Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm

This page is part of the electronic Long-Term Services and Supports Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

StructureDefinition: RiskAssessment_eltss

The official URL for this profile is: 

http://hl7.org/fhir/us/eltss/StructureDefinition/RiskAssessment-eltss

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. RiskAssessment I0..*Potential outcomes for a subject with likelihood
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... eltss-RiskPlan I0..*Reference(US Core DocumentReference Profile)Optional Extensions Element
URL: http://hl7.org/fhir/us/eltss/StructureDefinition/eltss-RiskPlan
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierUnique identifier for the assessment
... basedOn 0..1Reference(Resource)Request fulfilled by this assessment
... parent 0..1Reference(Resource)Part of this occurrence
... status Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... method Σ0..1CodeableConceptEvaluation mechanism
Binding: (unbound) (example)
... code Σ0..1CodeableConceptType of assessment
... subject Σ1..1Reference(Patient_eltss)Who/what does assessment apply to?
... encounter Σ0..1Reference(US Core Encounter Profile)Where was assessment performed?
... occurrence[x] Σ0..1When was assessment made?
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
... condition Σ0..1Reference(Condition_eltss)Condition assessed
... performer Σ0..1Reference(Practitioner_eltss | US Core PractitionerRole Profile | US Core Device Profile)Who did assessment?
... reasonCode 0..*CodeableConceptWhy the assessment was necessary?
... reasonReference 0..*Reference(Condition_eltss | Observation_eltss | US Core DiagnosticReport Profile for Report and Note exchange | US Core DocumentReference Profile)Why the assessment was necessary?
... basis 0..*Reference(Resource)Information used in assessment
... prediction I0..*BackboneElementIdentified Risk
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... outcome 0..1CodeableConceptPossible outcome for the subject
Binding: (unbound) (example)
.... probability[x] I0..1Likelihood of specified outcome
ras-1: low and high must be percentages, if present
..... probabilityDecimaldecimal
..... probabilityRangeRange
.... qualitativeRisk 0..1CodeableConceptLikelihood of specified outcome as a qualitative value
Binding: RiskProbability (example)
.... relativeRisk 0..1decimalRelative likelihood
.... when[x] 0..1Timeframe or age range
..... whenPeriodPeriod
..... whenRangeRange
.... rationale 0..1stringExplanation of prediction
... mitigation 0..1stringRisk Management Plan
... note 0..*AnnotationComments on the risk assessment

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. RiskAssessment I0..*Potential outcomes for a subject with likelihood
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... eltss-RiskPlan I0..*Reference(US Core DocumentReference Profile)Optional Extensions Element
URL: http://hl7.org/fhir/us/eltss/StructureDefinition/eltss-RiskPlan
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierUnique identifier for the assessment
... basedOn 0..1Reference(Resource)Request fulfilled by this assessment
... parent 0..1Reference(Resource)Part of this occurrence
... status Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... method Σ0..1CodeableConceptEvaluation mechanism
Binding: (unbound) (example)
... code Σ0..1CodeableConceptType of assessment
... subject Σ1..1Reference(Patient_eltss)Who/what does assessment apply to?
... encounter Σ0..1Reference(US Core Encounter Profile)Where was assessment performed?
... occurrence[x] Σ0..1When was assessment made?
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
... condition Σ0..1Reference(Condition_eltss)Condition assessed
... performer Σ0..1Reference(Practitioner_eltss | US Core PractitionerRole Profile | US Core Device Profile)Who did assessment?
... reasonCode 0..*CodeableConceptWhy the assessment was necessary?
... reasonReference 0..*Reference(Condition_eltss | Observation_eltss | US Core DiagnosticReport Profile for Report and Note exchange | US Core DocumentReference Profile)Why the assessment was necessary?
... basis 0..*Reference(Resource)Information used in assessment
... prediction I0..*BackboneElementIdentified Risk
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... outcome 0..1CodeableConceptPossible outcome for the subject
Binding: (unbound) (example)
.... probability[x] I0..1Likelihood of specified outcome
ras-1: low and high must be percentages, if present
..... probabilityDecimaldecimal
..... probabilityRangeRange
.... qualitativeRisk 0..1CodeableConceptLikelihood of specified outcome as a qualitative value
Binding: RiskProbability (example)
.... relativeRisk 0..1decimalRelative likelihood
.... when[x] 0..1Timeframe or age range
..... whenPeriodPeriod
..... whenRangeRange
.... rationale 0..1stringExplanation of prediction
... mitigation 0..1stringRisk Management Plan
... note 0..*AnnotationComments on the risk assessment

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet
RiskAssessment.languagepreferredCommonLanguages
Max Binding: AllLanguages
RiskAssessment.statusrequiredObservationStatus
RiskAssessment.methodexample
RiskAssessment.prediction.outcomeexample
RiskAssessment.prediction.qualitativeRiskexampleRiskProbability

Constraints

IdPathDetailsRequirements
dom-2RiskAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-4RiskAssessmentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3RiskAssessmentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6RiskAssessmentA resource should have narrative for robust management
: text.div.exists()
dom-5RiskAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
ele-1RiskAssessment.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1RiskAssessment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ext-1RiskAssessment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1RiskAssessment.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1RiskAssessment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ext-1RiskAssessment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1RiskAssessment.predictionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ras-2RiskAssessment.predictionMust be <= 100
: probability is decimal implies (probability as decimal) <= 100
ras-1RiskAssessment.prediction.probability[x]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)))