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-alpha 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

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Resource Profile: DeviceUseStatement: obligations

This profile represents the constraints applied to the DeviceUseStatement resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatementEuHdr	Record of use of a device
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	0..1	Narrative	Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Current status of the Device Usage Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	OΣ	1..1	Reference(Patient (EU core))	Patient using device Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for timing[x]	OΣ	1..1		How often the device was used Slice: Unordered, Closed by type:$this Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
timing[x]:timingPeriod	Σ	0..1	Period	How often the device was used
device	OΣ	1..1	Reference(Device (HDR))	Reference to device used Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
reasonCode	OΣ	0..*	CodeableConcept	Why is used (code) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
bodySite	OΣ	0..1	CodeableConcept	Target body site Binding: SNOMEDCTBodyStructures (preferred) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
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	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DeviceUseStatementEuHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatementEuHdr	Record of use of a device
text	O	0..1	Narrative	Device usage description Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
subject	O	1..1	Reference(Patient (EU core))	Patient using device Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
timing[x]	O	1..1	Timing, Period, dateTime	How often the device was used Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
device	O	1..1	Reference(Device (HDR))	Reference to device used Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
reasonCode	O	0..*	CodeableConcept	Why is used (code) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
bodySite	O	0..1	CodeableConcept	Target body site Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatementEuHdr	Record of use of a device
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	O	0..1	Narrative	Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Device usage identifier
basedOn	Σ	0..*	Reference(ServiceRequest)	Fulfills plan, proposal or order
status	?!Σ	1..1	code	Current status of the Device Usage Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	OΣ	1..1	Reference(Patient (EU core))	Patient using device Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
derivedFrom	Σ	0..*	Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)	Supporting information
Slices for timing[x]	OΣ	1..1		How often the device was used Slice: Unordered, Closed by type:$this Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
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
start	ΣC	0..1	dateTime	Start of usage (dateTime)
end	ΣC	0..1	dateTime	End of usage (dateTime)
recordedOn	Σ	0..1	dateTime	When recorded (dateTime)
source	Σ	0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | RelatedPerson)	Who made the statement
device	OΣ	1..1	Reference(Device (HDR))	Reference to device used Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
reasonCode	OΣ	0..*	CodeableConcept	Why is used (code) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)	Why is used (details)
bodySite	OΣ	0..1	CodeableConcept	Target body site Binding: SNOMEDCTBodyStructures (preferred) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
note		0..*	Annotation	Additional information about the device usage
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.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DeviceUseStatement.bodySite	Base	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DeviceUseStatementEuHdr

Summary

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatementEuHdr	Record of use of a device
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	0..1	Narrative	Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Current status of the Device Usage Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	OΣ	1..1	Reference(Patient (EU core))	Patient using device Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for timing[x]	OΣ	1..1		How often the device was used Slice: Unordered, Closed by type:$this Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
timingTiming			Timing
timingPeriod			Period
timingDateTime			dateTime
timing[x]:timingPeriod	Σ	0..1	Period	How often the device was used
device	OΣ	1..1	Reference(Device (HDR))	Reference to device used Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
reasonCode	OΣ	0..*	CodeableConcept	Why is used (code) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
bodySite	OΣ	0..1	CodeableConcept	Target body site Binding: SNOMEDCTBodyStructures (preferred) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
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	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from DeviceUseStatementEuHdr

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatementEuHdr	Record of use of a device
text	O	0..1	Narrative	Device usage description Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
subject	O	1..1	Reference(Patient (EU core))	Patient using device Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
timing[x]	O	1..1	Timing, Period, dateTime	How often the device was used Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
device	O	1..1	Reference(Device (HDR))	Reference to device used Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
reasonCode	O	0..*	CodeableConcept	Why is used (code) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
bodySite	O	0..1	CodeableConcept	Target body site Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceUseStatement		0..*	DeviceUseStatementEuHdr	Record of use of a device
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	O	0..1	Narrative	Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Device usage identifier
basedOn	Σ	0..*	Reference(ServiceRequest)	Fulfills plan, proposal or order
status	?!Σ	1..1	code	Current status of the Device Usage Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject	OΣ	1..1	Reference(Patient (EU core))	Patient using device Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
derivedFrom	Σ	0..*	Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)	Supporting information
Slices for timing[x]	OΣ	1..1		How often the device was used Slice: Unordered, Closed by type:$this Obligations Actor SHALL:handle HDRConsumer SHALL:able-to-populate HDRCreator
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
start	ΣC	0..1	dateTime	Start of usage (dateTime)
end	ΣC	0..1	dateTime	End of usage (dateTime)
recordedOn	Σ	0..1	dateTime	When recorded (dateTime)
source	Σ	0..1	Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | RelatedPerson)	Who made the statement
device	OΣ	1..1	Reference(Device (HDR))	Reference to device used Obligations Actor SHALL:handle HDRConsumer SHOULD:able-to-populate HDRCreator
reasonCode	OΣ	0..*	CodeableConcept	Why is used (code) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
reasonReference	Σ	0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)	Why is used (details)
bodySite	OΣ	0..1	CodeableConcept	Target body site Binding: SNOMEDCTBodyStructures (preferred) Obligations Actor SHALL:handle HDRConsumer MAY:able-to-populate HDRCreator
note		0..*	Annotation	Additional information about the device usage
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.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
DeviceUseStatement.bodySite	Base	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DeviceUseStatementEuHdr

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron