CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
2.0.0-cibuild - Release 2 ci-build United States of America flag

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Monthly Event Device

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-device Version: 2.0.0-cibuild
Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalMonthlyDevice

This profile contains Required and Must Support data elements for reporting device information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile covers both implantable and other types of devices and inherits from the QI Core 6.0.0 Device profile, and applies some of the requirements from the US Core 6.1.0 Implantable Device profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Device 0..* QICoreDevice(6.0.0) Item used in healthcare
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... type 1..1 CodeableConcept The kind or type of device
    Binding: DeviceType (extensible)
    ... patient 1..1 Reference(Cross-Measure Patient Profile) (QI-Core) Patient to whom Device is affixed
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Device.status Base required FHIRDeviceStatus 📍4.0.1 FHIR Std.
    Device.type Base extensible Device Type 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Device If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Device If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Device 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()
    dom-5 error Device If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Device A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (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 QICoreDevice

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Device 0..* QICoreDevice(6.0.0) Item used in healthcare
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... status S 0..1 code active | inactive | entered-in-error | unknown
    ... patient 1..1 Reference(Cross-Measure Patient Profile) (QI-Core) Patient to whom Device is affixed
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Device.type Base extensible Device Type 📦4.0.1 FHIR Std.
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Device 0..* QICoreDevice(6.0.0) Item used in healthcare
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... 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: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier 0..* Identifier Instance identifier
    ... definition 0..1 Reference(DeviceDefinition) The reference to the definition for the device
    ... udiCarrier Σ 0..* BackboneElement Unique Device Identifier (UDI) Barcode string
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... deviceIdentifier Σ 0..1 string Mandatory fixed portion of UDI
    .... issuer 0..1 uri UDI Issuing Organization
    .... jurisdiction 0..1 uri Regional UDI authority
    .... carrierAIDC Σ 0..1 base64Binary UDI Machine Readable Barcode String
    .... carrierHRF Σ 0..1 string UDI Human Readable Barcode String
    .... entryType 0..1 code barcode | rfid | manual +
    Binding: UDIEntryType (required): Codes to identify how UDI data was entered.
    ... status ?!SΣ 0..1 code active | inactive | entered-in-error | unknown
    Binding: FHIRDeviceStatus (required): The availability status of the device.
    ... statusReason 0..* CodeableConcept online | paused | standby | offline | not-ready | transduc-discon | hw-discon | off
    Binding: FHIRDeviceStatusReason (extensible): The availability status reason of the device.
    ... distinctIdentifier 0..1 string The distinct identification string
    ... manufacturer 0..1 string Name of device manufacturer
    ... manufactureDate 0..1 dateTime Date when the device was made
    ... expirationDate 0..1 dateTime Date and time of expiry of this device (if applicable)
    ... lotNumber 0..1 string Lot number of manufacture
    ... serialNumber 0..1 string Serial number assigned by the manufacturer
    ... deviceName 0..* BackboneElement The name of the device as given by the manufacturer
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... name 1..1 string The name of the device
    .... type 1..1 code udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other
    Binding: DeviceNameType (required): The type of name the device is referred by.
    ... modelNumber 0..1 string The model number for the device
    ... partNumber 0..1 string The part number of the device
    ... type 1..1 CodeableConcept The kind or type of device
    Binding: DeviceType (extensible)
    ... specialization 0..* BackboneElement The capabilities supported on a device, the standards to which the device conforms for a particular purpose, and used for the communication
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... systemType 1..1 CodeableConcept The standard that is used to operate and communicate
    .... version 0..1 string The version of the standard that is used to operate and communicate
    ... version 0..* BackboneElement The actual design of the device or software version running on the device
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... type 0..1 CodeableConcept The type of the device version
    .... component 0..1 Identifier A single component of the device version
    .... value 1..1 string The version text
    ... property 0..* BackboneElement The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... type 1..1 CodeableConcept Code that specifies the property DeviceDefinitionPropetyCode (Extensible)
    .... valueQuantity 0..* Quantity Property value as a quantity
    .... valueCode 0..* CodeableConcept Property value as a code, e.g., NTP4 (synced to NTP)
    ... patient 1..1 Reference(Cross-Measure Patient Profile) (QI-Core) Patient to whom Device is affixed
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... owner 0..1 Reference(Organization) Organization responsible for device
    ... contact 0..* ContactPoint Details for human/organization for support
    ... location 0..1 Reference(Location) Where the device is found
    ... url 0..1 uri Network address to contact device
    ... note 0..* Annotation Device notes and comments
    ... safety Σ 0..* CodeableConcept Safety Characteristics of Device
    ... parent 0..1 Reference(Device) The parent device

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Device.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    Device.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
    Device.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Device.udiCarrier.entryType Base required UDIEntryType 📍4.0.1 FHIR Std.
    Device.status Base required FHIRDeviceStatus 📍4.0.1 FHIR Std.
    Device.statusReason Base extensible FHIRDeviceStatusReason 📦4.0.1 FHIR Std.
    Device.deviceName.type Base required DeviceNameType 📍4.0.1 FHIR Std.
    Device.type Base extensible Device Type 📦4.0.1 FHIR Std.
    Device.patient.type Base extensible ResourceType 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Device If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Device If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Device 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()
    dom-5 error Device If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Device A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (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 QICoreDevice

    Summary

    Mandatory: 3 elements
    Must-Support: 2 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Maturity: 1

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Device 0..* QICoreDevice(6.0.0) Item used in healthcare
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... type 1..1 CodeableConcept The kind or type of device
    Binding: DeviceType (extensible)
    ... patient 1..1 Reference(Cross-Measure Patient Profile) (QI-Core) Patient to whom Device is affixed
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Device.status Base required FHIRDeviceStatus 📍4.0.1 FHIR Std.
    Device.type Base extensible Device Type 📦4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Device If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Device If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Device 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()
    dom-5 error Device If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Device A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Differential View

    This structure is derived from QICoreDevice

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Device 0..* QICoreDevice(6.0.0) Item used in healthcare
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... status S 0..1 code active | inactive | entered-in-error | unknown
    ... patient 1..1 Reference(Cross-Measure Patient Profile) (QI-Core) Patient to whom Device is affixed
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Device.type Base extensible Device Type 📦4.0.1 FHIR Std.

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Device 0..* QICoreDevice(6.0.0) Item used in healthcare
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... id 0..1 string Unique id for inter-element referencing
    .... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
    .... security Σ 0..* Coding Security Labels applied to this resource
    Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
    .... tag Σ 0..* Coding Tags applied to this resource
    Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
    ... 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: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier 0..* Identifier Instance identifier
    ... definition 0..1 Reference(DeviceDefinition) The reference to the definition for the device
    ... udiCarrier Σ 0..* BackboneElement Unique Device Identifier (UDI) Barcode string
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... deviceIdentifier Σ 0..1 string Mandatory fixed portion of UDI
    .... issuer 0..1 uri UDI Issuing Organization
    .... jurisdiction 0..1 uri Regional UDI authority
    .... carrierAIDC Σ 0..1 base64Binary UDI Machine Readable Barcode String
    .... carrierHRF Σ 0..1 string UDI Human Readable Barcode String
    .... entryType 0..1 code barcode | rfid | manual +
    Binding: UDIEntryType (required): Codes to identify how UDI data was entered.
    ... status ?!SΣ 0..1 code active | inactive | entered-in-error | unknown
    Binding: FHIRDeviceStatus (required): The availability status of the device.
    ... statusReason 0..* CodeableConcept online | paused | standby | offline | not-ready | transduc-discon | hw-discon | off
    Binding: FHIRDeviceStatusReason (extensible): The availability status reason of the device.
    ... distinctIdentifier 0..1 string The distinct identification string
    ... manufacturer 0..1 string Name of device manufacturer
    ... manufactureDate 0..1 dateTime Date when the device was made
    ... expirationDate 0..1 dateTime Date and time of expiry of this device (if applicable)
    ... lotNumber 0..1 string Lot number of manufacture
    ... serialNumber 0..1 string Serial number assigned by the manufacturer
    ... deviceName 0..* BackboneElement The name of the device as given by the manufacturer
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... name 1..1 string The name of the device
    .... type 1..1 code udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other
    Binding: DeviceNameType (required): The type of name the device is referred by.
    ... modelNumber 0..1 string The model number for the device
    ... partNumber 0..1 string The part number of the device
    ... type 1..1 CodeableConcept The kind or type of device
    Binding: DeviceType (extensible)
    ... specialization 0..* BackboneElement The capabilities supported on a device, the standards to which the device conforms for a particular purpose, and used for the communication
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... systemType 1..1 CodeableConcept The standard that is used to operate and communicate
    .... version 0..1 string The version of the standard that is used to operate and communicate
    ... version 0..* BackboneElement The actual design of the device or software version running on the device
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... type 0..1 CodeableConcept The type of the device version
    .... component 0..1 Identifier A single component of the device version
    .... value 1..1 string The version text
    ... property 0..* BackboneElement The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... type 1..1 CodeableConcept Code that specifies the property DeviceDefinitionPropetyCode (Extensible)
    .... valueQuantity 0..* Quantity Property value as a quantity
    .... valueCode 0..* CodeableConcept Property value as a code, e.g., NTP4 (synced to NTP)
    ... patient 1..1 Reference(Cross-Measure Patient Profile) (QI-Core) Patient to whom Device is affixed
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... owner 0..1 Reference(Organization) Organization responsible for device
    ... contact 0..* ContactPoint Details for human/organization for support
    ... location 0..1 Reference(Location) Where the device is found
    ... url 0..1 uri Network address to contact device
    ... note 0..* Annotation Device notes and comments
    ... safety Σ 0..* CodeableConcept Safety Characteristics of Device
    ... parent 0..1 Reference(Device) The parent device

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Device.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
    Device.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
    Device.language Base preferred Common Languages 📦4.0.1 FHIR Std.
    Device.udiCarrier.entryType Base required UDIEntryType 📍4.0.1 FHIR Std.
    Device.status Base required FHIRDeviceStatus 📍4.0.1 FHIR Std.
    Device.statusReason Base extensible FHIRDeviceStatusReason 📦4.0.1 FHIR Std.
    Device.deviceName.type Base required DeviceNameType 📍4.0.1 FHIR Std.
    Device.type Base extensible Device Type 📦4.0.1 FHIR Std.
    Device.patient.type Base extensible ResourceType 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    dom-2 error Device If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
    dom-3 error Device If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4 error Device 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()
    dom-5 error Device If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
    dom-6 best practice Device A resource should have narrative for robust management text.`div`.exists()
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (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 QICoreDevice

    Summary

    Mandatory: 3 elements
    Must-Support: 2 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Maturity: 1

     

    Other representations of profile: CSV, Excel, Schematron