us-quality-core-deviceusestatement
type: StructureDefinition
node role: treeRoot
id:
  v: us-quality-core-deviceusestatement
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition us-quality-core-deviceusestatement Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> DeviceUseStatement 0..* DeviceUseStatement Record of use of a device #xD; status 1..1 code active | completed | entered-in-error + #xD; subject 1..1 Reference(US Quality Core Patient) Patient using device #xD; timing[x] 0..1 Timing, Period, dateTime How often the device was used #xD; recordedOn 0..1 dateTime When statement was recorded #xD; device 1..1 Reference(US Quality Core Device | US Core Implantable Device Profile(6.1.0)) Reference to device used #xD; bodySite 0..1 CodeableConcept Target body site Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-deviceusestatement
  l: us-quality-core-deviceusestatement
version:
  v: 0.5.0
name:
  v: USQualityCoreDeviceUseStatement
title:
  v: US Quality Core DeviceUseStatement
status:
  v: active
experimental:
  v: false
date:
  v: 2026-06-05
publisher:
  v: Office of the National Coordinator for Health Information Technology (ONC)
contact:
  name:
    v: Office of the National Coordinator for Health Information Technology (ONC)
  telecom:
    system:
      v: url
    value:
      v: https://www.healthit.gov/feedback
description:
  v: Profile of DeviceUseStatement for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: US
    display:
      v: United States of America
  text:
    v: USA
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: quick
  uri:
    v: http://siframework.org/cqf
    l: cqf
  name:
    v: Quality Improvement and Clinical Knowledge (QUICK)
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: DeviceUseStatement
  l: DeviceUseStatement
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DeviceUseStatement
  l: DeviceUseStatement
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: DeviceUseStatement
    path:
      v: DeviceUseStatement
    short:
      v: Record of use of a device
    definition:
      v: 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.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: DeviceUseStatement
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: 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()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: false

v: false

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: quick
map:
  v: DeviceUsePerformanceOccurrence

id:
  v: DeviceUseStatement.id
path:
  v: DeviceUseStatement.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: DeviceUseStatement.meta
path:
  v: DeviceUseStatement.meta
short:
  v: Metadata about the resource
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: DeviceUseStatement.implicitRules
path:
  v: DeviceUseStatement.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true

id:
  v: DeviceUseStatement.language
path:
  v: DeviceUseStatement.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages|4.0.1
    l: http://hl7.org/fhir/ValueSet/languages

id:
  v: DeviceUseStatement.text
path:
  v: DeviceUseStatement.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: DeviceUseStatement.contained
path:
  v: DeviceUseStatement.contained
short:
  v: Contained, inline Resources
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DeviceUseStatement.extension
path:
  v: DeviceUseStatement.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DeviceUseStatement.modifierExtension
path:
  v: DeviceUseStatement.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DeviceUseStatement.identifier
path:
  v: DeviceUseStatement.identifier
short:
  v: External identifier for this record
definition:
  v: An external identifier for this statement such as an IRI.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DeviceUseStatement.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: quick
  map:
    v: ClinicalStatement.identifier

id:
  v: DeviceUseStatement.basedOn
path:
  v: DeviceUseStatement.basedOn
short:
  v: Fulfills plan, proposal or order
definition:
  v: A plan, proposal or order that is fulfilled in whole or in part by this DeviceUseStatement.
requirements:
  v: Allows tracing of authorization for the DeviceUseStatement and tracking whether proposals/recommendations were acted upon.
alias:
  v: fulfills
min:
  v: 0
max:
  v: *
base:
  path:
    v: DeviceUseStatement.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/ServiceRequest
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: v2
  map:
    v: ORC in proximity to EVN segment
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target

id:
  v: DeviceUseStatement.status
path:
  v: DeviceUseStatement.status
short:
  v: active | completed | entered-in-error +
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DeviceUseStatement.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DeviceUseStatementStatus
  strength:
    v: required
  description:
    v: A coded concept indicating the current status of the Device Usage.
  value set:
    v: http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1
    l: http://hl7.org/fhir/ValueSet/device-statement-status
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: rim
  map:
    v: .statusCode
mapping:
  identity:
    v: quick
  map:
    v: …status

id:
  v: DeviceUseStatement.subject
path:
  v: DeviceUseStatement.subject
short:
  v: Patient using device
definition:
  v: The patient who used the device.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DeviceUseStatement.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient
    l: us-quality-core-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: quick
  map:
    v: ClinicalStatement.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject

id:
  v: DeviceUseStatement.derivedFrom
path:
  v: DeviceUseStatement.derivedFrom
short:
  v: Supporting information
definition:
  v: Allows linking the DeviceUseStatement to the underlying Request, or to other information that supports or is used to derive the DeviceUseStatement.
comment:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DeviceUseStatement.derivedFrom
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/ServiceRequest
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Procedure
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Claim|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Claim
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/DocumentReference
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: DeviceUseStatement.timing[x]
path:
  v: DeviceUseStatement.timing[x]
short:
  v: How often the device was used
definition:
  v: How often the device was used.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DeviceUseStatement.timing[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Timing
    l: Timing
type:
  code:
    v: Period
    l: Period
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: quick
  map:
    v: DeviceUse.applicationSchedule

id:
  v: DeviceUseStatement.recordedOn
path:
  v: DeviceUseStatement.recordedOn
short:
  v: When statement was recorded
definition:
  v: The time at which the statement was made/recorded.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DeviceUseStatement.recordedOn
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded
mapping:
  identity:
    v: quick
  map:
    v: ClinicalStatement.statementDateTime

id:
  v: DeviceUseStatement.source
path:
  v: DeviceUseStatement.source
short:
  v: Who made the statement
definition:
  v: Who reported the device was being used by the patient.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DeviceUseStatement.source
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/RelatedPerson
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor

id:
  v: DeviceUseStatement.device
path:
  v: DeviceUseStatement.device
short:
  v: Reference to device used
definition:
  v: The details of the device used.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DeviceUseStatement.device
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-device
    l: us-quality-core-device
  target profile:
    v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device|6.1.0
    l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: quick
  map:
    v: DeviceUse.device

id:
  v: DeviceUseStatement.reasonCode
path:
  v: DeviceUseStatement.reasonCode
short:
  v: Why device was used
definition:
  v: Reason or justification for the use of the device.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DeviceUseStatement.reasonCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonCode
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: quick
  map:
    v: Action.indication.reason

id:
  v: DeviceUseStatement.reasonReference
path:
  v: DeviceUseStatement.reasonReference
short:
  v: Why was DeviceUseStatement performed?
definition:
  v: Indicates another resource whose existence justifies this DeviceUseStatement.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DeviceUseStatement.reasonReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/DocumentReference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Media|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Media
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonReference
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: v2
  map:
    v: EVN.4 or by domain
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=RSON].target

id:
  v: DeviceUseStatement.bodySite
path:
  v: DeviceUseStatement.bodySite
short:
  v: Target body site
definition:
  v: Indicates the anotomic location on the subject's body where the device was used ( i.e. the target).
requirements:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DeviceUseStatement.bodySite
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: preferred
  description:
    v: Codes describing anatomical locations. May include laterality.
  value set:
    v: http://hl7.org/fhir/ValueSet/body-site
    l: body-site
mapping:
  identity:
    v: v2
  map:
    v: anatomical location site
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: rim
  map:
    v: targetSiteCode

id:
  v: DeviceUseStatement.note
path:
  v: DeviceUseStatement.note
short:
  v: Addition details (comments, instructions)
definition:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DeviceUseStatement.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.note
mapping:
  identity:
    v: quick
  map:
    v: ClinicalStatement.additionalText

element:
  id:
    v: DeviceUseStatement
  path:
    v: DeviceUseStatement
element:
  id:
    v: DeviceUseStatement.status
  path:
    v: DeviceUseStatement.status
  short:
    v: active | completed | entered-in-error +
element:
  id:
    v: DeviceUseStatement.subject
  path:
    v: DeviceUseStatement.subject
  short:
    v: Patient using device
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient
      l: us-quality-core-patient
element:
  id:
    v: DeviceUseStatement.timing[x]
  path:
    v: DeviceUseStatement.timing[x]
  short:
    v: How often the device was used
element:
  id:
    v: DeviceUseStatement.recordedOn
  path:
    v: DeviceUseStatement.recordedOn
  short:
    v: When statement was recorded
element:
  id:
    v: DeviceUseStatement.device
  path:
    v: DeviceUseStatement.device
  short:
    v: Reference to device used
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-device
      l: us-quality-core-device
    target profile:
      v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device|6.1.0
      l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device
element:
  id:
    v: DeviceUseStatement.bodySite
  path:
    v: DeviceUseStatement.bodySite
  short:
    v: Target body site
  requirements:
    v: 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.
  binding:
    strength:
      v: preferred
    description:
      v: Codes describing anatomical locations. May include laterality.
    value set:
      v: http://hl7.org/fhir/ValueSet/body-site
      l: body-site
  mapping:
    identity:
      v: v2
    map:
      v: anatomical location site