<DeviceUseStatement xmlns="http://hl7.org/fhir">
  <id value="core-examples-DeviceUseStatement-example" />
  <meta>
    <versionId value="1" />
    <lastUpdated value="2016-09-08T11:37:49.412+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">To be filled out at a later time</div>
  </text>
  <device>
    <reference value="Device/example" />
  </device>
  <subject>
    <reference value="Patient/example" />
  </subject>
</DeviceUseStatement>