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Packagehl7.fhir.uv.cardx-cied
Resource TypeImplementationGuide
IdImplementationGuide-hl7.fhir.uv.cardx-cied.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7/CardX-CIED/index.html
URLhttp://hl7.org/fhir/uv/cardx-cied/ImplementationGuide/hl7.fhir.uv.cardx-cied
Version1.0.0
Statusactive
Date2026-01-08T02:51:03+00:00
NameCardXCIED
TitleCardX - Cardiac Implantable Electronic Devices
Realmuv
Authorityhl7

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ImplementationGuide hl7.fhir.uv.cardx-cied

Language: en

CardXCIED

The official URL for this implementation guide is:

http://hl7.org/fhir/uv/cardx-cied/ImplementationGuide/hl7.fhir.uv.cardx-cied

Source1

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  "id": "hl7.fhir.uv.cardx-cied",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cic"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    }
  ],
  "url": "http://hl7.org/fhir/uv/cardx-cied/ImplementationGuide/hl7.fhir.uv.cardx-cied",
  "version": "1.0.0",
  "name": "CardXCIED",
  "title": "CardX - Cardiac Implantable Electronic Devices",
  "status": "active",
  "date": "2026-01-08T02:51:03+00:00",
  "publisher": "HL7 International / Clinical Interoperability Council",
  "contact": [
    {
      "name": "HL7 International / Clinical Interoperability Council",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cic"
        },
        {
          "system": "email",
          "value": "ciclist@lists.hl7.org"
        }
      ]
    }
  ],
  "jurisdiction": [
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      "coding": [
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          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
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  ],
  "packageId": "hl7.fhir.uv.cardx-cied",
  "license": "CC0-1.0",
  "fhirVersion": [
    "5.0.0"
  ],
  "dependsOn": [
    {
      "id": "hl7tx",
      "extension": [
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          "valueMarkdown": "Automatically added as a dependency - all IGs depend on HL7 Terminology"
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      ],
      "uri": "http://terminology.hl7.org/ImplementationGuide/hl7.terminology",
      "packageId": "hl7.terminology.r5",
      "version": "7.0.1"
    },
    {
      "id": "hl7ext",
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      "uri": "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
      "packageId": "hl7.fhir.uv.extensions.r5",
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  ],
  "definition": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
        "valueCode": "hl7.fhir.uv.tools.r5#0.9.0"
      }
    ],
    "resource": [
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CapabilityStatement"
          }
        ],
        "reference": {
          "reference": "CapabilityStatement/cied-data-sender"
        },
        "name": "CardX CIED Connectivity Server Capability Statement",
        "description": "This capability statement describes the requirements for systems that make CIED Connectivity data available.",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "CodeSystem"
          }
        ],
        "reference": {
          "reference": "CodeSystem/CardXCIED"
        },
        "name": "CardX CIED FHIR IG Code System",
        "description": "Codes system for CardX CIED FHIR Implementation Guide Codes.",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/cied-connectivity-state-modifier-vs"
        },
        "name": "CIED Connectivity Status Modifier Value Set",
        "description": "Additional modifiers to connectivity status as calculated by the CIED manufacturer",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/cied-connectivity-state-vs"
        },
        "name": "CIED Connectivity Status Value Set",
        "description": "The overall system connectivity status as calculated by the CIED manufacturer",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:extension"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/cied-device-extension"
        },
        "name": "CIED Device Extension",
        "description": "Extension to represent cardiac implantable device(s) which generated the observation.",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/cied-monitor-types-vs"
        },
        "name": "CIED Monitor Types",
        "description": "The type of CIED monitor",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/cied-patient-identifier"
        },
        "name": "CIED Patient Identifier",
        "description": "Identifier which can be used to identify CIED patients.",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/cied-device"
        },
        "name": "Device - Cardiovascular Implantable Electronic Device (CIED)",
        "description": "\nThe CardX CIED Device profile is interoperable with ISO/IEEE 11073-10103 - Implantable device, cardiac. The cardinality of the profile aligns with the\noptionality of the ISO/IEEE 11073/10103 terms.\n\nThe following data-elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). \nWithin IEEE 11073-10103, MDC_IDC_DEV contains the following data elements:\nMDC_IDC_DEV_TYPE,\nMDC_IDC_DEV_MODEL,\nMDC_IDC_DEV_SERIAL,\nMDC_IDC_DEV_MFG",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/cied-monitor"
        },
        "name": "Device - CIED Monitor Profile",
        "description": "\nThe CardX Device - CIED Monitor profile inherits characteristics from ISO/IEEE 11073-10103 - Implantable device, cardiac. \nThe same CIED Device data elements that are included in ISO/IEEE 11073-10103, are must support for CIED Monitors in the FHIR profile.",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "ValueSet"
          }
        ],
        "reference": {
          "reference": "ValueSet/MDCIDCDeviceTypes"
        },
        "name": "MDC IDC Device Types",
        "description": "ValueSet for ISO/IEEE 11073-10103 Nomenclature Codes for MDC_IDC_ENUM_DEV_TYPE (Device Type).",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/cied-connectivity-status"
        },
        "name": "Observation - CIED Connectivity",
        "description": "\nProfile of the observation resource to present the most recent connectivity status and associated information for a CIED/Monitor combination.\nIn most instances there will be one observation per CIED/monitor pair per patient, however some manufacturers may allow multiple CIEDs implanted in a patient to connect to a single monitor and have a single connectivity status for the entire system of devices.\n\nCIEDs and monitors connect at regular intervals to exchange data ranging from every few minutes to every other week depending on the device/monitor configuration and manufacturer. \nThe connectivity observation profile is a snapshot in time and is not intended to be used to query historical log information that may have been captured by the remote monitoring IoT platform. \nA single observation will be returned for every CIED/monitor pair.\n\nConnectivity status is based on the actual time difference between the most recent successful communication and the present date. \nTo manage disconnected patients, manufacturers have implemented additional functionality in their platforms. The connectivity modifier is included to represent an action performed by the user or business logic applied by the manufacturer.\nExamples of these are a user suspending a patient from appearing on the disconnected list in the remote monitoring system or the system automatically marking a patient as inactive after a prolonged disconnection period to remove them from\nappearing on the disconnected list in the user interface.",
        "isExample": false
      },
      {
        "extension": [
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            "valueString": "StructureDefinition:resource"
          }
        ],
        "reference": {
          "reference": "StructureDefinition/cied-patient"
        },
        "name": "Patient - CIED Patient Profile",
        "description": "The CardX CIED patient profile is interoperable with the PID segment of the IHE Patient Care Device Technical Framework, Vol. 2,\nSection 3.9 - Communicate IDC Observations. The data elements in the FHIR profile are aligned, including allowing for the use of a concatenated Device Model and Serial Number \nto represent a unique patient identifier.",
        "isExample": false
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc1ACMEICD"
        },
        "name": "uc1ACMEICD",
        "description": "An example CIED device for CIED connectivity example 1.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/uc1ACMEPatient"
        },
        "name": "uc1ACMEPatient",
        "description": "An example CIED patient for CIED connectivity example 1.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-patient"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/uc1ConnectivityACME"
        },
        "name": "uc1ConnectivityACME",
        "description": "An example CIED connectivity status for CIED connectivity example 1.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-connectivity-status"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc2ACMEPacemaker"
        },
        "name": "uc2ACMEPacemaker",
        "description": "An example CIED device for CIED connectivity example 2.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/uc2ACMEPatient"
        },
        "name": "uc2ACMEPatient",
        "description": "An example CIED patient for CIED connectivity example 2.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-patient"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc2CIEDMonitor"
        },
        "name": "uc2CIEDMonitor",
        "description": "An example CIED monitor for CIED connectivity example 2.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-monitor"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/uc2ConnectivityACME"
        },
        "name": "uc2ConnectivityACME",
        "description": "An example CIED connectivity status for CIED connectivity example 2.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-connectivity-status"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc3ACMEPacemaker"
        },
        "name": "uc3ACMEPacemaker",
        "description": "An example CIED device for CIED connectivity example 3.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/uc3ACMEPatient"
        },
        "name": "uc3ACMEPatient",
        "description": "An example CIED patient for CIED connectivity example 3.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-patient"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc3CIEDMonitor"
        },
        "name": "uc3CIEDMonitor",
        "description": "An example CIED monitor for CIED connectivity example 3.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-monitor"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/uc3ConnectivityACME"
        },
        "name": "uc3ConnectivityACME",
        "description": "An example CIED connectivity status for CIED connectivity example 3.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-connectivity-status"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc4ACMEPacemaker"
        },
        "name": "uc4ACMEPacemaker",
        "description": "An example CIED device for CIED connectivity example 4.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/uc4ACMEPatient"
        },
        "name": "uc4ACMEPatient",
        "description": "An example CIED patient for CIED connectivity example 4.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-patient"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc4CIEDMonitor"
        },
        "name": "uc4CIEDMonitor",
        "description": "An example CIED monitor for CIED connectivity example 4.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-monitor"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/uc4ConnectivityACME"
        },
        "name": "uc4ConnectivityACME",
        "description": "An example CIED connectivity status for CIED connectivity example 4.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-connectivity-status"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc5ACMEPacemaker"
        },
        "name": "uc5ACMEPacemaker",
        "description": "An example CIED device for CIED connectivity example 5.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-device"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Patient"
          }
        ],
        "reference": {
          "reference": "Patient/uc5ACMEPatient"
        },
        "name": "uc5ACMEPatient",
        "description": "An example CIED patient for CIED connectivity example 5.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-patient"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Device"
          }
        ],
        "reference": {
          "reference": "Device/uc5CIEDMonitor"
        },
        "name": "uc5CIEDMonitor",
        "description": "An example CIED monitor for CIED connectivity example 5.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-monitor"
        ]
      },
      {
        "extension": [
          {
            "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
            "valueString": "Observation"
          }
        ],
        "reference": {
          "reference": "Observation/uc5ConnectivityACME"
        },
        "name": "uc5ConnectivityACME",
        "description": "An example CIED connectivity status for CIED connectivity example 5.",
        "isExample": true,
        "profile": [
          "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/cied-connectivity-status"
        ]
      }
    ],
    "page": {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode": "informative"
        }
      ],
      "sourceUrl": "toc.html",
      "name": "toc.html",
      "title": "Table of Contents",
      "generation": "html",
      "page": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
              "valueCode": "informative"
            }
          ],
          "sourceUrl": "index.html",
          "name": "index.html",
          "title": "Home",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
              "valueCode": "informative"
            }
          ],
          "sourceUrl": "Background.html",
          "name": "Background.html",
          "title": "Background",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
              "valueCode": "informative"
            }
          ],
          "sourceUrl": "connectivity-status.html",
          "name": "connectivity-status.html",
          "title": "Connectivity Status",
          "generation": "markdown"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
              "valueCode": "informative"
            }
          ],
          "sourceUrl": "history.html",
          "name": "history.html",
          "title": "History",
          "generation": "markdown"
        }
      ]
    },
    "parameter": [
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "copyrightyear"
        },
        "value": "2025+"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "releaselabel"
        },
        "value": "STU 1"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "apply-contact"
        },
        "value": "true"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "apply-jurisdiction"
        },
        "value": "true"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "apply-publisher"
        },
        "value": "true"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "apply-version"
        },
        "value": "true"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "globals-in-artifacts"
        },
        "value": "true"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "path-history"
        },
        "value": "http://hl7.org/fhir/uv/cardx-cied/history.html"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
          "code": "autoload-resources"
        },
        "value": "true"
      },
      {
        "code": {
          "system": "http://hl7.org/fhir/guide-parameter-code",
          "code": "path-resource"
        },
        "value": "input/capabilities"
      },
      {
        "code": {
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