Release 4 R6 Ballot (1st Full Ballot)

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU v6.0.0-ballot4: Release 6 Ballot (1st Full Ballot) (see Ballot Notes ) in it's permanent home (it will always be available at this URL). ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions for published versions icon . Page versions: R5 R4B R4 R3

12.19 15.21 Resource DeviceRequest - Content

Responsible Owner: Orders and Observations icon Work Group Maturity Level : 1   Trial Use Normative Security Category : Patient Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.

Note to Balloters: To ensure the DeviceRequest resource is ready for Normative status, we are seeking ballot comments on the substantive content. The key changes made since R5 include:

  • DeviceRequest.instantiatesCanonical and DeviceRequest.instantiatesUri have been removed and are replaced with the workflow instantiation extensions .
  • DeviceRequest.code was renamed DeviceRequest.product to follow the request workflow pattern.
  • Added DeviceRequest.location.
  • Updates to search parameters to address the changes.

12.19.1 15.21.1 Scope and Usage

Trial-Use Note: In terms of scope and usage, the Orders and Observations workgroups wish to draw the attention of reviewers and implementers to the following issue: We are seeking input from the implementation community on whether to combine DeviceRequest and VisionPrescription for R4. The parameters element was added to DeviceRequest for representing custom details for ordering devices. With this change, VisionPrescription significantly overlaps DeviceRequest. To illustrate this, the devicerequest-left-lens and devicerequest-right-lens examples are based on the general glasses example in VisionPrescription. This resource is a request resource from a FHIR workflow perspective - see Workflow .

This resource describes the request for the use of a device by a patient. The device may be any pertinent device specified in the Device resource. Examples of devices that may be requested include wheelchair, hearing aids, or an insulin pump. The request may lead to the dispensing delivery of the device to the patient directly, or to, e.g., a surgery suite for use by the patient. an implantation procedure.

The device use request may represent an order or a prescription entered by a practitioner in a CPOE system or a proposal made by a clinical decision support (CDS) system based on a patient's clinical record and context of care.

12.19.2 15.21.2 Boundaries and Relationships

This resource deals with the allocation of a device to a patient and while it may contain instructions on how to use the device, the data about getting the device to the patient is addressed in other resources. For example, certain when requesting an oxygen pump for home use instructions on how to use it may be included. For devices that must be implanted via a surgical or other procedure and the implantation or explantation is represented in the [Procedure](procedure.html) or [ServiceRequest](servicerequest.html) Procedure resource.

The SupplyRequest DeviceRequest resource is similar in that it deals with requesting a particular item represents an authorization for a specific patient. However, DeviceRequest is concerned device to be provided. Details about the fulfillment of the authorization are handled by the Task resource. For further information about this separation of responsibilities, refer to the Fulfillment/Execution icon section of the Request pattern.

VisionPrescription may appear to overlap with items where DeviceRequest, but not completely as there is are specific vision lens specification details that are present in VisionPrescription. To illustrate this, the devicerequest-left-lens and devicerequest-right-lens examples are based on the general glasses example .

To determine the purchase date, a patient focus, search of DeviceRequest, SupplyRequest, DeviceDispense, or instructions regarding their use, whereas SupplyRequest SupplyDelivery as defined in an implementation guide can be done, as the context of the use case actually determines which date of either resource is concerned with inventory management. considered the purchase date.

This resource is referenced by

15.21.3 References to this Resource

12.19.3 15.21.4 Resource Content

Structure

instantiatesUri Σ 0..* uri Instantiates external protocol or definition CodeableConcept Filler role Coded Reason for request Linked
Name Flags Card. Type Description & Constraints      Filter: Filters doco
. . DeviceRequest TU N DomainResource Medical device request

Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . identifier Σ 0..* Identifier External Request identifier
instantiatesCanonical Σ 0..* canonical ( ActivityDefinition | PlanDefinition ) Instantiates FHIR protocol or definition
. . . basedOn Σ 0..* Reference ( Any ) What request fulfills

. . . priorRequest replaces Σ 0..* Reference ( Any DeviceRequest ) What request replaces

. . . status ?! Σ 0..1 code draft | active | on-hold | revoked entered-in-error | ended | completed | entered-in-error revoked | unknown
Binding: RequestStatus ( Required )
. . . intent ?! Σ 1..1 code proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent ( Required )
. . . priority Σ 0..1 code routine | urgent | asap | stat
Request priority Binding: RequestPriority ( Required )
. . code[x] . doNotPerform ?! Σ 0..1 boolean True if the request is to stop or not to start using the device
1..1
. . . product[x] Σ 1..1 Device requested
FHIR Binding: Device Types Type ( Example )
. . . codeReference . productCodeableConcept CodeableConcept
. . . . productReference Reference ( Device )
. . . codeCodeableConcept . productCanonical canonical ( DeviceDefinition )
. . . quantity 0..1 integer Quantity of devices to supply
. . . parameter 0..* BackboneElement Device details

. . . . code 0..1 CodeableConcept Device detail
Binding: Request OrderDetail Parameter Code ( Example )
. . . . value[x] 0..1 Value of detail
. . . . . valueCodeableConcept CodeableConcept
. . . . . valueQuantity Quantity
. . . . . valueRange Range
. . . . . valueBoolean boolean
. . . subject Σ 1..1 Reference ( Patient | Group | Location | Device ) 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 0..1 dateTime When recorded
. . . requester Σ 0..1 Reference ( Device | Practitioner | PractitionerRole | Organization ) Who/what is requesting diagnostics performerType | CareTeam | Group Σ | Patient 0..1 CodeableConcept | RelatedPerson ) Who/what submitted the device request
Participant Roles ( Example )
. . . performer Σ 0..1 Reference CodeableReference ( Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson ) Requested Filler
. . reasonCode . location Σ 0..* CodeableConcept CodeableReference ( Location ) Requested location
Binding: ServiceDeliveryLocationRoleType icon Condition/Problem/Diagnosis Codes ( Example )

. . . reasonReference reason Σ 0..* Reference CodeableReference ( Condition | Observation | DiagnosticReport | DocumentReference ) Coded/Linked Reason for request
Binding: Condition/Problem/Diagnosis Codes ( Example )

. . insurance . asNeeded 0..1 boolean PRN status of request
0..*
. . . asNeededFor 0..1 CodeableConcept Device usage reason
... insurance 0..* Reference ( Coverage | ClaimResponse ) Associated insurance coverage

. . . supportingInfo 0..* Reference ( Any ) Additional clinical information

. . . note 0..* Annotation Notes or comments

. . . relevantHistory 0..* Reference ( Provenance ) Request provenance


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram ( Legend )

DeviceRequest ( DomainResource ) Identifiers assigned to this order by the orderer or by the receiver identifier : Identifier [0..*] The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest instantiatesCanonical : canonical [0..*] « ActivityDefinition | PlanDefinition » The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest instantiatesUri : uri [0..*] Plan/proposal/order fulfilled by this request basedOn : Reference [0..*] « Any » The request takes the place of the referenced completed or terminated request(s) priorRequest replaces : Reference [0..*] « Any DeviceRequest » Composite A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request this is part ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time groupIdentifier : Identifier [0..1] The status of the request (this element modifies the meaning of other elements) status : code [0..1] « Codes representing the status of the request. null (Strength=Required) RequestStatus ! » Whether the request is a proposal, plan, an original order or a reflex order (this element modifies the meaning of other elements) intent : code [1..1] « The kind of diagnostic request. null (Strength=Required) RequestIntent ! » Indicates how quickly the {{title}} request should be addressed with respect to other requests priority : code [0..1] « Identifies the level of importance to be assigned to actioning the request. null (Strength=Required) RequestPriority ! » If true, indicates that the provider is asking for the patient to either stop using or to not start using the specified device or category of devices. For example, the patient has undergone surgery and the provider is indicating that the patient should not wear contact lenses (this element modifies the meaning of other elements) doNotPerform : boolean [0..1] The details of the device to be used code[x] product[x] : Type DataType [1..1] « CodeableConcept | Reference ( Device )| CodeableConcept canonical ; ( DeviceDefinition ); Codes for devices that can be requested. null (Strength=Example) DeviceType ?? » FHIRDeviceTypes The number of devices to be provided quantity ?? » : integer [0..1] The patient who will use the device subject : Reference [1..1] « Patient | Group | Location | Device » An encounter that provides additional context in which this request is made encounter : Reference [0..1] « Encounter » The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013" occurrence[x] : Type DataType [0..1] « dateTime | Period | Timing » When the request transitioned to being actionable authoredOn : dateTime [0..1] The individual or entity who initiated the request and has responsibility for its activation requester : Reference [0..1] « Device | Practitioner | PractitionerRole | Organization » Desired type of performer for doing the diagnostic testing performerType | CareTeam : CodeableConcept | Group [0..1] « Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. (Strength=Example) ParticipantRoles | Patient | RelatedPerson ?? » The desired performer for doing individual or entity to provide the diagnostic testing device to the subject of the request (e.g., patient, location) performer : Reference CodeableReference [0..1] « Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson » Reason or justification for The preferred location(s) where the use of this device should actually be used in coded or free text form. E.g. at home or nursing day care center reasonCode location : CodeableConcept CodeableReference [0..*] « Location ; Diagnosis or problem codes justifying the reason for requesting the device. null (Strength=Example) Condition/Problem/DiagnosisCo... ServiceDeliveryLocationRoleTy... ?? » Reason or justification for the use of this device reasonReference reason : Reference CodeableReference [0..*] « Condition | Observation | DiagnosticReport | DocumentReference ; null (Strength=Example) ConditionProblemDiagnosisCodes ?? » This status is to indicate whether the request is a PRN or may be given as needed asNeeded : boolean [0..1] The reason for using the device asNeededFor : CodeableConcept [0..1] Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service insurance : Reference [0..*] « Coverage | ClaimResponse » Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site) supportingInfo : Reference [0..*] « Any » Details about this request 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 note : Annotation [0..*] Key events in the history of the request relevantHistory : Reference [0..*] « Provenance » Parameter A code or string that identifies the device detail being asserted code : CodeableConcept [0..1] « null (Strength=Example) RequestOrderDetailParameterCo... ?? » The value of the device detail value[x] : Type DataType [0..1] « CodeableConcept | Quantity | Range | boolean » Specific parameters for the ordered item. For example, the prism value for lenses parameter [0..*]

XML Template 

<DeviceRequest xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Request identifier --></identifier>
 <</instantiatesCanonical>
 <

 <basedOn><!-- 0..* Reference(Any) What request fulfills --></basedOn>
 <</priorRequest>
 <</groupIdentifier>
 <
 <
 <
 <</code[x]>

 <replaces><!-- 0..* Reference(DeviceRequest) What request replaces --></replaces>
 <groupIdentifier><!-- 0..1 Identifier Identifier of composite request --></groupIdentifier>
 <status value="[code]"/><!-- 0..1 draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown -->
 <intent value="[code]"/><!-- 1..1 proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option -->
 <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat -->
 <doNotPerform value="[boolean]"/><!-- 0..1 True if the request is to stop or not to start using the device -->
 <product[x]><!-- 1..1 CodeableConcept|Reference(Device)|canonical(
   DeviceDefinition) Device requested --></product[x]>

 <quantity value="[integer]"/><!-- 0..1 Quantity of devices to supply -->

 <parameter>  <!-- 0..* Device details -->
  <</code>

  <code><!-- 0..1 CodeableConcept Device detail --></code>

  <value[x]><!-- 0..1 CodeableConcept|Quantity|Range|boolean Value of detail --></value[x]>
 </parameter>
 <</subject>

 <subject><!-- 1..1 Reference(Device|Group|Location|Patient) Focus of request --></subject>

 <encounter><!-- 0..1 Reference(Encounter) Encounter motivating request --></encounter>
 <occurrence[x]><!-- 0..1 dateTime|Period|Timing Desired time or schedule for use --></occurrence[x]>
 <authoredOn value="[dateTime]"/><!-- 0..1 When recorded -->
 <</requester>
 <</performerType>
 <|
   </performer>
 <</reasonCode>
 <|
   </reasonReference>
 <</insurance>

 <requester><!-- 0..1 Reference(CareTeam|Device|Group|Organization|Patient|
   Practitioner|PractitionerRole|RelatedPerson) Who/what submitted the device request --></requester>

 <performer><!-- 0..1 CodeableReference(CareTeam|Device|HealthcareService|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) Requested Filler --></performer>

 <location><!-- 0..* CodeableReference(Location) Requested location icon --></location>
 <reason><!-- 0..* CodeableReference(Condition|DiagnosticReport|DocumentReference|
   Observation) Coded/Linked Reason for request --></reason>

 <asNeeded value="[boolean]"/><!-- 0..1 PRN status of request -->
 <asNeededFor><!-- 0..1 CodeableConcept Device usage reason --></asNeededFor>
 <insurance><!-- 0..* Reference(ClaimResponse|Coverage) Associated insurance coverage --></insurance>

 <supportingInfo><!-- 0..* Reference(Any) Additional clinical information --></supportingInfo>
 <note><!-- 0..* Annotation Notes or comments --></note>
 <relevantHistory><!-- 0..* Reference(Provenance) Request provenance --></relevantHistory>
</DeviceRequest>

JSON Template 

{doco
  "resourceType" : "DeviceRequest",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Request identifier
  "
  "

  "basedOn" : [{ Reference(Any) }], // What request fulfills
  "
  "
  "
  "
  "
  
  " },
  " },

  "replaces" : [{ Reference(DeviceRequest) }], // What request replaces
  "groupIdentifier" : { Identifier }, // Identifier of composite request
  "status" : "<code>", // draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown
  "intent" : "<code>", // R!  proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
  "priority" : "<code>", // routine | urgent | asap | stat
  "doNotPerform" : <boolean>, // True if the request is to stop or not to start using the device
  // product[x]: Device requested. One of these 3:

  "productCodeableConcept" : { CodeableConcept },
  "productReference" : { Reference(Device) },
  "productCanonical" : "<canonical(DeviceDefinition)>",
  "quantity" : <integer>, // Quantity of devices to supply

  "parameter" : [{ // Device details
    "

    "code" : { CodeableConcept }, // Device detail

    // value[x]: Value of detail. One of these 4:
    " }
    " }
    " }

    "valueCodeableConcept" : { CodeableConcept },
    "valueQuantity" : { Quantity },
    "valueRange" : { Range },

    "valueBoolean" : <boolean>
  }],
  "

  "subject" : { Reference(Device|Group|Location|Patient) }, // R!  Focus of request

  "encounter" : { Reference(Encounter) }, // Encounter motivating request
  // occurrence[x]: Desired time or schedule for use. One of these 3:
  "occurrenceDateTime" : "<dateTime>",
  "occurrencePeriod" : { Period },
  "occurrenceTiming" : { Timing },
  "authoredOn" : "<dateTime>", // When recorded
  "
  "
  "|
   
  "
  "|
   
  "

  "requester" : { Reference(CareTeam|Device|Group|Organization|Patient|
   Practitioner|PractitionerRole|RelatedPerson) }, // Who/what submitted the device request

  "performer" : { CodeableReference(CareTeam|Device|HealthcareService|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Requested Filler

  "location" : [{ CodeableReference(Location) }], // Requested location icon
  "reason" : [{ CodeableReference(Condition|DiagnosticReport|DocumentReference|
   Observation) }], // Coded/Linked Reason for request

  "asNeeded" : <boolean>, // PRN status of request
  "asNeededFor" : { CodeableConcept }, // Device usage reason
  "insurance" : [{ Reference(ClaimResponse|Coverage) }], // Associated insurance coverage

  "supportingInfo" : [{ Reference(Any) }], // Additional clinical information
  "note" : [{ Annotation }], // Notes or comments
  "relevantHistory" : [{ Reference(Provenance) }] // Request provenance
}

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:DeviceRequest;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from 
  # from 
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  # . One of these 2
    fhir:) ]
    fhir: ]
  fhir:
    fhir:
    # . One of these 4
      fhir: ]
      fhir: ]
      fhir: ]
      fhir: ]
  ], ...;
  fhir:
  fhir:
  # . One of these 3
    fhir: ]
    fhir: ]
    fhir: ]
  fhir:
  fhir:
  fhir:
  fhir:|
  
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:

  # from Resource: fhir:id, fhir:meta, fhir:implicitRules, and fhir:language
  # from DomainResource: fhir:text, fhir:contained, fhir:extension, and fhir:modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* External Request identifier
  fhir:basedOn  ( [ Reference(Any) ] ... ) ; # 0..* What request fulfills
  fhir:replaces  ( [ Reference(DeviceRequest) ] ... ) ; # 0..* What request replaces
  fhir:groupIdentifier [ Identifier ] ; # 0..1 Identifier of composite request
  fhir:status [ code ] ; # 0..1 draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown
  fhir:intent [ code ] ; # 1..1 proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
  fhir:priority [ code ] ; # 0..1 routine | urgent | asap | stat
  fhir:doNotPerform [ boolean ] ; # 0..1 True if the request is to stop or not to start using the device
  # product[x] : 1..1 Device requested. One of these 3
    fhir:product [  a fhir:CodeableConcept ; CodeableConcept ]
    fhir:product [  a fhir:Reference ; Reference(Device) ]
    fhir:product [  a fhir:Canonical ; canonical(DeviceDefinition) ]
  fhir:quantity [ integer ] ; # 0..1 Quantity of devices to supply
  fhir:parameter ( [ # 0..* Device details
    fhir:code [ CodeableConcept ] ; # 0..1 Device detail
    # value[x] : 0..1 Value of detail. One of these 4
      fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
      fhir:value [  a fhir:Quantity ; Quantity ]
      fhir:value [  a fhir:Range ; Range ]
      fhir:value [  a fhir:Boolean ; boolean ]
  ] ... ) ;
  fhir:subject [ Reference(Device|Group|Location|Patient) ] ; # 1..1 Focus of request
  fhir:encounter [ Reference(Encounter) ] ; # 0..1 Encounter motivating request
  # occurrence[x] : 0..1 Desired time or schedule for use. One of these 3
    fhir:occurrence [  a fhir:DateTime ; dateTime ]
    fhir:occurrence [  a fhir:Period ; Period ]
    fhir:occurrence [  a fhir:Timing ; Timing ]
  fhir:authoredOn [ dateTime ] ; # 0..1 When recorded
  fhir:requester [ Reference(CareTeam|Device|Group|Organization|Patient|Practitioner|PractitionerRole|
  RelatedPerson) ] ; # 0..1 Who/what submitted the device request

  fhir:performer [ CodeableReference(CareTeam|Device|HealthcareService|Organization|Patient|Practitioner|
  PractitionerRole|RelatedPerson) ] ; # 0..1 Requested Filler

  fhir:location  ( [ CodeableReference(Location) ] ... ) ; # 0..* Requested location
  fhir:reason  ( [ CodeableReference(Condition|DiagnosticReport|DocumentReference|Observation) ] ... ) ; # 0..* Coded/Linked Reason for request
  fhir:asNeeded [ boolean ] ; # 0..1 PRN status of request
  fhir:asNeededFor [ CodeableConcept ] ; # 0..1 Device usage reason
  fhir:insurance  ( [ Reference(ClaimResponse|Coverage) ] ... ) ; # 0..* Associated insurance coverage
  fhir:supportingInfo  ( [ Reference(Any) ] ... ) ; # 0..* Additional clinical information
  fhir:note  ( [ Annotation ] ... ) ; # 0..* Notes or comments
  fhir:relevantHistory  ( [ Reference(Provenance) ] ... ) ; # 0..* Request provenance

]

Changes since R3 from R5 to R6

DeviceRequest
DeviceRequest.instantiatesCanonical DeviceRequest.status
  • Added Element Remove codes revoked , completed
  • Add code ended
DeviceRequest.instantiatesUri DeviceRequest.intent
  • Added Element Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.status DeviceRequest.product[x]
  • Change value set Renamed from http://hl7.org/fhir/ValueSet/request-status code to http://hl7.org/fhir/ValueSet/request-status|4.0.1 product[x]
  • Add Types CodeableConcept, Reference(Device), canonical(DeviceDefinition)
  • Remove Type CodeableReference
DeviceRequest.intent DeviceRequest.requester
  • Type changed Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.location
  • Added Element
DeviceRequest.instantiatesCanonical
  • Deleted
DeviceRequest.instantiatesUri
  • Deleted

Changes from CodeableConcept R4 and R4B to code R6

DeviceRequest
DeviceRequest.replaces
  • Change value set Renamed from http://build.fhir.org/valueset-request-intent.html priorRequest to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 replaces
  • Type Reference: Added Target Type DeviceRequest
  • Type Reference: Removed Target Type Resource
DeviceRequest.priority DeviceRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 Remove codes revoked , completed
  • Default Value "If missing, normal priority" removed Add code ended
DeviceRequest.parameter DeviceRequest.intent
  • Added Element Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.parameter.code DeviceRequest.doNotPerform
  • Added Element
DeviceRequest.parameter.value[x] DeviceRequest.product[x]
  • Added Element Renamed from code[x] to product[x]
  • Add Type canonical(DeviceDefinition)
DeviceRequest.encounter DeviceRequest.quantity
  • Added Element
DeviceRequest.requester
  • Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.performer
  • Type changed from BackboneElement to Reference(Device | Practitioner Reference(Practitioner | PractitionerRole | Organization) Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.performer DeviceRequest.location
  • Type Reference: Added Target Types PractitionerRole, CareTeam Element
DeviceRequest.reasonReference DeviceRequest.reason
  • Type Reference: Added Target Types Condition, Observation, DiagnosticReport, DocumentReference Element
  • Type Reference: Removed Target Type Resource Merged both reasonCode and reasonReference into reason
DeviceRequest.insurance DeviceRequest.asNeeded
  • Added Element
DeviceRequest.asNeededFor
  • Added Element
DeviceRequest.definition DeviceRequest.instantiatesCanonical
  • deleted Deleted
DeviceRequest.instantiatesUri
  • Deleted
DeviceRequest.context DeviceRequest.performerType
  • deleted Deleted (-> performer.concept)
DeviceRequest.requester.agent DeviceRequest.reasonCode
  • deleted Deleted (-> reason.concept)
DeviceRequest.requester.onBehalfOf DeviceRequest.reasonReference
  • deleted Deleted (-> reason.reference)

See the Full Difference for further information

This analysis is available for R4 as XML or JSON . See R3 <--> R4 Conversion Maps (status = 2 tests that all execute ok. 2 fail round-trip testing and 1 r3 resources are invalid (0 errors). ) for R4B as XML or JSON .

Structure

CodeableConcept Filler role Coded Reason for request Linked
Name Flags Card. Type Description & Constraints      Filter: Filters doco
. . DeviceRequest TU N DomainResource Medical device request

Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . 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 ( Any ) What request fulfills

. . . priorRequest replaces Σ 0..* Reference ( Any DeviceRequest ) What request replaces

. . . status ?! Σ 0..1 code draft | active | on-hold | revoked entered-in-error | ended | completed | entered-in-error revoked | unknown
Binding: RequestStatus ( Required )
. . . intent ?! Σ 1..1 code proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent ( Required )
. . . priority Σ 0..1 code routine | urgent | asap | stat
Request priority Binding: RequestPriority ( Required )
. . code[x] . doNotPerform ?! Σ 0..1 boolean True if the request is to stop or not to start using the device
1..1
. . . product[x] Σ 1..1 Device requested
FHIR Binding: Device Types Type ( Example )
. . . codeReference . productCodeableConcept CodeableConcept
. . . . productReference Reference ( Device )
. . . codeCodeableConcept . productCanonical canonical ( DeviceDefinition )
. . . quantity 0..1 integer Quantity of devices to supply
. . . parameter 0..* BackboneElement Device details

. . . . code 0..1 CodeableConcept Device detail
Binding: Request OrderDetail Parameter Code ( Example )
. . . . value[x] 0..1 Value of detail
. . . . . valueCodeableConcept CodeableConcept
. . . . . valueQuantity Quantity
. . . . . valueRange Range
. . . . . valueBoolean boolean
. . . subject Σ 1..1 Reference ( Patient | Group | Location | Device ) 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 0..1 dateTime When recorded
. . . requester Σ 0..1 Reference ( Device | Practitioner | PractitionerRole | Organization ) Who/what is requesting diagnostics performerType | CareTeam | Group Σ | Patient 0..1 CodeableConcept | RelatedPerson ) Who/what submitted the device request
Participant Roles ( Example )
. . . performer Σ 0..1 Reference CodeableReference ( Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson ) Requested Filler
. . reasonCode . location Σ 0..* CodeableConcept CodeableReference ( Location ) Requested location
Binding: ServiceDeliveryLocationRoleType icon Condition/Problem/Diagnosis Codes ( Example )

. . . reasonReference reason Σ 0..* Reference CodeableReference ( Condition | Observation | DiagnosticReport | DocumentReference ) Coded/Linked Reason for request
Binding: Condition/Problem/Diagnosis Codes ( Example )

. . insurance . asNeeded 0..1 boolean PRN status of request
0..*
. . . asNeededFor 0..1 CodeableConcept Device usage reason
... insurance 0..* Reference ( Coverage | ClaimResponse ) Associated insurance coverage

. . . supportingInfo 0..* Reference ( Any ) Additional clinical information

. . . note 0..* Annotation Notes or comments

. . . relevantHistory 0..* Reference ( Provenance ) Request provenance


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram ( Legend )

DeviceRequest ( DomainResource ) Identifiers assigned to this order by the orderer or by the receiver identifier : Identifier [0..*] The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest instantiatesCanonical : canonical [0..*] « ActivityDefinition | PlanDefinition » The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest instantiatesUri : uri [0..*] Plan/proposal/order fulfilled by this request basedOn : Reference [0..*] « Any » The request takes the place of the referenced completed or terminated request(s) priorRequest replaces : Reference [0..*] « Any DeviceRequest » Composite A shared identifier common to multiple independent Request instances that were activated/authorized more or less simultaneously by a single author. The presence of the same identifier on each request this is part ties those requests together and may have business ramifications in terms of reporting of results, billing, etc. E.g. a requisition number shared by a set of lab tests ordered together, or a prescription number shared by all meds ordered at one time groupIdentifier : Identifier [0..1] The status of the request (this element modifies the meaning of other elements) status : code [0..1] « Codes representing the status of the request. null (Strength=Required) RequestStatus ! » Whether the request is a proposal, plan, an original order or a reflex order (this element modifies the meaning of other elements) intent : code [1..1] « The kind of diagnostic request. null (Strength=Required) RequestIntent ! » Indicates how quickly the {{title}} request should be addressed with respect to other requests priority : code [0..1] « Identifies the level of importance to be assigned to actioning the request. null (Strength=Required) RequestPriority ! » If true, indicates that the provider is asking for the patient to either stop using or to not start using the specified device or category of devices. For example, the patient has undergone surgery and the provider is indicating that the patient should not wear contact lenses (this element modifies the meaning of other elements) doNotPerform : boolean [0..1] The details of the device to be used code[x] product[x] : Type DataType [1..1] « CodeableConcept | Reference ( Device )| CodeableConcept canonical ; ( DeviceDefinition ); Codes for devices that can be requested. null (Strength=Example) DeviceType ?? » FHIRDeviceTypes The number of devices to be provided quantity ?? » : integer [0..1] The patient who will use the device subject : Reference [1..1] « Patient | Group | Location | Device » An encounter that provides additional context in which this request is made encounter : Reference [0..1] « Encounter » The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013" occurrence[x] : Type DataType [0..1] « dateTime | Period | Timing » When the request transitioned to being actionable authoredOn : dateTime [0..1] The individual or entity who initiated the request and has responsibility for its activation requester : Reference [0..1] « Device | Practitioner | PractitionerRole | Organization » Desired type of performer for doing the diagnostic testing performerType | CareTeam : CodeableConcept | Group [0..1] « Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. (Strength=Example) ParticipantRoles | Patient | RelatedPerson ?? » The desired performer for doing individual or entity to provide the diagnostic testing device to the subject of the request (e.g., patient, location) performer : Reference CodeableReference [0..1] « Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson » Reason or justification for The preferred location(s) where the use of this device should actually be used in coded or free text form. E.g. at home or nursing day care center reasonCode location : CodeableConcept CodeableReference [0..*] « Location ; Diagnosis or problem codes justifying the reason for requesting the device. null (Strength=Example) Condition/Problem/DiagnosisCo... ServiceDeliveryLocationRoleTy... ?? » Reason or justification for the use of this device reasonReference reason : Reference CodeableReference [0..*] « Condition | Observation | DiagnosticReport | DocumentReference ; null (Strength=Example) ConditionProblemDiagnosisCodes ?? » This status is to indicate whether the request is a PRN or may be given as needed asNeeded : boolean [0..1] The reason for using the device asNeededFor : CodeableConcept [0..1] Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service insurance : Reference [0..*] « Coverage | ClaimResponse » Additional clinical information about the patient that may influence the request fulfilment. For example, this may include where on the subject's body the device will be used (i.e. the target site) supportingInfo : Reference [0..*] « Any » Details about this request 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 note : Annotation [0..*] Key events in the history of the request relevantHistory : Reference [0..*] « Provenance » Parameter A code or string that identifies the device detail being asserted code : CodeableConcept [0..1] « null (Strength=Example) RequestOrderDetailParameterCo... ?? » The value of the device detail value[x] : Type DataType [0..1] « CodeableConcept | Quantity | Range | boolean » Specific parameters for the ordered item. For example, the prism value for lenses parameter [0..*]

XML Template 

<DeviceRequest xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Request identifier --></identifier>
 <</instantiatesCanonical>
 <

 <basedOn><!-- 0..* Reference(Any) What request fulfills --></basedOn>
 <</priorRequest>
 <</groupIdentifier>
 <
 <
 <
 <</code[x]>

 <replaces><!-- 0..* Reference(DeviceRequest) What request replaces --></replaces>
 <groupIdentifier><!-- 0..1 Identifier Identifier of composite request --></groupIdentifier>
 <status value="[code]"/><!-- 0..1 draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown -->
 <intent value="[code]"/><!-- 1..1 proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option -->
 <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat -->
 <doNotPerform value="[boolean]"/><!-- 0..1 True if the request is to stop or not to start using the device -->
 <product[x]><!-- 1..1 CodeableConcept|Reference(Device)|canonical(
   DeviceDefinition) Device requested --></product[x]>

 <quantity value="[integer]"/><!-- 0..1 Quantity of devices to supply -->

 <parameter>  <!-- 0..* Device details -->
  <</code>

  <code><!-- 0..1 CodeableConcept Device detail --></code>

  <value[x]><!-- 0..1 CodeableConcept|Quantity|Range|boolean Value of detail --></value[x]>
 </parameter>
 <</subject>

 <subject><!-- 1..1 Reference(Device|Group|Location|Patient) Focus of request --></subject>

 <encounter><!-- 0..1 Reference(Encounter) Encounter motivating request --></encounter>
 <occurrence[x]><!-- 0..1 dateTime|Period|Timing Desired time or schedule for use --></occurrence[x]>
 <authoredOn value="[dateTime]"/><!-- 0..1 When recorded -->
 <</requester>
 <</performerType>
 <|
   </performer>
 <</reasonCode>
 <|
   </reasonReference>
 <</insurance>

 <requester><!-- 0..1 Reference(CareTeam|Device|Group|Organization|Patient|
   Practitioner|PractitionerRole|RelatedPerson) Who/what submitted the device request --></requester>

 <performer><!-- 0..1 CodeableReference(CareTeam|Device|HealthcareService|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) Requested Filler --></performer>

 <location><!-- 0..* CodeableReference(Location) Requested location icon --></location>
 <reason><!-- 0..* CodeableReference(Condition|DiagnosticReport|DocumentReference|
   Observation) Coded/Linked Reason for request --></reason>

 <asNeeded value="[boolean]"/><!-- 0..1 PRN status of request -->
 <asNeededFor><!-- 0..1 CodeableConcept Device usage reason --></asNeededFor>
 <insurance><!-- 0..* Reference(ClaimResponse|Coverage) Associated insurance coverage --></insurance>

 <supportingInfo><!-- 0..* Reference(Any) Additional clinical information --></supportingInfo>
 <note><!-- 0..* Annotation Notes or comments --></note>
 <relevantHistory><!-- 0..* Reference(Provenance) Request provenance --></relevantHistory>
</DeviceRequest>

JSON Template 

{doco
  "resourceType" : "DeviceRequest",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Request identifier
  "
  "

  "basedOn" : [{ Reference(Any) }], // What request fulfills
  "
  "
  "
  "
  "
  
  " },
  " },

  "replaces" : [{ Reference(DeviceRequest) }], // What request replaces
  "groupIdentifier" : { Identifier }, // Identifier of composite request
  "status" : "<code>", // draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown
  "intent" : "<code>", // R!  proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
  "priority" : "<code>", // routine | urgent | asap | stat
  "doNotPerform" : <boolean>, // True if the request is to stop or not to start using the device
  // product[x]: Device requested. One of these 3:

  "productCodeableConcept" : { CodeableConcept },
  "productReference" : { Reference(Device) },
  "productCanonical" : "<canonical(DeviceDefinition)>",
  "quantity" : <integer>, // Quantity of devices to supply

  "parameter" : [{ // Device details
    "

    "code" : { CodeableConcept }, // Device detail

    // value[x]: Value of detail. One of these 4:
    " }
    " }
    " }

    "valueCodeableConcept" : { CodeableConcept },
    "valueQuantity" : { Quantity },
    "valueRange" : { Range },

    "valueBoolean" : <boolean>
  }],
  "

  "subject" : { Reference(Device|Group|Location|Patient) }, // R!  Focus of request

  "encounter" : { Reference(Encounter) }, // Encounter motivating request
  // occurrence[x]: Desired time or schedule for use. One of these 3:
  "occurrenceDateTime" : "<dateTime>",
  "occurrencePeriod" : { Period },
  "occurrenceTiming" : { Timing },
  "authoredOn" : "<dateTime>", // When recorded
  "
  "
  "|
   
  "
  "|
   
  "

  "requester" : { Reference(CareTeam|Device|Group|Organization|Patient|
   Practitioner|PractitionerRole|RelatedPerson) }, // Who/what submitted the device request

  "performer" : { CodeableReference(CareTeam|Device|HealthcareService|
   Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Requested Filler

  "location" : [{ CodeableReference(Location) }], // Requested location icon
  "reason" : [{ CodeableReference(Condition|DiagnosticReport|DocumentReference|
   Observation) }], // Coded/Linked Reason for request

  "asNeeded" : <boolean>, // PRN status of request
  "asNeededFor" : { CodeableConcept }, // Device usage reason
  "insurance" : [{ Reference(ClaimResponse|Coverage) }], // Associated insurance coverage

  "supportingInfo" : [{ Reference(Any) }], // Additional clinical information
  "note" : [{ Annotation }], // Notes or comments
  "relevantHistory" : [{ Reference(Provenance) }] // Request provenance
}

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:DeviceRequest;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from 
  # from 
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  # . One of these 2
    fhir:) ]
    fhir: ]
  fhir:
    fhir:
    # . One of these 4
      fhir: ]
      fhir: ]
      fhir: ]
      fhir: ]
  ], ...;
  fhir:
  fhir:
  # . One of these 3
    fhir: ]
    fhir: ]
    fhir: ]
  fhir:
  fhir:
  fhir:
  fhir:|
  
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:
  fhir:

  # from Resource: fhir:id, fhir:meta, fhir:implicitRules, and fhir:language
  # from DomainResource: fhir:text, fhir:contained, fhir:extension, and fhir:modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* External Request identifier
  fhir:basedOn  ( [ Reference(Any) ] ... ) ; # 0..* What request fulfills
  fhir:replaces  ( [ Reference(DeviceRequest) ] ... ) ; # 0..* What request replaces
  fhir:groupIdentifier [ Identifier ] ; # 0..1 Identifier of composite request
  fhir:status [ code ] ; # 0..1 draft | active | on-hold | entered-in-error | ended | completed | revoked | unknown
  fhir:intent [ code ] ; # 1..1 proposal | solicit-offer | offer-response | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
  fhir:priority [ code ] ; # 0..1 routine | urgent | asap | stat
  fhir:doNotPerform [ boolean ] ; # 0..1 True if the request is to stop or not to start using the device
  # product[x] : 1..1 Device requested. One of these 3
    fhir:product [  a fhir:CodeableConcept ; CodeableConcept ]
    fhir:product [  a fhir:Reference ; Reference(Device) ]
    fhir:product [  a fhir:Canonical ; canonical(DeviceDefinition) ]
  fhir:quantity [ integer ] ; # 0..1 Quantity of devices to supply
  fhir:parameter ( [ # 0..* Device details
    fhir:code [ CodeableConcept ] ; # 0..1 Device detail
    # value[x] : 0..1 Value of detail. One of these 4
      fhir:value [  a fhir:CodeableConcept ; CodeableConcept ]
      fhir:value [  a fhir:Quantity ; Quantity ]
      fhir:value [  a fhir:Range ; Range ]
      fhir:value [  a fhir:Boolean ; boolean ]
  ] ... ) ;
  fhir:subject [ Reference(Device|Group|Location|Patient) ] ; # 1..1 Focus of request
  fhir:encounter [ Reference(Encounter) ] ; # 0..1 Encounter motivating request
  # occurrence[x] : 0..1 Desired time or schedule for use. One of these 3
    fhir:occurrence [  a fhir:DateTime ; dateTime ]
    fhir:occurrence [  a fhir:Period ; Period ]
    fhir:occurrence [  a fhir:Timing ; Timing ]
  fhir:authoredOn [ dateTime ] ; # 0..1 When recorded
  fhir:requester [ Reference(CareTeam|Device|Group|Organization|Patient|Practitioner|PractitionerRole|
  RelatedPerson) ] ; # 0..1 Who/what submitted the device request

  fhir:performer [ CodeableReference(CareTeam|Device|HealthcareService|Organization|Patient|Practitioner|
  PractitionerRole|RelatedPerson) ] ; # 0..1 Requested Filler

  fhir:location  ( [ CodeableReference(Location) ] ... ) ; # 0..* Requested location
  fhir:reason  ( [ CodeableReference(Condition|DiagnosticReport|DocumentReference|Observation) ] ... ) ; # 0..* Coded/Linked Reason for request
  fhir:asNeeded [ boolean ] ; # 0..1 PRN status of request
  fhir:asNeededFor [ CodeableConcept ] ; # 0..1 Device usage reason
  fhir:insurance  ( [ Reference(ClaimResponse|Coverage) ] ... ) ; # 0..* Associated insurance coverage
  fhir:supportingInfo  ( [ Reference(Any) ] ... ) ; # 0..* Additional clinical information
  fhir:note  ( [ Annotation ] ... ) ; # 0..* Notes or comments
  fhir:relevantHistory  ( [ Reference(Provenance) ] ... ) ; # 0..* Request provenance

]

Changes since Release 3 from R5 to R6

DeviceRequest
DeviceRequest.instantiatesCanonical DeviceRequest.status
  • Added Element Remove codes revoked , completed
  • Add code ended
DeviceRequest.instantiatesUri DeviceRequest.intent
  • Added Element Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.status DeviceRequest.product[x]
  • Change value set Renamed from http://hl7.org/fhir/ValueSet/request-status code to http://hl7.org/fhir/ValueSet/request-status|4.0.1 product[x]
  • Add Types CodeableConcept, Reference(Device), canonical(DeviceDefinition)
  • Remove Type CodeableReference
DeviceRequest.intent DeviceRequest.requester
  • Type changed Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.location
  • Added Element
DeviceRequest.instantiatesCanonical
  • Deleted
DeviceRequest.instantiatesUri
  • Deleted

Changes from CodeableConcept R4 and R4B to code R6

DeviceRequest
DeviceRequest.replaces
  • Change value set Renamed from http://build.fhir.org/valueset-request-intent.html priorRequest to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 replaces
  • Type Reference: Added Target Type DeviceRequest
  • Type Reference: Removed Target Type Resource
DeviceRequest.priority DeviceRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 Remove codes revoked , completed
  • Default Value "If missing, normal priority" removed Add code ended
DeviceRequest.parameter DeviceRequest.intent
  • Added Element Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.parameter.code DeviceRequest.doNotPerform
  • Added Element
DeviceRequest.parameter.value[x] DeviceRequest.product[x]
  • Added Element Renamed from code[x] to product[x]
  • Add Type canonical(DeviceDefinition)
DeviceRequest.encounter DeviceRequest.quantity
  • Added Element
DeviceRequest.requester
  • Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.performer
  • Type changed from BackboneElement to Reference(Device | Practitioner Reference(Practitioner | PractitionerRole | Organization) Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.performer DeviceRequest.location
  • Type Reference: Added Target Types PractitionerRole, CareTeam Element
DeviceRequest.reasonReference DeviceRequest.reason
  • Type Reference: Added Target Types Condition, Observation, DiagnosticReport, DocumentReference Element
  • Type Reference: Removed Target Type Resource Merged both reasonCode and reasonReference into reason
DeviceRequest.insurance DeviceRequest.asNeeded
  • Added Element
DeviceRequest.asNeededFor
  • Added Element
DeviceRequest.definition DeviceRequest.instantiatesCanonical
  • deleted Deleted
DeviceRequest.context DeviceRequest.instantiatesUri
  • deleted Deleted
DeviceRequest.performerType
  • Deleted (-> performer.concept)
DeviceRequest.requester.agent DeviceRequest.reasonCode
  • deleted Deleted (-> reason.concept)
DeviceRequest.requester.onBehalfOf DeviceRequest.reasonReference
  • deleted Deleted (-> reason.reference)

See the Full Difference for further information

This analysis is available for R4 as XML or JSON . See R3 <--> R4 Conversion Maps (status = 2 tests that all execute ok. 2 fail round-trip testing and 1 r3 resources are invalid (0 errors). ) for R4B as XML or JSON .

 

See the Profiles & Extensions and the alternate Additional definitions: Master Definition XML + JSON , XML Schema / Schematron + JSON Schema , ShEx (for Turtle ) + see the extensions , the spreadsheet version & the dependency analysis

12.19.3.1 15.21.4.1 Terminology Bindings

DeviceRequest.code[x] DeviceRequest.performerType
Path Definition ValueSet Type Reference Documentation
DeviceRequest.status Codes representing the status of the request. RequestStatus Required RequestStatus

Codes identifying the lifecycle stage of a request.

DeviceRequest.intent The kind of diagnostic request. RequestIntent Required RequestIntent

Codes indicating the degree of authority/intentionality associated with a request.

DeviceRequest.priority RequestPriority Required

Identifies the level of importance to be assigned to actioning the request. Required RequestPriority

DeviceRequest.product[x] Codes for devices that can be requested. DeviceType Example FHIRDeviceTypes

Codes used to identify medical devices. Includes concepts from SNOMED CT (http://www.snomed.org/) where concept is-a 49062001 (Device) and is provided as a suggestive example.

DeviceRequest.parameter.code A code that identifies the device detail. Unknown RequestOrderDetailParameterCode Example No details provided yet

The order detail parameter codes.

DeviceRequest.location Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ServiceDeliveryLocationRoleType icon Example ParticipantRoles

A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.

DeviceRequest.reasonCode DeviceRequest.reason Diagnosis or problem codes justifying the reason for requesting the device. ConditionProblemDiagnosisCodes Example Condition/Problem/DiagnosisCodes

Example value set for Condition/Problem/Diagnosis codes.

Notes to reviewers: At this time, the code bindings are placeholders to be fleshed out upon further review by the community.

12.19.4 15.21.5 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource , and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

code device Instantiates external protocol or definition DeviceRequest.instantiatesUri
Name Type Description Expression In Common
authored-on date When the request transitioned to being actionable DeviceRequest.authoredOn
based-on reference Plan/proposal/order fulfilled by this request DeviceRequest.basedOn
(Any)
token Code for what is being requested/ordered (DeviceRequest.code as CodeableConcept) 13 Resources device reference Reference to resource that is being requested/ordered (DeviceRequest.code as Reference) DeviceRequest.product.ofType(Reference)
( Device , DeviceDefinition )
encounter reference Encounter during which request was created DeviceRequest.encounter
( Encounter ) 		12 26 Resources
event-date date When service should occur (DeviceRequest.occurrence as dateTime) (DeviceRequest.occurrence.ofType(dateTime)) | (DeviceRequest.occurrence as Period) (DeviceRequest.occurrence.ofType(Period))
group-identifier token Composite request this is part of DeviceRequest.groupIdentifier
identifier token Business identifier for request/order DeviceRequest.identifier 30 58 Resources
instantiates-canonical insurance reference Instantiates FHIR protocol or definition Associated insurance coverage DeviceRequest.instantiatesCanonical DeviceRequest.insurance
( PlanDefinition ClaimResponse , ActivityDefinition Coverage )
instantiates-uri uri intent insurance reference token Associated insurance coverage proposal | plan | original-order |reflex-order DeviceRequest.insurance ( ClaimResponse , Coverage ) DeviceRequest.intent
intent location-code token proposal | plan | original-order |reflex-order The preferred location specified in the DeviceRequest (coded) DeviceRequest.intent DeviceRequest.location.concept
patient reference Individual the service is ordered for DeviceRequest.subject.where(resolve() is Patient)
( Patient ) 		33 60 Resources
performer reference Desired performer for service DeviceRequest.performer ( Practitioner , Organization , CareTeam , Device , Patient , HealthcareService , PractitionerRole , RelatedPerson DeviceRequest.performer.reference
) performer-code token Desired performer for service DeviceRequest.performer.concept
prior-request reference Request takes the place of referenced completed or terminated requests DeviceRequest.priorRequest DeviceRequest.replaces
(Any) ( DeviceRequest )
product token Code for what is being requested/ordered DeviceRequest.product.ofType(CodeableConcept)
requester reference Who/what is requesting service DeviceRequest.requester
( Practitioner , Group , Organization , CareTeam , Device , Patient , PractitionerRole , RelatedPerson )
status token entered-in-error | draft | active |suspended | completed DeviceRequest.status
subject reference Individual the service is ordered for DeviceRequest.subject
( Group , Device , Patient , Location )