Release 4 5 Ballot

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0-ballot: R5 Ballot - Mixed Normative and STU see ballot notes ) in it's permanent home (it will always be available at this URL). ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Content Examples Detailed Descriptions Mappings Profiles & Extensions R3 Conversions 9.11.7 Resource RiskAssessment - Detailed Descriptions

Example ValueSet/assert-direction-codes (XML)

Cardinality 0..1
Clinical Decision Support Vocabulary Work Group Maturity Level : 1   Trial Use Security Category : Patient Compartments : Device , Patient , Practitioner Detailed Descriptions for the elements in the RiskAssessment resource. RiskAssessment 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. Cardinality 0..* Type DomainResource Alternate Names Prognosis RiskAssessment.identifier Element Id RiskAssessment.identifier Definition Business identifier assigned to the risk assessment. Note This is a business identifier, not a resource identifier (see discussion ) Cardinality 0..* Type Identifier Summary true RiskAssessment.basedOn Element Id RiskAssessment.basedOn Definition A reference to the request that is fulfilled by this risk assessment. Cardinality 0..1 Type Reference ( Any ) RiskAssessment.parent Element Id RiskAssessment.parent Definition A reference to a resource that this risk assessment is part of, such as a Procedure. Cardinality 0..1 Type Reference ( Any ) RiskAssessment.status Element Id RiskAssessment.status Definition The status of the RiskAssessment, using the same statuses as an Observation. Cardinality 1..1 Terminology Binding ObservationStatus ( Required ) Type code Summary true RiskAssessment.method Element Id RiskAssessment.method Definition The algorithm, process or mechanism used to evaluate the risk. Cardinality 0..1 Terminology Binding N/A RiskAssessmentMethod Standards Status : Type CodeableConcept Requirements The method can influence the results of the assessment. Summary true RiskAssessment.code Element Id RiskAssessment.code Definition The type of the risk assessment performed. Cardinality 0..1 Type CodeableConcept Summary true RiskAssessment.subject Element Id RiskAssessment.subject Definition The patient or group the risk assessment applies to. Cardinality 1..1 Type Reference ( Patient | Group ) Summary true RiskAssessment.encounter Element Id RiskAssessment.encounter Definition The encounter where the assessment was performed. Cardinality 0..1 Type Reference ( Encounter ) Summary true RiskAssessment.occurrence[x] Element Id RiskAssessment.occurrence[x] Definition The date (and possibly time) the risk assessment was performed. Cardinality 0..1 Type dateTime | 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.condition Element Id RiskAssessment.condition Definition Informative For assessments or prognosis specific to a particular condition, indicates the condition being assessed.

The provider or software application that performed the assessment. Cardinality 0..1 Type Reference Raw XML ( Practitioner | PractitionerRole canonical form | Device + also see XML Format Specification ) Summary true RiskAssessment.reasonCode Element Id RiskAssessment.reasonCode Definition The reason the risk assessment was performed.

Cardinality 0..* Type CodeableConcept RiskAssessment.reasonReference Element Id RiskAssessment.reasonReference Definition Resources supporting the reason the risk assessment was performed. Cardinality 0..* Type Reference ( Condition | Observation | DiagnosticReport | DocumentReference ) RiskAssessment.basis Element Id RiskAssessment.basis Definition

Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.). Cardinality 0..* Type Reference ( Any ) RiskAssessment.prediction Element Id RiskAssessment.prediction Definition Describes the expected outcome for the subject. Cardinality 0..* Comments Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes. Value SetAssertionDirectionType

Invariants Defined on this element ras-2
<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="assert-direction-codes"/> 
  <meta> 
    <lastUpdated value="2022-09-10T04:52:37.223+10:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <ul> 
        <li> Include all codes defined in 
          <a href="codesystem-assert-direction-codes.html">
            <code> http://hl7.org/fhir/assert-direction-codes</code> 
          </a> 
        </li> 
      </ul> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/> 
  </extension> 
  <url value="http://hl7.org/fhir/ValueSet/assert-direction-codes"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.3.706"/> 
  </identifier> 
  <version value="5.0.0-ballot"/> 
  <name value="AssertionDirectionType"/> 
  <title value="AssertionDirectionType"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2020-12-28T16:55:11+11:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="The type of direction to use for assertion."/> 
  <immutable value="true"/> 
  <compose> 
    <include> 
      <system value="http://hl7.org/fhir/assert-direction-codes"/> 
    </include> 
  </compose> 

Rule


</

ValueSet


Must
be
<=
100
probability
is
decimal
implies
(probability
as
decimal)
<=
100

>


RiskAssessment.prediction.outcome
Element
Id
RiskAssessment.prediction.outcome
Definition
One
of
the
potential
outcomes
for
the
patient
(e.g.
remission,
death,
a
particular
condition).
Cardinality
0..1
Terminology
Binding
RiskAssessmentOutcome
:
Type
CodeableConcept



RiskAssessment.prediction.probability[x]
Element
Id
RiskAssessment.prediction.probability[x]
Definition

Indicates how likely the outcome is (in the specified timeframe). Cardinality 0..1 Type decimal | Range [x] Note See Choice of Data Types for further information about how Usage note: every effort has been made to use [x] Comments If range is used, it represents ensure that the lower and upper bounds of certainty; e.g. 40-60% Decimal values examples are expressed as percentages as well (max = 100). Invariants Defined on this element ras-1 Rule low and high must be percentages, if present (low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') correct and (high.system = %ucum))) RiskAssessment.prediction.qualitativeRisk Element Id RiskAssessment.prediction.qualitativeRisk Definition Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high). Cardinality 0..1 Terminology Binding Risk Probability ( Example ) Type CodeableConcept RiskAssessment.prediction.relativeRisk 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.). Cardinality 0..1 Type decimal Requirements Absolute risk is less meaningful than relative risk. RiskAssessment.prediction.when[x] Element Id RiskAssessment.prediction.when[x] Definition Indicates the period of time or age range of the subject to which the specified probability applies. Cardinality 0..1 Type Period | Range [x] Note See Choice of Data Types for further information about how to use [x] Comments If useful, but they are not specified, the risk applies "over the subject's lifespan". RiskAssessment.prediction.rationale Element Id RiskAssessment.prediction.rationale Definition Additional information explaining the basis for the prediction. Cardinality 0..1 Type string RiskAssessment.mitigation Element Id RiskAssessment.mitigation Definition A description of the steps that might be taken to reduce the identified risk(s). Cardinality 0..1 Type string Requirements One a normative part of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk. RiskAssessment.note Element Id RiskAssessment.note Definition Additional comments about the risk assessment. specification.

Cardinality 0..* Type Annotation