2026 US Quality Core Implementation Guide
0.5.0 - release United States of America flag

This page is part of the US Quality Core (v0.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: US Quality Core Device Not Requested

Official URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-devicenotrequested Version: 0.5.0
Active as of 2026-06-05 Computable Name: USQualityCoreDeviceNotRequested

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

USCDI+ Quality Element Support Expectations

Systems are expected to support this profile as part of implementing USCDI+ Quality V1 in FHIR and meeting the conformance requirements of this guide.

The following elements are specifically relevant to USCDI+ Quality V1 data classes and elements. Systems are expected to support these elements as applicable to their role in US Quality Core data exchange. See the Must Support section of this guide for more information. These elements are tagged as (USCDI+ Quality) in the formal profile views.

USCDI+ Quality Elements:

  • code[x]: (USCDI+ Quality) Device requested

The Formal Views section also provides the formal summary, definitions, terminology requirements, and mandatory element requirements.

Profile Specific Implementation Guidance

This profile represents a device request that was intentionally not requested for a medical, patient, or system reason. To represent device requests that were requested, use the US Quality Core DeviceRequest profile.

Additional informational guidance for authoring CQL using this profile is provided in the CQL Authoring Usage (Informational) section of this page.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.
... code[x] ΣC 1..1 CodeableConcept (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject Σ 1..1 Reference(US Quality Core Patient) Focus of request
... authoredOn Σ 1..1 dateTime When recorded

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... Slices for extension Content/Rules for all slices
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... Slices for modifierExtension Content/Rules for all slices
.... modifierExtension:doNotPerform ?! 1..1 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... status 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 CodeableConcept (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject 1..1 Reference(US Quality Core Patient) Focus of request
... authoredOn 1..1 dateTime When recorded

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... 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 BindingsPurpose
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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... identifier Σ 0..* Identifier External Request identifier
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!Σ 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... code[x] ΣC 1..1 CodeableConcept (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... 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
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... parameter 0..* BackboneElement Device details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Device detail
Binding Description: (example): A code that identifies the device detail.
.... value[x] 0..1 Value of detail
..... valueCodeableConcept CodeableConcept
..... valueQuantity Quantity
..... valueRange Range
..... valueBoolean boolean
... subject Σ 1..1 Reference(US Quality Core Patient) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] Σ 0..1 Desired time or schedule for use
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn Σ 1..1 dateTime When recorded
... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) Who/what is requesting diagnostics
... performerType Σ 0..1 CodeableConcept Filler role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Linked Reason for request
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... note 0..* Annotation Notes or comments
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.
DeviceRequest.parameter.​code Base example Not State Unknown
DeviceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
DeviceRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.
... code[x] ΣC 1..1 CodeableConcept (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject Σ 1..1 Reference(US Quality Core Patient) Focus of request
... authoredOn Σ 1..1 dateTime When recorded

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... Slices for extension Content/Rules for all slices
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... Slices for modifierExtension Content/Rules for all slices
.... modifierExtension:doNotPerform ?! 1..1 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... status 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
... code[x] C 1..1 CodeableConcept (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... Slices for extension Content/Rules for all slices
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
... subject 1..1 Reference(US Quality Core Patient) Focus of request
... authoredOn 1..1 dateTime When recorded

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest C 0..* DeviceRequest Medical device request
Constraints: dnr-1
... 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 BindingsPurpose
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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:doNotPerformReason 1..1 CodeableConcept Extension
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-doNotPerformReason
Binding: USQualityCore Negation Reason Codes (extensible): The reason the event did not occur or was not performed
... Slices for modifierExtension ?! 1..* Extension Extension
Slice: Unordered, Open by value:url
.... modifierExtension:doNotPerform ?! 1..1 (Complex) Extension
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DeviceRequest.doNotPerform"
..... value[x] 1..1 boolean Value of extension
Fixed Value: true
... identifier Σ 0..* Identifier External Request identifier
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!Σ 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.
... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of diagnostic request.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... code[x] ΣC 1..1 CodeableConcept (USCDI+ Quality) Device requested
Binding: FHIRDeviceTypes (preferred)
.... 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
..... extension:doNotPerformValueSet C 0..1 canonical(ValueSet) What was not done
URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... parameter 0..* BackboneElement Device details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Device detail
Binding Description: (example): A code that identifies the device detail.
.... value[x] 0..1 Value of detail
..... valueCodeableConcept CodeableConcept
..... valueQuantity Quantity
..... valueRange Range
..... valueBoolean boolean
... subject Σ 1..1 Reference(US Quality Core Patient) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] Σ 0..1 Desired time or schedule for use
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn Σ 1..1 dateTime When recorded
... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) Who/what is requesting diagnostics
... performerType Σ 0..1 CodeableConcept Filler role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Linked Reason for request
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... note 0..* Annotation Notes or comments
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
DeviceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
DeviceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
DeviceRequest.code[x] Base preferred FHIR Device Types 📦4.0.1 FHIR Std.
DeviceRequest.parameter.​code Base example Not State Unknown
DeviceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
DeviceRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dnr-1 error DeviceRequest to indicate what device was not requested, either at least one coding in the code or a notDoneValueSet extension shall be provided code.extension('http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet').exists() xor code.coding.exists()
dom-2 error DeviceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DeviceRequest 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 DeviceRequest 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 DeviceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DeviceRequest 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()

 

Other representations of profile: CSV, Excel, Schematron

Notes:

CQL Authoring Usage (Informational)

The DeviceRequest and DeviceNotRequested profiles represent the positive and negative statements for a device request.

The following example illustrates accessing DeviceRequest not requested data:

define "Venous Foot Pumps Not Ordered":
[DeviceNotRequested: "Venous Foot Pumps (VFP)"] DeviceNotOrdered
  where (DeviceNotOrdered.doNotPerformReason() in "Medical Reason"
    or DeviceNotOrdered.doNotPerformReason() in "Patient Refusal"
  )

For a more complete discussion of representation of negation within US Quality Core and quality improvement artifacts, see the Negation in US Quality Core topic.