{
  "resourceType": "DeviceUseStatement",
  "id": "core-examples-DeviceUseStatement-example",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2016-09-08T11:37:49.412+00:00"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">To be filled out at a later time</div>"
  },
  "device": {
    "reference": "Device/example"
  },
  "subject": {
    "reference": "Patient/example"
  }
}