|
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
RiskAssessment.identifier
|
|
Definition
|
The
patient
or
group
the
risk
assessment
applies
to.
Business identifier assigned to the risk assessment.
|
|
Note
|
This is a business identifer, not a resource identifier (see
discussion
)
|
|
Control
|
0..1
|
|
Type
|
Identifier
|
|
Summary
|
true
|
|
RiskAssessment.basedOn
|
|
Definition
|
A reference to the request that is fulfilled by this risk assessment.
|
|
Control
|
0..1
|
|
Type
|
Reference
(
Patient
|
Group
Any
)
|
|
RiskAssessment.parent
|
|
Definition
|
Summary
A reference to a resource that this risk assessment is part of, such as a Procedure.
|
|
Control
|
true
0..1
|
To
Do
Type
|
Should
this
cover
anything
else?
Device?
Location?
Reference
(
Any
)
|
RiskAssessment.date
RiskAssessment.status
|
|
Definition
|
The
date
(and
possibly
time)
the
risk
assessment
was
performed.
The status of the RiskAssessment, using the same statuses as an Observation.
|
|
Control
|
0..1
1..1
|
|
Binding
|
ObservationStatus:
The status of the risk assessment; e.g. preliminary, final, amended, etc.
(
Required
)
|
|
Type
|
dateTime
code
|
|
RiskAssessment.code
|
Requirements
Definition
|
The
assessment
results
lose
validity
the
more
time
elapses
from
when
they
are
first
made.
The type of the risk assessment performed.
|
|
Control
|
0..1
|
|
Type
|
CodeableConcept
|
|
Summary
|
true
|
RiskAssessment.condition
RiskAssessment.subject
|
|
Definition
|
For
assessments
or
prognosis
specific
to
a
particular
condition,
indicates
the
condition
being
assessed.
The patient or group the risk assessment applies to.
|
|
Control
|
0..1
|
|
Type
|
Reference
(
Condition
Patient
|
Group
)
|
|
Summary
|
true
|
|
To Do
|
Should this cover anything else? Device? Location?
|
RiskAssessment.encounter
RiskAssessment.context
|
|
Definition
|
The
encounter
where
the
assessment
was
performed.
The encounter where the assessment was performed.
|
|
Control
|
0..1
|
|
Type
|
Reference
(
Encounter
|
EpisodeOfCare
)
|
|
Summary
|
true
|
RiskAssessment.performer
RiskAssessment.occurrence[x]
|
|
Definition
|
The
provider
or
software
application
that
performed
the
assessment.
The date (and possibly time) the risk assessment was performed.
|
|
Control
|
0..1
|
|
Type
|
Reference
(
Practitioner
dateTime
|
Device
Period
)
|
|
[x] Note
|
See
Choice of Data Types
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
|
RiskAssessment.identifier
RiskAssessment.condition
|
|
Definition
|
Business
identifier
assigned
to
the
risk
assessment.
For assessments or prognosis specific to a particular condition, indicates the condition being assessed.
|
|
Control
|
0..1
|
Note
Type
|
This
is
a
business
identifer,
not
a
resource
identifier
(see
discussion
Reference
(
Condition
)
|
|
Summary
|
true
|
|
RiskAssessment.performer
|
|
Definition
|
The provider or software application that performed the assessment.
|
|
Control
|
0..1
|
|
Type
|
Identifier
Reference
(
Practitioner
|
Device
)
|
|
Summary
|
true
|
|
RiskAssessment.reason[x]
|
|
Definition
|
The reason the risk assessment was performed.
|
|
Control
|
0..1
|
|
Type
|
CodeableConcept
|
Reference
(
Any
)
|
|
[x] Note
|
See
Choice of Data Types
for further information about how to use [x] |
|
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.
|
|
Invariants
|
Defined on this element
ras-2
: Must be <= 100 (
expression 
: probability is decimal implies probability.as(decimal) <= 100, xpath: not(f:probabilityDecimal) or f:probabilityDecimal/@value <= 100) |
|
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
ras-2
:
Must
be
<=
100
(xpath:
@value
<=
100)
: (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']))
|
|
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.
|
|
RiskAssessment.note
|
|
Definition
|
©
HL7.org
2011+.
FHIR
DSTU2
(v1.0.2-7202)
generated
on
Sat,
Oct
24,
2015
07:44+1100.
Links:
Search
Additional comments about the risk assessment.
|
|
Version
History
|
Table
of
Contents
|
Compare
to
DSTU1
Control
|
|
0..1
|
Type
|
Propose
a
change
|
Annotation
|
Clinical
Summary
|
Propose a change