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 in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
XML representation of the RiskAssessment-eltss Profile.
Narrative view of the profile
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="RiskAssessment-eltss"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment" title="null">RiskAssessment</a><a name="RiskAssessment"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.extension" title="null">extension</a><a name="RiskAssessment.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/extensibility.html#Extension">Extension</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Slice: </span>Unordered, Open by value:url</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice_item.png" alt="." style="background-color: white; background-color: inherit" title="Slice Item" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.extension:riskPlan" title="Extension URL = http://hl7.org/fhir/us/eltss/StructureDefinition/eltss-RiskPlan">eltss-RiskPlan</a><a name="RiskAssessment.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/us/core/STU3/StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Optional Extensions Element<br/><span style="font-weight:bold">URL: </span><a href="http://hl7.org/fhir/R4/extension-eltss-RiskPlan.html">http://hl7.org/fhir/us/eltss/StructureDefinition/eltss-RiskPlan</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.subject" title="null">subject</a><a name="RiskAssessment.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="Patient-eltss.html">Patient_eltss</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.encounter" title="null">encounter</a><a name="RiskAssessment.encounter"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/us/core/STU3/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.condition" title="null">condition</a><a name="RiskAssessment.condition"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="Condition-eltss.html">Condition_eltss</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.performer" title="null">performer</a><a name="RiskAssessment.performer"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="Practitioner-eltss.html">Practitioner_eltss</a> | <a href="http://hl7.org/fhir/us/core/STU3/StructureDefinition-us-core-practitionerrole.html">US Core PractitionerRole Profile</a> | <a href="http://hl7.org/fhir/us/core/STU3/StructureDefinition-us-core-device.html">US Core Device Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.reasonReference" title="null">reasonReference</a><a name="RiskAssessment.reasonReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="Condition-eltss.html">Condition_eltss</a> | <a href="Observation-eltss.html">Observation_eltss</a> | <a href="http://hl7.org/fhir/us/core/STU3/StructureDefinition-us-core-diagnosticreport-note.html">US Core DiagnosticReport Profile for Report and Note exchange</a> | <a href="http://hl7.org/fhir/us/core/STU3/StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.prediction" title="An aspect of a person’s life, behavior, environmental exposure, personal characteristic, or barrier that increases the likelihood of disease, condition, injury to self or others, or interaction with the criminal justice system.">prediction</a><a name="RiskAssessment.prediction"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Identified Risk</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7;"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="RiskAssessment-eltss-definitions.html#RiskAssessment.mitigation" title="Description of planned activities to minimize identified risks that endanger the person's health and safety. This can be included as free text or attachment.">mitigation</a><a name="RiskAssessment.mitigation"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Risk Management Plan</td></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div> </text> <url value="http://hl7.org/fhir/us/eltss/StructureDefinition/RiskAssessment-eltss"/> <version value="1.0.0"/> <name value="RiskAssessment_eltss"/> <status value="draft"/> <experimental value="false"/> <date value="2019-02-17T00:00:00-05:00"/> <publisher value="HL7 CBCP"/> <description value="RiskAssessment resource mapping for eLTSS"/> <fhirVersion value="4.0.0"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="openehr"/> <uri value="http://openehr.org"/> <name value="Open EHR Archetype Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="RiskAssessment"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/> <derivation value="constraint"/> <snapshot> <element id="RiskAssessment"> <path value="RiskAssessment"/> <short value="Potential outcomes for a subject with likelihood"/> <definition value="An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome."/> <alias value="Prognosis"/> <min value="0"/> <max value="*"/> <base> <path value="RiskAssessment"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/> <expression value="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()"/> <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.div.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="DomainResource"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=EVN, code="Risk Assessment"]"/> </mapping> <mapping> <identity value="openehr"/> <map value="OpenEHR-EHR-EVALUATION.risk.v1"/> </mapping> </element> <element id="RiskAssessment.id"> <path value="RiskAssessment.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="RiskAssessment.meta"> <path value="RiskAssessment.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="RiskAssessment.implicitRules"> <path value="RiskAssessment.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="RiskAssessment.language"> <path value="RiskAssessment.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </binding> </element> <element id="RiskAssessment.text"> <path value="RiskAssessment.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="RiskAssessment.contained"> <path value="RiskAssessment.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="RiskAssessment.extension"> <path value="RiskAssessment.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="RiskAssessment.extension:riskPlan"> <path value="RiskAssessment.extension"/> <sliceName value="riskPlan"/> <short value="Optional Extensions Element"/> <definition value="Optional Extension Element - found in all resources."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/eltss/StructureDefinition/eltss-RiskPlan"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="RiskAssessment.modifierExtension"> <path value="RiskAssessment.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="RiskAssessment.identifier"> <path value="RiskAssessment.identifier"/> <short value="Unique identifier for the assessment"/> <definition value="Business identifier assigned to the risk assessment."/> <min value="0"/> <max value="*"/> <base> <path value="RiskAssessment.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> <mapping> <identity value="openehr"/> <map value="Workflow Identifier"/> </mapping> </element> <element id="RiskAssessment.basedOn"> <path value="RiskAssessment.basedOn"/> <short value="Request fulfilled by this assessment"/> <definition value="A reference to the request that is fulfilled by this risk assessment."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.basedOn"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> </element> <element id="RiskAssessment.parent"> <path value="RiskAssessment.parent"/> <short value="Part of this occurrence"/> <definition value="A reference to a resource that this risk assessment is part of, such as a Procedure."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.parent"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.partOf"/> </mapping> </element> <element id="RiskAssessment.status"> <path value="RiskAssessment.status"/> <short value="registered | preliminary | final | amended +"/> <definition value="The status of the RiskAssessment, using the same statuses as an Observation."/> <min value="1"/> <max value="1"/> <base> <path value="RiskAssessment.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RiskAssessmentStatus"/> </extension> <strength value="required"/> <description value="The status of the risk assessment; e.g. preliminary, final, amended, etc."/> <valueSet value="http://hl7.org/fhir/ValueSet/observation-status|4.0.0"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> </element> <element id="RiskAssessment.method"> <path value="RiskAssessment.method"/> <short value="Evaluation mechanism"/> <definition value="The algorithm, process or mechanism used to evaluate the risk."/> <requirements value="The method can influence the results of the assessment."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.method"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RiskAssessmentMethod"/> </extension> <strength value="example"/> <description value="The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc."/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value=".methodCode"/> </mapping> </element> <element id="RiskAssessment.code"> <path value="RiskAssessment.code"/> <short value="Type of assessment"/> <definition value="The type of the risk assessment performed."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> </element> <element id="RiskAssessment.subject"> <path value="RiskAssessment.subject"/> <short value="Who/what does assessment apply to?"/> <definition value="The patient or group the risk assessment applies to."/> <min value="1"/> <max value="1"/> <base> <path value="RiskAssessment.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Patient-eltss"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role"/> </mapping> <mapping> <identity value="openehr"/> <map value="Subject of Care"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="RiskAssessment.encounter"> <path value="RiskAssessment.encounter"/> <short value="Where was assessment performed?"/> <definition value="The encounter where the assessment was performed."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.encounter"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> </mapping> </element> <element id="RiskAssessment.occurrence[x]"> <path value="RiskAssessment.occurrence[x]"/> <short value="When was assessment made?"/> <definition value="The date (and possibly time) the risk assessment was performed."/> <requirements value="The assessment results lose validity the more time elapses from when they are first made."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.occurrence[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> </element> <element id="RiskAssessment.condition"> <path value="RiskAssessment.condition"/> <short value="Condition assessed"/> <definition value="For assessments or prognosis specific to a particular condition, indicates the condition being assessed."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.condition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Condition-eltss"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="RiskAssessment.performer"> <path value="RiskAssessment.performer"/> <short value="Who did assessment?"/> <definition value="The provider or software application that performed the assessment."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.performer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-device"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PFM].role[classCode=ASSIGNED]"/> </mapping> <mapping> <identity value="openehr"/> <map value="Information Provider"/> </mapping> </element> <element id="RiskAssessment.reasonCode"> <path value="RiskAssessment.reasonCode"/> <short value="Why the assessment was necessary?"/> <definition value="The reason the risk assessment was performed."/> <min value="0"/> <max value="*"/> <base> <path value="RiskAssessment.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.reasonCode"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> </element> <element id="RiskAssessment.reasonReference"> <path value="RiskAssessment.reasonReference"/> <short value="Why the assessment was necessary?"/> <definition value="Resources supporting the reason the risk assessment was performed."/> <min value="0"/> <max value="*"/> <base> <path value="RiskAssessment.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Condition-eltss"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Observation-eltss"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.reasonReference"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> </element> <element id="RiskAssessment.basis"> <path value="RiskAssessment.basis"/> <short value="Information used in assessment"/> <definition value="Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.)."/> <min value="0"/> <max value="*"/> <base> <path value="RiskAssessment.basis"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DRIV].target"/> </mapping> <mapping> <identity value="openehr"/> <map value="Risk Factor; Link to Evidence"/> </mapping> </element> <element id="RiskAssessment.prediction"> <path value="RiskAssessment.prediction"/> <short value="Identified Risk"/> <definition value="An aspect of a person’s life, behavior, environmental exposure, personal characteristic, or barrier that increases the likelihood of disease, condition, injury to self or others, or interaction with the criminal justice system."/> <comment value="Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes."/> <min value="0"/> <max value="*"/> <base> <path value="RiskAssessment.prediction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ras-2"/> <severity value="error"/> <human value="Must be <= 100"/> <expression value="probability is decimal implies (probability as decimal) <= 100"/> <xpath value="not(f:probabilityDecimal) or f:probabilityDecimal/@value <= 100"/> <source value="RiskAssessment.prediction"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]"/> </mapping> </element> <element id="RiskAssessment.prediction.id"> <path value="RiskAssessment.prediction.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="RiskAssessment.prediction.extension"> <path value="RiskAssessment.prediction.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="RiskAssessment.prediction.modifierExtension"> <path value="RiskAssessment.prediction.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="RiskAssessment.prediction.outcome"> <path value="RiskAssessment.prediction.outcome"/> <short value="Possible outcome for the subject"/> <definition value="One of the potential outcomes for the patient (e.g. remission, death, a particular condition)."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.prediction.outcome"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RiskAssessmentOutcome"/> </extension> <strength value="example"/> <description value="The condition or other outcome; e.g. death, remission, amputation, infection, etc."/> </binding> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> <mapping> <identity value="openehr"/> <map value="Risk"/> </mapping> </element> <element id="RiskAssessment.prediction.probability[x]"> <path value="RiskAssessment.prediction.probability[x]"/> <short value="Likelihood of specified outcome"/> <definition value="Indicates how likely the outcome is (in the specified timeframe)."/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.prediction.probability[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <type> <code value="Range"/> </type> <constraint> <key value="ras-1"/> <severity value="error"/> <human value="low and high must be percentages, if present"/> <expression value="(low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum)))"/> <xpath value="(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'])"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="probability"].value"/> </mapping> <mapping> <identity value="openehr"/> <map value="Category"/> </mapping> </element> <element id="RiskAssessment.prediction.qualitativeRisk"> <path value="RiskAssessment.prediction.qualitativeRisk"/> <short value="Likelihood of specified outcome as a qualitative value"/> <definition value="Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high)."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.prediction.qualitativeRisk"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RiskAssessmentProbability"/> </extension> <strength value="example"/> <description value="The likelihood of the occurrence of a specified outcome."/> <valueSet value="http://hl7.org/fhir/ValueSet/risk-probability"/> </binding> </element> <element id="RiskAssessment.prediction.relativeRisk"> <path value="RiskAssessment.prediction.relativeRisk"/> <short value="Relative likelihood"/> <definition value="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.)."/> <requirements value="Absolute risk is less meaningful than relative risk."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.prediction.relativeRisk"/> <min value="0"/> <max value="1"/> </base> <type> <code value="decimal"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="relative risk"].value"/> </mapping> </element> <element id="RiskAssessment.prediction.when[x]"> <path value="RiskAssessment.prediction.when[x]"/> <short value="Timeframe or age range"/> <definition value="Indicates the period of time or age range of the subject to which the specified probability applies."/> <comment value="If not specified, the risk applies "over the subject's lifespan"."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.prediction.when[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <type> <code value="Range"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age"].value"/> </mapping> </element> <element id="RiskAssessment.prediction.rationale"> <path value="RiskAssessment.prediction.rationale"/> <short value="Explanation of prediction"/> <definition value="Additional information explaining the basis for the prediction."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.prediction.rationale"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".reasonCode.text"/> </mapping> <mapping> <identity value="openehr"/> <map value="Rationale"/> </mapping> </element> <element id="RiskAssessment.mitigation"> <path value="RiskAssessment.mitigation"/> <short value="Risk Management Plan"/> <definition value="Description of planned activities to minimize identified risks that endanger the person's health and safety. This can be included as free text or attachment."/> <requirements value="One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk."/> <min value="0"/> <max value="1"/> <base> <path value="RiskAssessment.mitigation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text"/> </mapping> </element> <element id="RiskAssessment.note"> <path value="RiskAssessment.note"/> <short value="Comments on the risk assessment"/> <definition value="Additional comments about the risk assessment."/> <min value="0"/> <max value="*"/> <base> <path value="RiskAssessment.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> </element> </snapshot> <differential> <element id="RiskAssessment"> <path value="RiskAssessment"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="RiskAssessment.extension"> <path value="RiskAssessment.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <rules value="open"/> </slicing> </element> <element id="RiskAssessment.extension:riskPlan"> <path value="RiskAssessment.extension"/> <sliceName value="riskPlan"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/eltss/StructureDefinition/eltss-RiskPlan"/> </type> </element> <element id="RiskAssessment.subject"> <path value="RiskAssessment.subject"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Patient-eltss"/> </type> </element> <element id="RiskAssessment.encounter"> <path value="RiskAssessment.encounter"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/> </type> </element> <element id="RiskAssessment.condition"> <path value="RiskAssessment.condition"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Condition-eltss"/> </type> </element> <element id="RiskAssessment.performer"> <path value="RiskAssessment.performer"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-device"/> </type> </element> <element id="RiskAssessment.reasonReference"> <path value="RiskAssessment.reasonReference"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Condition-eltss"/> <targetProfile value="http://hl7.org/fhir/us/eltss/StructureDefinition/Observation-eltss"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"/> </type> </element> <element id="RiskAssessment.prediction"> <path value="RiskAssessment.prediction"/> <short value="Identified Risk"/> <definition value="An aspect of a person’s life, behavior, environmental exposure, personal characteristic, or barrier that increases the likelihood of disease, condition, injury to self or others, or interaction with the criminal justice system."/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="RiskAssessment.mitigation"> <path value="RiskAssessment.mitigation"/> <short value="Risk Management Plan"/> <definition value="Description of planned activities to minimize identified risks that endanger the person's health and safety. This can be included as free text or attachment."/> <mustSupport value="false"/> <isModifier value="false"/> </element> </differential> </StructureDefinition>
Implementation Guide © 2017+ HL7 International Community-Based Care and Privacy Work Group hl7.fhir.us.eltss#1.0.0 based on FHIR v4.0.0 generated 2019-09-12.
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