValueSet/body-site)
                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Obligations
                                        ObligationsActor
                                        SHOULD:able-to-populateProducer
                                        Summarytrue
                                        Requirements

                                        EHDSDeviceUse.bodySite

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        44. DeviceUseStatement.note
                                        Definition

                                        Details about the device statement 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.

                                        ShortAddition details (comments, instructions)
                                        Control0..*
                                        TypeAnnotation
                                        Is Modifierfalse
                                        Obligations
                                          ObligationsActor
                                          SHOULD:able-to-populateProducer
                                          Summaryfalse
                                          Requirements

                                          EHDSDeviceUse.note

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))