Medical Devices

The medical devices section contains narrative text and coded entries describing the patient history of medical device use.

Device Use Statement

Tree View

statusS
identifier..0
whenUsedS1..
identifier..0
identifier..0
indicationCodeable Concept
codingScoding with translations
DeviceUseStatement.status
Must SupportTrue
DeviceUseStatement.subject
Definition

The patient using the device.

TypeReference(Patient-uv-ips)
Must SupportTrue
DeviceUseStatement.subject.identifier
Cardinality..0
DeviceUseStatement.whenUsed
Cardinality1
Must SupportTrue
DeviceUseStatement.source.identifier
Cardinality..0
DeviceUseStatement.device
TypeReference(Device)
Must SupportTrue
DeviceUseStatement.device.identifier
Cardinality..0
DeviceUseStatement.indication
TypeCodeable Concept
DeviceUseStatement.bodySite
Must SupportTrue
DeviceUseStatement.bodySite.coding
Typecoding with translations
Binding

http://hl7.org/fhir/ValueSet/body-site (example)

Must SupportTrue

Device

Tree View

system..0
version..0
codeFixed Value
displayFixed Value
userSelected..0
valueS
codingcoding with translations
systemS1..Fixed Value
codeS1..
deviceSCodeable ConceptBinding
manufactureDate
expirationDate
referenceS
identifier..0
Device
Comments

This profile applies the rules defined by HL7 International for representing the UDI in the FHIR standard, by the document "Medical Devices and Unique Device Identification (UDI) Pattern, Release 1"

Device.identifier
Cardinality..1
Must SupportTrue
Device.identifier.type
Definition

The type of identifier represents "serial number" (SNO)

Must SupportTrue
Device.identifier.type.coding.system
Cardinality..0
Device.identifier.type.coding.version
Cardinality..0
Device.identifier.type.coding.code
Fixed Value
SNO
Device.identifier.type.coding.display
Fixed Value
serial number
Device.identifier.type.coding.userSelected
Cardinality..0
Device.identifier.value
Definition

The serial number of the medical device

Must SupportTrue
Device.type
Comments

The FHIR-defined value set is different from the value set "IPS Medical Devices" defined by the IPS CDA IG: http://art-decor.org/art-decor/decor-valuesets--hl7ips-?id=2.16.840.1.113883.11.22.23&effectiveDate=2017-07-19T00:00:00&language=en-US

Slicing

Unordered, Open, by coding.system(Value)

Device.type.coding
Typecoding with translations
Device.type:absentOrUnknownDevice
TypeCodeable Concept
Binding

Codes for absent or for unknown devices

IPSNoDevicesInfos (required)

Must SupportTrue
Device.type:absentOrUnknownDevice.coding
Cardinality1..1
Must SupportTrue
Device.type:absentOrUnknownDevice.coding.system
Cardinality1
Must SupportTrue
Fixed Value
http://hl7.org/fhir/ips/CodeSystem/absent-unknown
Device.type:absentOrUnknownDevice.coding.code
Cardinality1
Must SupportTrue
Device.type:device
TypeCodeable Concept
Binding

IPSMedicalDevices (preferred)

Must SupportTrue
Device.manufactureDate
Definition

The date and time when the device was manufactured. If hour is present, minutes and seconds should be both set to "00"

Device.expirationDate
Definition

The date and time beyond which this device is no longer valid or should not be used (if applicable). If hour is present, minutes and seconds should be both set to "00".

Device.patient
Cardinality1
TypeReference(Patient-uv-ips)
Must SupportTrue
Device.patient.reference
Must SupportTrue
Device.patient.identifier
Cardinality..0