This page is part of the FHIR Specification (v4.4.0: R5 Preview #2). 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
Clinical Decision Support 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 | RiskAssessmentMethod: | ||||||||
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) | ||||||||
Patterns | Reference(Patient,Group): Common patterns = Participant | ||||||||
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 | For assessments or prognosis specific to a particular condition, indicates the condition being assessed. | ||||||||
Cardinality | 0..1 | ||||||||
Type | Reference(Condition) | ||||||||
Summary | true | ||||||||
RiskAssessment.performer | |||||||||
Element Id | RiskAssessment.performer | ||||||||
Definition | The provider or software application that performed the assessment. | ||||||||
Cardinality | 0..1 | ||||||||
Type | Reference(Practitioner | PractitionerRole | Device) | ||||||||
Patterns | Reference(Practitioner,PractitionerRole,Device): Common patterns = Participant | ||||||||
Summary | true | ||||||||
RiskAssessment.reason | |||||||||
Element Id | RiskAssessment.reason | ||||||||
Definition | The reason the risk assessment was performed. | ||||||||
Cardinality | 0..* | ||||||||
Type | CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference) | ||||||||
Patterns | CodeableReference(Condition,Observation,DiagnosticReport,DocumentReference): Common patterns = Event | ||||||||
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. | ||||||||
Invariants |
| ||||||||
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 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 |
| ||||||||
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 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 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. | ||||||||
Cardinality | 0..* | ||||||||
Type | Annotation |