<?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>