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 DeviceUseStatement

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

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

USCDI+ Quality Element Support Expectations

This profile does not include USCDI+ Quality flagged elements and is not in scope for USCDI+ Quality V1 conformance requirements in this guide. See the USCDI+ Quality page for the list of profiles and elements that are in scope for USCDI+ Quality V1.

This profile is inherited from QI-Core v6.0.0 and is included to ease adoption for systems that currently support QI-Core. Refer to the Formal Views section for the formal summary, definitions, terminology requirements, and mandatory element requirements.

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
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
... timing[x] Σ 0..1 How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn Σ 0..1 dateTime When statement was recorded
... device Σ 1..1 Reference(US Quality Core Device | US Core Implantable Device Profile(6.1.0)) Reference to device used
... bodySite Σ 0..1 CodeableConcept Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

doco 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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... status 1..1 code active | completed | entered-in-error +
... subject 1..1 Reference(US Quality Core Patient) Patient using device
... timing[x] 0..1 Timing, Period, dateTime How often the device was used
... device 1..1 Reference(US Quality Core Device | US Core Implantable Device Profile(6.1.0)) Reference to device used
... bodySite 0..1 CodeableConcept Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement 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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier for this record
... basedOn Σ 0..* Reference(ServiceRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
... subject Σ 1..1 Reference(US Quality Core Patient) Patient using device
... derivedFrom Σ 0..* Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) Supporting information
... timing[x] Σ 0..1 How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn Σ 0..1 dateTime When statement was recorded
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who made the statement
... device Σ 1..1 Reference(US Quality Core Device | US Core Implantable Device Profile(6.1.0)) Reference to device used
... reasonCode Σ 0..* CodeableConcept Why device was used
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) Why was DeviceUseStatement performed?
... bodySite Σ 0..1 CodeableConcept Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Addition details (comments, instructions)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
... timing[x] Σ 0..1 How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn Σ 0..1 dateTime When statement was recorded
... device Σ 1..1 Reference(US Quality Core Device | US Core Implantable Device Profile(6.1.0)) Reference to device used
... bodySite Σ 0..1 CodeableConcept Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement Record of use of a device
... status 1..1 code active | completed | entered-in-error +
... subject 1..1 Reference(US Quality Core Patient) Patient using device
... timing[x] 0..1 Timing, Period, dateTime How often the device was used
... device 1..1 Reference(US Quality Core Device | US Core Implantable Device Profile(6.1.0)) Reference to device used
... bodySite 0..1 CodeableConcept Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceUseStatement.bodySite Base preferred SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceUseStatement 0..* DeviceUseStatement 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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifier for this record
... basedOn Σ 0..* Reference(ServiceRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code active | completed | entered-in-error +
Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
... subject Σ 1..1 Reference(US Quality Core Patient) Patient using device
... derivedFrom Σ 0..* Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) Supporting information
... timing[x] Σ 0..1 How often the device was used
.... timingTiming Timing
.... timingPeriod Period
.... timingDateTime dateTime
... recordedOn Σ 0..1 dateTime When statement was recorded
... source Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who made the statement
... device Σ 1..1 Reference(US Quality Core Device | US Core Implantable Device Profile(6.1.0)) Reference to device used
... reasonCode Σ 0..* CodeableConcept Why device was used
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) Why was DeviceUseStatement performed?
... bodySite Σ 0..1 CodeableConcept Target body site
Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Addition details (comments, instructions)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DeviceUseStatement.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DeviceUseStatement.status Base required DeviceUseStatementStatus 📍4.0.1 FHIR Std.
DeviceUseStatement.bodySite Base 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()

 

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