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  1. FHIR Specification Feedback
  2. FHIR-32382

Device Resource Scope and Usage and Boundaries and Relationships Clarification

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R5
    • Orders & Observations
    • Device
      DeviceUsage (DeviceUseStatement)
    • 8.14.1, 8.14.2
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      For this issue FHIR-20574: Motion to accept the boundary and scope document (Device Scope-Boundary-Relationships) as published and then disposition the following JIRAs accordingly.

        • FHIR-32382 - Device Resource Scope and Usage and Boundaries and Relationships Clarification
        • FHIR-32277 - Update Boundaries and Relationship section prior to considering the content Normative
        • FHIR-32276 - Update the Device Scope and Usage text
        • FHIR-32408 - DeviceMetric resource listed as device related resource, but the Device resource does not reference it
        • FHIR-32681- Improve Device documentation for software use case
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      For this issue  FHIR-20574 : Motion to accept the boundary and scope document ( Device Scope-Boundary-Relationships ) as published and then disposition the following JIRAs accordingly. FHIR-32382  - Device Resource Scope and Usage and Boundaries and Relationships Clarification FHIR-32277  - Update Boundaries and Relationship section prior to considering the content Normative FHIR-32276  - Update the Device Scope and Usage text FHIR-32408  - DeviceMetric resource listed as device related resource, but the Device resource does not reference it FHIR-32681 - Improve Device documentation for software use case
    • Marti Velezis / Javier Espina: 10-0-0
    • Enhancement
    • Compatible, substantive
    • R5

    Description

      The Device Scope and Usage is very specific about the fact a Device may have a UDI. I clearly understand the benefits of a UDI especially for implanted devices. And the Cardinality for Device UDI is 0..1. However, the Scope and Usage second paragraph could be more explicit about how to handle a device that does not have a UDI, specifically reusable and disposable non-implantable devices.
      Boundaries and Relationships - Should have some clarification about how documentation about use of a device (especially non-implantable devices). The DeviceManifest resource seems to be the R5 version of DeviceUseStatement is DeviceManifest which seems to be a document for text description of what happened with respect to a device. However, it is not clear if information about a placement/removal of implantable device or use of a device should be handled as a Procedure or, for information about patient usage as an Observation (e.g., use of a wheelchair or other assistive device, or use of a monitoring device such as a glucometer, or use of a treatment device such as a CPAP machine). Clarity is very important for consistency.

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            costateixeira Jose Costa-Teixeira
            feisenberg Floyd Eisenberg
            Floyd Eisenberg
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            Dates

              Created:
              Updated:
              Resolved: