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# Template IPS Medical Device

Id | 2.16.840.1.113883.10.22.4.26 | Effective Date | 2026‑01‑07 12:04:32
Status | Draft | Version Label | STU2
Name | IPSMedicalDevice | Display Name | IPS Medical Device
Description | The medical devices entry content module describes the kind of device that is, or has been used by the patient
Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.4.26
Classification | CDA Entry Level Template
Open/Closed | Open (other than defined elements are allowed)
Associated with |
Associated with 6 concepts
Id | Name | Dataset
--- | --- | ---
hl7ips-dataelement-150 | Use end date | CEN/TC 251 prEN 17269
hl7ips-dataelement-218 | Device content Status | CEN/TC 251 prEN 17269
hl7ips-dataelement-57 | Device | CEN/TC 251 prEN 17269
hl7ips-dataelement-58 | Device Type | CEN/TC 251 prEN 17269
hl7ips-dataelement-59 | Use start date | CEN/TC 251 prEN 17269
hl7ips-dataelement-60 | Device Identifier | CEN/TC 251 prEN 17269
Used by / Uses |
Used by 0 transactions and 2 templates, Uses 0 templates
Used by | as | Name | Version
--- | --- | --- | ---
2.16.840.1.113883.10.22.3.6 | Containment | IPS Medical Devices Section (2021) | 2021‑10‑20 17:11:42
2.16.840.1.113883.10.22.1.2 |  | International Patient Summary (2024) | 2024‑08‑02 13:02:39
Relationship | Adaptation: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.5 Medical Devices (2013‑12‑20) ref epsos-
Example |
Example
<supply moodCode="EVN" classCode="SPLY"> <templateId root="2.16.840.1.113883.10.22.4.26"/> <id root="2.16.840.1.113883.19.811.3"/> <text> <reference value="#dev_1"/> </text> <effectiveTime type="IVL_TS"> <low value="20070728"/> </effectiveTime> <participant typeCode="DEV"> <participantRole classCode="MANU"> <id/> <playingDevice classCode="DEV" determinerCode="INSTANCE"> <code code="304184000" displayName="Ankle joint implant" codeSystem="2.16.840.1.113883.6.96"/> </playingDevice> </participantRole> </participant></supply>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:supply |  |  | R | The element shall be present. The moodCode attribute shall be EVN to reflect that a medical device has been provided. |
@classCode | cs | 1 … 1 | F | SPLY
@moodCode | cs | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.26
hl7:id | II | 0 … * | R | This optional element identifies the provision of the device (e.g. implant procedure) |
hl7:text | ED | 0 … 1 | R |  |
hl7:reference | TEL | 1 … 1 | M |  |
@value | url | 1 … 1 | R | Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:effectiveTime | IVL_TS | 1 … 1 | R |  |
@xsi:type | st | 1 … 1 | F | IVL_TS
hl7:low | TS | 1 … 1 | R | The lower bound of the interval represents the start date/time. |
hl7ips-dataelement-59 | Use start date | CEN/TC 251 prEN 17269
hl7:high | TS | 0 … 1 | C | The upper bound represents the end date/time. If it is not present, the device is still used by or present in the patient. |
hl7ips-dataelement-150 | Use end date | CEN/TC 251 prEN 17269
hl7:expectedUseTime | IVL_TS | 0 … 1 | R | This element provides the interval of time corresponding to the device usage by/presence in the patient. |
@xsi:type | st | 1 … 1 | F | IVL_TS
hl7:low | TS | 1 … 1 | R | The lower bound of the interval represents the start date/time. |
hl7:high | TS | 0 … 1 | C | The upper bound represents the end date/time. If it is not present, the device is still used by or present in the patient. |
hl7:participant |  | 1 … * | R | The device is represented as a participant in the supply structure. The following descriptions apply to the device structure. |
hl7ips-dataelement-57 | Device | CEN/TC 251 prEN 17269
@typeCode | cs | 1 … 1 | F | DEV
| Example | <participant typeCode="DEV"> <participantRole classCode="MANU"> <id root="1.2.3.999" extension="__example_only__"/> <playingDevice classCode="DEV" determinerCode="INSTANCE"> <code code="" codeSystem=""/> <!-- ... --> </playingDevice> </participantRole></participant>
| Example | Presence of implanted device not known (situation) <participant typeCode="DEV"> <participantRole classCode="MANU"> <playingDevice> <code code="000000" codeSystem="2.16.840.1.113883.6.96" displayName="Presence of implanted device not known (situation)"/> </playingDevice> <scopingEntity> <id root="2.16.840.1.113883.3.3719"/> </scopingEntity> </participantRole></participant>
| Example | No implant in situ (situation) <participant typeCode="DEV"> <participantRole classCode="MANU"> <playingDevice> <code code="000000" codeSystem="2.16.840.1.113883.6.96" displayName="No implant in situ (situation)"/> </playingDevice> <scopingEntity> <id root="2.16.840.1.113883.3.3719"/> </scopingEntity> </participantRole></participant>
hl7:participantRole |  | 1 … 1 | R |  |
@classCode | cs | 1 … 1 | F | MANU
hl7:id | II | 0 … * | R | The device ID, e.g. using UDI, is represented by the id element of the participant role. This element is optional, as not all production identifiers (e.g., serial number, lot/batch number, distinct identification number) may be known to the provider or patient. |
hl7ips-dataelement-60 | Device Identifier | CEN/TC 251 prEN 17269
| Example | UDI GS1: DeviceIdentifier 00844588003288, Serial# 10987654d321, Lot# 7654321D <id root="2.16.840.1.113883.3.3719" extension="{01}00844588003288{17}141120{10}7654321D{21}10987654d321"/>
| Example | UDI ICCBBA: DeviceIdentifier 00844588003288 <id root="2.16.840.1.113883.3.3719" extension="A9999XYZ100T0474"/>
| Example | UDI HIBCC: Serial# XYZ456789012345678, Lot# LOT123456789012345 <id root="2.16.840.1.113883.3.3719" extension="+H123PARTNO1234567890120/$$420020216LOT123456789012345/SXYZ456789012345678/16D20130202C"/>
hl7:playingDevice |  | 1 … 1 | R | The playingDevice element describes the device instance. |
@classCode | cs | 1 … 1 | F | DEV
@determinerCode | cs | 1 … 1 | F | INSTANCE
hl7:code | CE.IPS (preferred) | 1 … 1 | R | The device code describes the type of device (e.g. arm prosthesis, arterial stent). |
hl7ips-dataelement-218 | Device content Status | CEN/TC 251 prEN 17269
hl7ips-dataelement-58 | Device Type | CEN/TC 251 prEN 17269
| CONF |
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.23 IPS Medical Devices (DYNAMIC)
or
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.61 Absent or Unknown Devices (DYNAMIC)