Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: HCIM MedicalDevice Request

MedicalDevice Request as defined by the Dutch Health and Care Information model for PlannedCareActivity (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.

Recording planned appointments, referrals, treatments, diagnostic procedures, open orders and orders of which the results are not yet known gives every recipient, user or healthcare facility insight in the planned healthcare for this patient. This can prevent situations in which diagnostics and treatment can conflict with each other. This will give the recipient the option to place an order, cancel the order or act in any other way in accordance with their own policy. For orders that do not yet have results, the recipient is informed of the fact that potentially relevant results will be made available (which have to be requested).

Usage:

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

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from DeviceRequest

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
identifier		0..*	Identifier	External Request identifier
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
valueCodeableConcept:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
code[x]		1..1		ProductType Binding: ProductTypeCodelijst (extensible): ProductTypeCodelist
codeReference			Reference(HCIM MedicalDevice Product)
codeCodeableConcept			CodeableConcept
subject		1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Focus of request
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or Episode motivating request
Slices for occurrence[x]		0..1	dateTime, Period, Timing	Desired time or schedule for use Slice: Unordered, Open by type:$this
occurrence[x]:occurrencePeriod		0..1	Period	Desired time or schedule for use
start		0..1	dateTime	StartDate
end		0..1	dateTime	EndDate
occurrence[x]:occurrenceDateTime		0..1	dateTime	Desired time or schedule for use
occurrence[x]:occurrenceTiming		0..1	Timing	Desired time or schedule for use
requester		0..1	BackboneElement	Who/what is requesting diagnostics
agent		1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	Individual making the request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
onBehalfOf		0..1	Reference(nl-core-organization)	Organization agent is acting for
performerType
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
performer		0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	Requested Filler
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
note
Slices for author[x]		0..1		Individual responsible for the annotation Slice: Unordered, Open by type:$this
authorReference			Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)
authorString			string
author[x]:authorReference		0..1	Reference(Practitioner | Patient | RelatedPerson)	Individual responsible for the annotation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
author[x]:authorString		0..1	string	Individual responsible for the annotation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DeviceRequest.status.extension:orderStatus.valueCodeableConcept:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
DeviceRequest.code[x]	extensible	ProductTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.1--20171231000000 from this IG
DeviceRequest.performerType.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Request identifier
status	?!Σ	0..1	code	draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required): Codes representing the status of the request.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
intent	?!Σ	1..1	CodeableConcept	proposal | plan | original-order | encoded | reflex-order Binding: RequestIntent (required): The kind of diagnostic request
code[x]	Σ	1..1		ProductType Binding: ProductTypeCodelijst (extensible): ProductTypeCodelist
codeReference			Reference(HCIM MedicalDevice Product)
codeCodeableConcept			CodeableConcept
subject	Σ	1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Focus of request
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or Episode motivating request
Slices for occurrence[x]	Σ	0..1		Desired time or schedule for use Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	Desired time or schedule for use
start	ΣC	0..1	dateTime	StartDate
end	ΣC	0..1	dateTime	EndDate
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	Desired time or schedule for use
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	Desired time or schedule for use
requester	Σ	0..1	BackboneElement	Who/what is requesting diagnostics
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	Individual making the request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
onBehalfOf	Σ	0..1	Reference(nl-core-organization)	Organization agent is acting for
performer	Σ	0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	Requested Filler
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
DeviceRequest.status.extension:orderStatus.value[x]:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent from the FHIR Standard
DeviceRequest.code[x]	extensible	ProductTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.1--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DeviceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	DeviceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Request identifier
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(Resource)	What request fulfills
priorRequest	Σ	0..*	Reference(Resource)	What request replaces
groupIdentifier	Σ	0..1	Identifier	Identifier of composite request
status	?!Σ	0..1	code	draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required): Codes representing the status of the request.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
value		0..1	code	Primitive value for code
intent	?!Σ	1..1	CodeableConcept	proposal | plan | original-order | encoded | reflex-order Binding: RequestIntent (required): The kind of diagnostic request
priority	Σ	0..1	code	Indicates how quickly the {{title}} should be addressed with respect to other requests Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request
code[x]	Σ	1..1		ProductType Binding: ProductTypeCodelijst (extensible): ProductTypeCodelist
codeReference			Reference(HCIM MedicalDevice Product)
codeCodeableConcept			CodeableConcept
subject	Σ	1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Focus of request
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or Episode motivating request
Slices for occurrence[x]	Σ	0..1		Desired time or schedule for use Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	Desired time or schedule for use
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	StartDate
end	ΣC	0..1	dateTime	EndDate
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	Desired time or schedule for use
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	Desired time or schedule for use
authoredOn	Σ	0..1	dateTime	When recorded
requester	Σ	0..1	BackboneElement	Who/what is requesting diagnostics
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	Individual making the request
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf	Σ	0..1	Reference(nl-core-organization)	Organization agent is acting for
performerType	Σ	0..1	CodeableConcept	Fille role Binding: Participant Roles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
text	Σ	0..1	string	Plain text representation of the concept
performer	Σ	0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	Requested Filler
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/Diagnosis Codes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	Σ	0..*	Reference(Resource)	Linked Reason for request
supportingInfo		0..*	Reference(Resource)	Additional clinical information
note		0..*	Annotation	Notes or comments
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for author[x]	Σ	0..1		Individual responsible for the annotation Slice: Unordered, Closed by type:$this
authorReference			Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)
authorString			string
author[x]:authorReference	Σ	0..1	Reference(Practitioner | Patient | RelatedPerson)	Individual responsible for the annotation
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author[x]:authorString	Σ	0..1	string	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
DeviceRequest.status.extension:orderStatus.value[x]:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent from the FHIR Standard
DeviceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority from the FHIR Standard
DeviceRequest.code[x]	extensible	ProductTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.1--20171231000000 from this IG
DeviceRequest.performerType	example	Participant Roles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
DeviceRequest.performerType.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG
DeviceRequest.reasonCode	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DeviceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	DeviceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DeviceRequest

Summary

Structures

This structure refers to these other structures:

• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-location (http://fhir.nl/fhir/StructureDefinition/nl-core-location)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• nl-core-healthcareservice (http://fhir.nl/fhir/StructureDefinition/nl-core-healthcareservice)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/code-specification
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DeviceRequest.occurrence[x]
• The element 1 is sliced based on the value of DeviceRequest.performerType.coding
• The element 1 is sliced based on the value of DeviceRequest.note.author[x]

Differential View

This structure is derived from DeviceRequest

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
identifier		0..*	Identifier	External Request identifier
status
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
valueCodeableConcept:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
code[x]		1..1		ProductType Binding: ProductTypeCodelijst (extensible): ProductTypeCodelist
codeReference			Reference(HCIM MedicalDevice Product)
codeCodeableConcept			CodeableConcept
subject		1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Focus of request
context		0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or Episode motivating request
Slices for occurrence[x]		0..1	dateTime, Period, Timing	Desired time or schedule for use Slice: Unordered, Open by type:$this
occurrence[x]:occurrencePeriod		0..1	Period	Desired time or schedule for use
start		0..1	dateTime	StartDate
end		0..1	dateTime	EndDate
occurrence[x]:occurrenceDateTime		0..1	dateTime	Desired time or schedule for use
occurrence[x]:occurrenceTiming		0..1	Timing	Desired time or schedule for use
requester		0..1	BackboneElement	Who/what is requesting diagnostics
agent		1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	Individual making the request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
onBehalfOf		0..1	Reference(nl-core-organization)	Organization agent is acting for
performerType
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
performer		0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	Requested Filler
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
note
Slices for author[x]		0..1		Individual responsible for the annotation Slice: Unordered, Open by type:$this
authorReference			Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)
authorString			string
author[x]:authorReference		0..1	Reference(Practitioner | Patient | RelatedPerson)	Individual responsible for the annotation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
author[x]:authorString		0..1	string	Individual responsible for the annotation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DeviceRequest.status.extension:orderStatus.valueCodeableConcept:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
DeviceRequest.code[x]	extensible	ProductTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.1--20171231000000 from this IG
DeviceRequest.performerType.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Request identifier
status	?!Σ	0..1	code	draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required): Codes representing the status of the request.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
intent	?!Σ	1..1	CodeableConcept	proposal | plan | original-order | encoded | reflex-order Binding: RequestIntent (required): The kind of diagnostic request
code[x]	Σ	1..1		ProductType Binding: ProductTypeCodelijst (extensible): ProductTypeCodelist
codeReference			Reference(HCIM MedicalDevice Product)
codeCodeableConcept			CodeableConcept
subject	Σ	1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Focus of request
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or Episode motivating request
Slices for occurrence[x]	Σ	0..1		Desired time or schedule for use Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	Desired time or schedule for use
start	ΣC	0..1	dateTime	StartDate
end	ΣC	0..1	dateTime	EndDate
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	Desired time or schedule for use
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	Desired time or schedule for use
requester	Σ	0..1	BackboneElement	Who/what is requesting diagnostics
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	Individual making the request
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
onBehalfOf	Σ	0..1	Reference(nl-core-organization)	Organization agent is acting for
performer	Σ	0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	Requested Filler
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
DeviceRequest.status.extension:orderStatus.value[x]:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent from the FHIR Standard
DeviceRequest.code[x]	extensible	ProductTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.1--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DeviceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	DeviceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DeviceRequest		0..*	DeviceRequest	Medical device request
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Request identifier
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(Resource)	What request fulfills
priorRequest	Σ	0..*	Reference(Resource)	What request replaces
groupIdentifier	Σ	0..1	Identifier	Identifier of composite request
status	?!Σ	0..1	code	draft | active | suspended | completed | entered-in-error | cancelled Binding: RequestStatus (required): Codes representing the status of the request.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
orderStatus		0..1	(Complex)	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: OrderStatusCodelijst (extensible): The status of the order.
value		0..1	code	Primitive value for code
intent	?!Σ	1..1	CodeableConcept	proposal | plan | original-order | encoded | reflex-order Binding: RequestIntent (required): The kind of diagnostic request
priority	Σ	0..1	code	Indicates how quickly the {{title}} should be addressed with respect to other requests Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request
code[x]	Σ	1..1		ProductType Binding: ProductTypeCodelijst (extensible): ProductTypeCodelist
codeReference			Reference(HCIM MedicalDevice Product)
codeCodeableConcept			CodeableConcept
subject	Σ	1..1	Reference(nl-core-patient | Group | nl-core-location | HCIM MedicalDevice Product)	Focus of request
context	Σ	0..1	Reference(HCIM Encounter | nl-core-episodeofcare)	Encounter or Episode motivating request
Slices for occurrence[x]	Σ	0..1		Desired time or schedule for use Slice: Unordered, Closed by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	Desired time or schedule for use
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	StartDate
end	ΣC	0..1	dateTime	EndDate
occurrence[x]:occurrenceDateTime	Σ	0..1	dateTime	Desired time or schedule for use
occurrence[x]:occurrenceTiming	Σ	0..1	Timing	Desired time or schedule for use
authoredOn	Σ	0..1	dateTime	When recorded
requester	Σ	0..1	BackboneElement	Who/what is requesting diagnostics
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(HCIM MedicalDevice Product | nl-core-practitioner | nl-core-organization)	Individual making the request
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf	Σ	0..1	Reference(nl-core-organization)	Organization agent is acting for
performerType	Σ	0..1	CodeableConcept	Fille role Binding: Participant Roles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
text	Σ	0..1	string	Plain text representation of the concept
performer	Σ	0..1	Reference(nl-core-practitioner | nl-core-organization | nl-core-patient | HCIM MedicalDevice Product | nl-core-relatedperson | nl-core-healthcareservice)	Requested Filler
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
reasonCode	Σ	0..*	CodeableConcept	Coded Reason for request Binding: Condition/Problem/Diagnosis Codes (example): Diagnosis or problem codes justifying the reason for requesting the device.
reasonReference	Σ	0..*	Reference(Resource)	Linked Reason for request
supportingInfo		0..*	Reference(Resource)	Additional clinical information
note		0..*	Annotation	Notes or comments
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for author[x]	Σ	0..1		Individual responsible for the annotation Slice: Unordered, Closed by type:$this
authorReference			Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson)
authorString			string
author[x]:authorReference	Σ	0..1	Reference(Practitioner | Patient | RelatedPerson)	Individual responsible for the annotation
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
author[x]:authorString	Σ	0..1	string	Individual responsible for the annotation
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DeviceRequest.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DeviceRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
DeviceRequest.status.extension:orderStatus.value[x]:valueCodeableConcept	extensible	OrderStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2--20171231000000 from this IG
DeviceRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent from the FHIR Standard
DeviceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority from the FHIR Standard
DeviceRequest.code[x]	extensible	ProductTypeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.10.1.1--20171231000000 from this IG
DeviceRequest.performerType	example	Participant Roles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
DeviceRequest.performerType.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG
DeviceRequest.reasonCode	example	Condition/Problem/Diagnosis Codes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	DeviceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DeviceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	DeviceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DeviceRequest

Summary

Structures

This structure refers to these other structures:

• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-location (http://fhir.nl/fhir/StructureDefinition/nl-core-location)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-relatedperson (http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson)
• nl-core-healthcareservice (http://fhir.nl/fhir/StructureDefinition/nl-core-healthcareservice)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/code-specification
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DeviceRequest.occurrence[x]
• The element 1 is sliced based on the value of DeviceRequest.performerType.coding
• The element 1 is sliced based on the value of DeviceRequest.note.author[x]

Other representations of profile: CSV, Excel, Schematron