This
page
is
part
of
the
FHIR
Specification
(v1.0.2:
DSTU
(v3.0.2:
STU
2).
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
.
Page
versions:
R5
R4B
R4
R3
R2
R3
R2
Clinical
Decision
Support
Work
Group
| Maturity Level : 1 | Trial Use | Compartments : Device , Patient , Practitioner |
Detailed Descriptions for the elements in the RiskAssessment resource.
| RiskAssessment | |
| Definition |
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 | Prognosis |
|
|
|
| Definition |
|
| 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
(
|
| RiskAssessment.parent | |
| Definition | A reference to a resource that this risk assessment is part of, such as a Procedure. |
| Control | 0..1 |
| Type | Reference ( Any ) |
| RiskAssessment.status | |
| Definition |
The status of the RiskAssessment, using the same statuses as an Observation. |
| Control |
|
|
|
|
| Type | code |
|
|
|
| Definition |
The
|
| Control | 0..1 |
| Terminology Binding | RiskAssessmentMethod : |
| Type |
|
| Requirements |
The
|
| Summary | true |
|
|
|
| Definition |
|
| Control | 0..1 |
| Type |
|
| Summary | true |
|
|
|
| Definition |
The
|
| Control | 0..1 |
| Type |
Reference
(
|
| Summary | true |
|
|
|
| Definition |
The
|
| Control | 0..1 |
| Type |
Reference
(
|
| Summary | true |
|
|
|
| Definition |
|
| Control | 0..1 |
| Type | dateTime | Period |
| [x] Note |
|
| Requirements | 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. |
| Control | 0..1 |
| Type |
|
| Summary | true |
|
|
|
| Definition |
The
|
| Control | 0..1 |
|
|
|
|
|
true |
| RiskAssessment.reason[x] | |
|
|
The
|
|
|
|
|
|
|
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| RiskAssessment.basis | |
| Definition |
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. |
| 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. |
| 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). |
| Control | 1..1 |
| Terminology Binding |
RiskAssessmentOutcome
:
|
| Type | CodeableConcept |
| RiskAssessment.prediction.probability[x] | |
| Definition |
How likely is the outcome (in the specified timeframe). |
| Control | 0..1 |
|
|
decimal
|
Range
|
| [x] Note | 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). |
| Invariants |
Defined
on
this
element
ras-1 : low and high must be percentages, if present :
(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.qualitativeRisk | |
| Definition | How likely is the outcome (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, high). |
| Control | 0..1 |
| Terminology Binding | Risk Probability ( Example ) |
| Type |
CodeableConcept
|
| 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.). |
| Control | 0..1 |
| Type | decimal |
| Requirements |
Absolute risk is less meaningful than relative risk. |
| RiskAssessment.prediction.when[x] | |
| Definition |
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 | 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". |
| RiskAssessment.prediction.rationale | |
| Definition |
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). |
| 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. |
| RiskAssessment.comment | |
| Definition | Additional comments about the risk assessment. |
| Control | 0..1 |
| Type | string |