<?xml version=“1.0” encoding=“UTF-8”?> <DeviceUseStatement xmlns=“hl7.org/fhir”>
<id value="example"/> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <identifier> <system value="http:goodhealth.org/identifiers"/> <value value="51ebb7a9-4e3a-4360-9a05-0cc2d869086f"/> </identifier> <status value="active"/> <subject> <reference value="Patient/example"/> </subject> <device> <reference value="Device/example"/> </device> <reasonReference> <reference value="Condition/example"/> <display value="Appendectomy (surgery)"/> </reasonReference>
</DeviceUseStatement>