DSTU2 STU 3 Candidate
This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . For a full list of available versions, see the Directory of published versions . Page versions: . Page versions: R5 R4B R4 R3 R2

4.11.8 4.15.8 Resource RiskAssessment - Detailed Descriptions Resource RiskAssessment - Detailed Descriptions Detailed Descriptions for the elements in the RiskAssessment resource.

Detailed Descriptions for the elements in the RiskAssessment resource.

© HL7.org 2011+. FHIR DSTU2 (v1.0.2-7202) generated on Sat, Oct 24, 2015 07:44+1100. Links: Search
RiskAssessment
Definition

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

Control 1..1
Alternate Names Alternate Names Prognosis
RiskAssessment.subject
Definition

The patient or group the risk assessment applies to. The patient or group the risk assessment applies to.

Control 0..1
Type Reference ( Patient | | Group )
Summary true
To Do To Do Should this cover anything else? Device? Location? Should this cover anything else? Device? Location?
RiskAssessment.date
Definition

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

Control 0..1
Type dateTime
Requirements

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

Summary true
RiskAssessment.condition
Definition

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

Control 0..1
Type Reference ( Condition )
Summary true
RiskAssessment.encounter
Definition

The encounter where the assessment was performed. The encounter where the assessment was performed.

Control 0..1
Type Reference ( Encounter )
Summary true
RiskAssessment.performer
Definition

The provider or software application that performed the assessment. The provider or software application that performed the assessment.

Control 0..1
Type Reference ( Practitioner | | Device )
Summary true
RiskAssessment.identifier
Definition

Business identifier assigned to the risk assessment. Business identifier assigned to the risk assessment.

Note This is a business identifer, not a resource identifier (see This is a business identifer, not a resource identifier (see discussion )
Control 0..1
Type Identifier
Summary true
RiskAssessment.method
Definition

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

Control 0..1
Binding RiskAssessmentMethod : The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. : The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.
Type CodeableConcept
Requirements

The method can influence the results of the assessment. The method can influence the results of the assessment.

Summary true
To Do To Do Is this in the 80%? Is this in the 80%?
RiskAssessment.basis
Definition

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

Control 0..*
Type Reference ( Any )
RiskAssessment.prediction
Definition

Describes the expected outcome for the subject. Describes the expected outcome for the subject.

Control 0..*
Comments

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

RiskAssessment.prediction.outcome
Definition

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

Control 1..1
Binding RiskAssessmentOutcome : The condition or other outcome; e.g. death, remission, amputation, infection, etc. : The condition or other outcome; e.g. death, remission, amputation, infection, etc.
Type CodeableConcept
RiskAssessment.prediction.probability[x]
Definition

How likely is the outcome (in the specified timeframe). How likely is the outcome (in the specified timeframe).

Control 0..1
Binding Risk Probability: The likelihood of the occurrence of a specified outcome ( Risk Probability: The likelihood of the occurrence of a specified outcome ( Example )
Type decimal | Range | CodeableConcept
[x] Note [x] Note See Choice of Data Types for further information about how to use [x] See Choice of Data Types for further information about how to use [x]
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). 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 Defined on this element Defined on this element
ras-1 : low and high must be percentages, if present (xpath: (not(f:low) or f:low[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org']) and (not(f:high) or f:high[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org'])) : 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) or f:low[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org']) and (not(f:high) or f:high[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org']))
ras-2 : Must be <= 100 (xpath: @value <= 100) : Must be <= 100 ( expression : probabilityDecimal <= 100, xpath: @value <= 100)
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.). 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.).

Control 0..1
Type decimal
Requirements

Absolute risk is less meaningful than relative risk. Absolute risk is less meaningful than relative risk.

To Do To Do Is this in the 80%? Is this in the 80%?
RiskAssessment.prediction.when[x]
Definition

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

Control 0..1
Type Period | Range
[x] Note [x] Note See Choice of Data Types for further information about how to use [x] See Choice of Data Types for further information about how to use [x]
Comments

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

RiskAssessment.prediction.rationale
Definition

Additional information explaining the basis for the prediction. Additional information explaining the basis for the prediction.

Control 0..1
Type string
RiskAssessment.mitigation
Definition

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

Control 0..1
Type string
Requirements

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