FHIR Release 3 (STU) CI-Build

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions icon . Page versions: R5 R4B R4 R3 R2

Responsible Owner: Clinical Decision Support icon Work Group   Normative Maturity Level : 1   Trial Use Security Category : Patient Compartments : Device , Group , Patient , Practitioner

Detailed Descriptions for the elements in the RiskAssessment resource.

Control Control Control Control Control Control Control Control Control Control Control Control Control Control Control Control
Definition Element Id RiskAssessment
Definition

An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.

Short Display Potential outcomes for a subject with likelihood
Cardinality 0..*
1..1 Type DomainResource
Alternate Names Prognosis
Summary false
Definition Element Id RiskAssessment.identifier
Definition

Business identifier assigned to the risk assessment.

Note Short Display Unique identifier for the assessment
Note This is a business identifer, identifier, not a resource identifier (see discussion )
Control Cardinality 0..1 0..*
Type Identifier
Summary true
Definition Element Id RiskAssessment.basedOn
Definition

A reference to the request that is fulfilled by this risk assessment.

Short Display Request fulfilled by this assessment
Cardinality 0..1
Type Reference ( Any )
Summary false
Definition Element Id RiskAssessment.parent
Definition

A reference to a resource that this risk assessment is part of, such as a Procedure.

Short Display Part of this occurrence
Control Cardinality 0..1
Type Reference ( Any )
Summary false
Definition Element Id RiskAssessment.status
Definition

The status of the RiskAssessment, using the same statuses as an Observation.

Short Display registered | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained
Cardinality 1..1
Terminology Binding ObservationStatus Observation Status ( Required )
Type code
Summary true
Definition Element Id RiskAssessment.method
Definition

The algorithm, process or mechanism used to evaluate the risk.

Short Display Evaluation mechanism
Cardinality 0..1
Terminology Binding RiskAssessmentMethod : Risk Assessment Method ( Example )
Type CodeableConcept
Requirements

The method can influence the results of the assessment.

Summary true
Definition Element Id RiskAssessment.code
Definition

The type of the risk assessment performed.

Short Display Type of assessment
Cardinality 0..1
Terminology Binding Risk Assessment Method ( Example )
Type CodeableConcept
Summary true
Definition Element Id RiskAssessment.subject
Definition

The patient or group the risk assessment applies to.

Short Display Who/what does assessment apply to?
Cardinality 0..1 1..1
Type Reference ( Patient | Group )
Summary true
Definition Element Id RiskAssessment.encounter
Definition

The encounter where the assessment was performed.

Short Display Where was assessment performed?
Cardinality 0..1
Type Reference ( Encounter | EpisodeOfCare )
Summary true
Definition Element Id RiskAssessment.occurrence[x]
Definition

The date (and possibly time) the risk assessment was performed.

Short Display When was assessment made?
Cardinality 0..1
Type dateTime | Period
[x] Note See Choice of Data Types Datatypes for further information about how to use [x]
Requirements

The assessment results lose validity the more time elapses from when they are first made.

Summary true
Definition Element Id RiskAssessment.condition
Definition

For assessments or prognosis specific to a particular condition, indicates the condition being assessed.

Short Display Condition assessed
Cardinality 0..1
Type Reference ( Condition )
Summary true
Definition Element Id RiskAssessment.performer
Definition

The provider provider, patient, related person, or software application that performed the assessment.

Short Display Who did assessment?
Cardinality 0..1
Type Reference ( Patient | Practitioner | PractitionerRole | RelatedPerson | Device )
Summary true
Definition Element Id RiskAssessment.reason
Definition

The reason the risk assessment was performed.

Short Display Why was the assessment necessary?
Cardinality 0..1 0..*
Type CodeableConcept CodeableReference ( Condition | Reference Observation ( Any | DiagnosticReport | DocumentReference )
[x] Note See Choice of Data Types Summary for further information about how to use [x] false
Definition Element Id RiskAssessment.basis
Definition

Indicates the source data considered as part of the assessment (FamilyHistory, (for example, FamilyHistory, Observations, Procedures, Conditions, etc.).

Short Display Information used in assessment
Cardinality 0..*
Type Reference ( Any )
Summary false
Definition Element Id RiskAssessment.prediction
Definition

Describes the expected outcome for the subject.

Short Display Outcome predicted
Control Cardinality 0..*
Comments Summary false
Comments

Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.

Invariants Constraints : probability
Defined on this element
ras-2 : Must Rule Probability as a decimal must be <= 100 ( expression probability.empty() or ((probability is decimal decimal) implies probability.as(decimal) ((probability as decimal) <= 100, xpath: not(f:probabilityDecimal) 100))
ras-3 Rule Probability as a Quantity must be <= 100% probability.empty() or f:probabilityDecimal/@value ((probability is Quantity) implies (((probability as Quantity).value <= 100) and ((probability as Quantity).code = '%') and ((probability as Quantity).system = %ucum)))
Definition Element Id RiskAssessment.prediction.outcome
Definition

One of the potential outcomes for the patient (e.g. remission, death, a particular condition).

Short Display Possible outcome for the subject
Control Cardinality 1..1 0..1
Terminology Binding RiskAssessmentOutcome : Risk Assessment Outcome ( Example )
Type CodeableConcept
Summary false
Definition Element Id RiskAssessment.prediction.probability[x]
Definition

How Indicates how likely is the outcome is (in the specified timeframe). Range SHOULD be expressed as a Quantity (with a unit of '%'), rather than as a decimal value to make sure the percentage semantics are clear.

Short Display Likelihood of specified outcome
Cardinality 0..1
Type decimal | Quantity | Range
[x] Note See Choice of Data Types Datatypes for further information about how to use [x]
Comments Summary false
Comments

If range is used, it represents the lower and upper bounds of certainty; e.g. 40-60% Decimal values are expressed as percentages as well (max = 100).

Invariants Constraints :
Defined on this element
ras-1 : Rule low and high must be percentages, if present ( expression (low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum))), xpath: (not(f:low) %ucum)))
Affect this element
ras-2 Rule Probability as a decimal must be <= 100 probability.empty() or f:low[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org']) and (not(f:high) ((probability is decimal) implies ((probability as decimal) <= 100))
ras-3 Rule Probability as a Quantity must be <= 100% probability.empty() or f:high[f:code/@value='%' ((probability is Quantity) implies (((probability as Quantity).value <= 100) and f:system/@value='http://unitsofmeasure.org'])) ((probability as Quantity).code = '%') and ((probability as Quantity).system = %ucum)))
Definition Element Id RiskAssessment.prediction.qualitativeRisk
Definition

How Indicates how likely is the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high).

Short Display Likelihood of specified outcome as a qualitative value
Cardinality 0..1
Terminology Binding Risk Probability ( Example )
Type CodeableConcept
Summary false
Definition Element Id RiskAssessment.prediction.relativeRisk
Definition

Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general. (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk.).

Short Display Relative likelihood
Cardinality 0..1
Type decimal
Requirements

Absolute risk is less meaningful than relative risk.

Summary false
Definition Element Id RiskAssessment.prediction.when[x]
Definition

Indicates the period of time or age range of the subject to which the specified probability applies.

Short Display Timeframe or age range
Control Cardinality 0..1
Type Period | Range
[x] Note See Choice of Data Types Datatypes for further information about how to use [x]
Comments Summary false
Comments

If not specified, the risk applies "over "over the subject's lifespan". lifespan".

Definition Element Id RiskAssessment.prediction.rationale
Definition

Additional information explaining the basis for the prediction.

Short Display Explanation of prediction
Cardinality 0..1
Type string
Summary false
Definition Element Id RiskAssessment.mitigation
Definition

A description of the steps that might be taken to reduce the identified risk(s).

Short Display How to reduce risk
Control Cardinality 0..1
Type string
Requirements

One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk.

Summary false
Definition Element Id RiskAssessment.note
Definition

Additional comments about the risk assessment.

Short Display Comments on the risk assessment
Control Cardinality 0..1 0..*
Type Annotation
string Summary false