Example
ValueSet/assert-direction-codes
(XML)
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.
|
Cardinality
0..1
-
Type
Narrative
-
Reference
(
Condition
XML
)
-
Summary
JSON
true
-
TTL
RiskAssessment.performer
Element
Id
RiskAssessment.performer
Definition
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