profile-RiskAssessment
type: StructureDefinition
node role: treeRoot
id:
  v: profile-RiskAssessment
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition profile-RiskAssessment Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood #xD; performer #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:performer 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: performer URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; reasonReference #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:alternateReference 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: reasonReference URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; comment #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:note 0..* Annotation R4: note additional types URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-RiskAssessment.note #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r4.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
url:
  v: http://hl7.org/fhir/4.0/StructureDefinition/profile-RiskAssessment
  l: profile-RiskAssessment
version:
  v: 0.1.0
name:
  v: Profile_R4_RiskAssessment_R3
title:
  v: Cross-version Profile for R4.RiskAssessment for use in FHIR STU3
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:03:29.8331706-05:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version profile allows R4 RiskAssessment content to be represented via FHIR STU3 RiskAssessment resources.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: openehr
  uri:
    v: http://openehr.org
    l: openehr.org
  name:
    v: Open EHR Archetype Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/w5
    l: w5
  name:
    v: W5 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: RiskAssessment
base definition:
  v: http://hl7.org/fhir/StructureDefinition/RiskAssessment
  l: RiskAssessment
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: RiskAssessment
    path:
      v: RiskAssessment
    short:
      v: Potential outcomes for a subject with likelihood
    definition:
      v: An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.
    alias:
      v: Prognosis
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: RiskAssessment
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated

v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()

v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))

key:
  v: dom-3
severity:
  v: error
human:
  v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
expression:
  v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
xpath:
  v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: Event

identity:
  v: v2
map:
  v: N/A

identity:
  v: rim
map:
  v: Observation[classCode=OBS, moodCode=EVN, code="Risk Assessment"]

identity:
  v: openehr
map:
  v: OpenEHR-EHR-EVALUATION.risk.v1

identity:
  v: w5
map:
  v: clinical.general

id:
  v: RiskAssessment.id
path:
  v: RiskAssessment.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: RiskAssessment.meta
path:
  v: RiskAssessment.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: RiskAssessment.implicitRules
path:
  v: RiskAssessment.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: RiskAssessment.language
path:
  v: RiskAssessment.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: RiskAssessment.text
path:
  v: RiskAssessment.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource, and may 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:
  v: 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 in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: RiskAssessment.contained
path:
  v: RiskAssessment.contained
short:
  v: Contained, inline Resources
definition:
  v: 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:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: RiskAssessment.extension
path:
  v: RiskAssessment.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. In order 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: RiskAssessment.modifierExtension
path:
  v: RiskAssessment.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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. Usually modifier elements provide negation or qualification. In order 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: RiskAssessment.identifier
path:
  v: RiskAssessment.identifier
short:
  v: Unique identifier for the assessment
definition:
  v: Business identifier assigned to the risk assessment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: openehr
  map:
    v: Workflow Identifier
mapping:
  identity:
    v: w5
  map:
    v: id

id:
  v: RiskAssessment.basedOn
path:
  v: RiskAssessment.basedOn
short:
  v: Request fulfilled by this assessment
definition:
  v: A reference to the request that is fulfilled by this risk assessment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.basedOn
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn

id:
  v: RiskAssessment.parent
path:
  v: RiskAssessment.parent
short:
  v: Part of this occurrence
definition:
  v: A reference to a resource that this risk assessment is part of, such as a Procedure.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.parent
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
mapping:
  identity:
    v: workflow
  map:
    v: Event.partOf

id:
  v: RiskAssessment.status
path:
  v: RiskAssessment.status
short:
  v: registered | preliminary | final | amended +
definition:
  v: The status of the RiskAssessment, using the same statuses as an Observation.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: RiskAssessment.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: RiskAssessmentStatus
  strength:
    v: required
  description:
    v: The status of the risk assessment; e.g. preliminary, final, amended, etc.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/observation-status|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: RiskAssessment.method
path:
  v: RiskAssessment.method
short:
  v: Evaluation mechanism
definition:
  v: The algorithm, process or mechanism used to evaluate the risk.
requirements:
  v: The method can influence the results of the assessment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.method
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: RiskAssessmentMethod
  strength:
    v: example
  description:
    v: The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.
mapping:
  identity:
    v: rim
  map:
    v: .methodCode
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: RiskAssessment.code
path:
  v: RiskAssessment.code
short:
  v: Type of assessment
definition:
  v: The type of the risk assessment performed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: what

id:
  v: RiskAssessment.subject
path:
  v: RiskAssessment.subject
short:
  v: Who/what does assessment apply to?
definition:
  v: The patient or group the risk assessment applies to.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=SBJ].role
mapping:
  identity:
    v: openehr
  map:
    v: Subject of Care
mapping:
  identity:
    v: w5
  map:
    v: who.focus

id:
  v: RiskAssessment.context
path:
  v: RiskAssessment.context
short:
  v: Where was assessment performed?
definition:
  v: The encounter where the assessment was performed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
    l: EpisodeOfCare
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.context
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
mapping:
  identity:
    v: w5
  map:
    v: context

id:
  v: RiskAssessment.occurrence[x]
path:
  v: RiskAssessment.occurrence[x]
short:
  v: When was assessment made?
definition:
  v: The date (and possibly time) the risk assessment was performed.
requirements:
  v: The assessment results lose validity the more time elapses from when they are first made.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.occurrence[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
type:
  code:
    v: Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime
mapping:
  identity:
    v: w5
  map:
    v: when.done

id:
  v: RiskAssessment.condition
path:
  v: RiskAssessment.condition
short:
  v: Condition assessed
definition:
  v: For assessments or prognosis specific to a particular condition, indicates the condition being assessed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.condition
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]

id:
  v: RiskAssessment.performer
path:
  v: RiskAssessment.performer
short:
  v: Who did assessment?
definition:
  v: The provider or software application that performed the assessment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.performer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PFM].role[classCode=ASSIGNED]
mapping:
  identity:
    v: openehr
  map:
    v: Information Provider
mapping:
  identity:
    v: w5
  map:
    v: who.actor

id:
  v: RiskAssessment.performer.id
path:
  v: RiskAssessment.performer.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: RiskAssessment.performer.extension
path:
  v: RiskAssessment.performer.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: RiskAssessment.performer.extension:performer
path:
  v: RiskAssessment.performer.extension
slice name:
  v: performer
short:
  v: R4: performer
definition:
  v: R4: `RiskAssessment.performer`
comment:
  v: Element `RiskAssessment.performer` is mapped to FHIR STU3 element `RiskAssessment.performer` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `RiskAssessment.performer` with unmapped reference targets: PractitionerRole.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: RiskAssessment.performer.reference
path:
  v: RiskAssessment.performer.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: RiskAssessment.performer.identifier
path:
  v: RiskAssessment.performer.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: RiskAssessment.performer.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: RiskAssessment.performer.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: RiskAssessment.reason[x]
path:
  v: RiskAssessment.reason[x]
short:
  v: Why the assessment was necessary?
definition:
  v: The reason the risk assessment was performed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.reason[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
mapping:
  identity:
    v: workflow
  map:
    v: Event.reason
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: RiskAssessment.reason[x].id
path:
  v: RiskAssessment.reason[x].id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: RiskAssessment.reason[x].extension
path:
  v: RiskAssessment.reason[x].extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: RiskAssessment.reason[x].extension:alternateReference
path:
  v: RiskAssessment.reason[x].extension
slice name:
  v: alternateReference
short:
  v: R4: reasonReference
definition:
  v: R4: `RiskAssessment.reasonReference`
comment:
  v: Element `RiskAssessment.reasonReference` is mapped to FHIR STU3 element `RiskAssessment.reason[x]` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `RiskAssessment.reasonReference` with unmapped reference targets: Condition, DiagnosticReport, DocumentReference, Observation. Source element `RiskAssessment.reasonReference` has unmapped reference types. While the target element `RiskAssessment.reason[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: RiskAssessment.basis
path:
  v: RiskAssessment.basis
short:
  v: Information used in assessment
definition:
  v: Indicates the source data considered as part of the assessment (FamilyHistory, Observations, Procedures, Conditions, etc.).
min:
  v: 0
max:
  v: *
base:
  path:
    v: RiskAssessment.basis
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
mapping:
  identity:
    v: workflow
  map:
    v: Event.reasonReference
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=DRIV].target
mapping:
  identity:
    v: openehr
  map:
    v: Risk Factor; Link to Evidence

id:
  v: RiskAssessment.prediction
path:
  v: RiskAssessment.prediction
short:
  v: Outcome predicted
definition:
  v: Describes the expected outcome for the subject.
comment:
  v: Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.
min:
  v: 0
max:
  v: *
base:
  path:
    v: RiskAssessment.prediction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ras-2
  severity:
    v: error
  human:
    v: Must be <= 100
  expression:
    v: probability is decimal implies probability.as(decimal) <= 100
  xpath:
    v: not(f:probabilityDecimal) or f:probabilityDecimal/@value <= 100
  source:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment
    l: RiskAssessment
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]

id:
  v: RiskAssessment.prediction.id
path:
  v: RiskAssessment.prediction.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: RiskAssessment.prediction.extension
path:
  v: RiskAssessment.prediction.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: RiskAssessment.prediction.modifierExtension
path:
  v: RiskAssessment.prediction.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: RiskAssessment.prediction.outcome
path:
  v: RiskAssessment.prediction.outcome
short:
  v: Possible outcome for the subject
definition:
  v: One of the potential outcomes for the patient (e.g. remission, death, a particular condition).
min:
  v: 1
max:
  v: 1
base:
  path:
    v: RiskAssessment.prediction.outcome
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: RiskAssessmentOutcome
  strength:
    v: example
  description:
    v: The condition or other outcome; e.g. death, remission, amputation, infection, etc.
mapping:
  identity:
    v: rim
  map:
    v: .value
mapping:
  identity:
    v: openehr
  map:
    v: Risk

id:
  v: RiskAssessment.prediction.probability[x]
path:
  v: RiskAssessment.prediction.probability[x]
short:
  v: Likelihood of specified outcome
definition:
  v: How likely is the outcome (in the specified timeframe).
comment:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.prediction.probability[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: decimal
    l: decimal
type:
  code:
    v: Range
    l: Range
constraint:
  key:
    v: ras-1
  severity:
    v: error
  human:
    v: low and high must be percentages, if present
  expression:
    v: (low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum)))
  xpath:
    v: (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'])
  source:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment
    l: RiskAssessment
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="probability"].value
mapping:
  identity:
    v: openehr
  map:
    v: Category

id:
  v: RiskAssessment.prediction.qualitativeRisk
path:
  v: RiskAssessment.prediction.qualitativeRisk
short:
  v: Likelihood of specified outcome as a qualitative value
definition:
  v: How likely is the outcome (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, high).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.prediction.qualitativeRisk
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: RiskAssessmentProbability
  strength:
    v: example
  description:
    v: The likelihood of the occurrence of a specified outcome
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/risk-probability|3.0.2

id:
  v: RiskAssessment.prediction.relativeRisk
path:
  v: RiskAssessment.prediction.relativeRisk
short:
  v: Relative likelihood
definition:
  v: 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:
  v: Absolute risk is less meaningful than relative risk.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.prediction.relativeRisk
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: decimal
    l: decimal
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="relative risk"].value

id:
  v: RiskAssessment.prediction.when[x]
path:
  v: RiskAssessment.prediction.when[x]
short:
  v: Timeframe or age range
definition:
  v: Indicates the period of time or age range of the subject to which the specified probability applies.
comment:
  v: If not specified, the risk applies "over the subject's lifespan".
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.prediction.when[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
type:
  code:
    v: Range
    l: Range
mapping:
  identity:
    v: rim
  map:
    v: .effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age"].value

id:
  v: RiskAssessment.prediction.rationale
path:
  v: RiskAssessment.prediction.rationale
short:
  v: Explanation of prediction
definition:
  v: Additional information explaining the basis for the prediction.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.prediction.rationale
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: .reasonCode.text
mapping:
  identity:
    v: openehr
  map:
    v: Rationale

id:
  v: RiskAssessment.mitigation
path:
  v: RiskAssessment.mitigation
short:
  v: How to reduce risk
definition:
  v: A description of the steps that might be taken to reduce the identified risk(s).
requirements:
  v: One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.mitigation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text

id:
  v: RiskAssessment.comment
path:
  v: RiskAssessment.comment
short:
  v: Comments on the risk assessment
definition:
  v: Additional comments about the risk assessment.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: RiskAssessment.comment
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: workflow
  map:
    v: Event.note

id:
  v: RiskAssessment.comment.id
path:
  v: RiskAssessment.comment.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: RiskAssessment.comment.extension
path:
  v: RiskAssessment.comment.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: RiskAssessment.comment.extension:note
path:
  v: RiskAssessment.comment.extension
slice name:
  v: note
short:
  v: R4: note additional types
definition:
  v: R4: `RiskAssessment.note` additional types (Annotation) additional types from child elements (time)
comment:
  v: Element `RiskAssessment.note` is mapped to FHIR STU3 element `RiskAssessment.comment` as `SourceIsBroaderThanTarget`. The mappings for `RiskAssessment.note` do not cover the following types: Annotation. The mappings for `RiskAssessment.note` do not cover the following types based on type expansion: time.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-RiskAssessment.note|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-RiskAssessment.note
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: RiskAssessment.comment.value
path:
  v: RiskAssessment.comment.value
representation:
  v: xmlAttr
short:
  v: Primitive value for string
definition:
  v: The actual value
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type
        l: structuredefinition-json-type
      value: String
        v: string
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type
        l: structuredefinition-xml-type
      value: String
        v: xsd:string
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type
        l: structuredefinition-rdf-type
      value: String
        v: xsd:string
max length:
  v: 1048576

element:
  id:
    v: RiskAssessment
  path:
    v: RiskAssessment
element:
  id:
    v: RiskAssessment.performer.extension
  path:
    v: RiskAssessment.performer.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
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element:
  id:
    v: RiskAssessment.performer.extension:performer
  path:
    v: RiskAssessment.performer.extension
  slice name:
    v: performer
  short:
    v: R4: performer
  definition:
    v: R4: `RiskAssessment.performer`
  comment:
    v: Element `RiskAssessment.performer` is mapped to FHIR STU3 element `RiskAssessment.performer` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `RiskAssessment.performer` with unmapped reference targets: PractitionerRole.
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/alternate-reference
      l: alternate-reference
element:
  id:
    v: RiskAssessment.reasonReference.extension
  path:
    v: RiskAssessment.reasonReference.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
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    v: 0
  max:
    v: *
element:
  id:
    v: RiskAssessment.reasonReference.extension:alternateReference
  path:
    v: RiskAssessment.reasonReference.extension
  slice name:
    v: alternateReference
  short:
    v: R4: reasonReference
  definition:
    v: R4: `RiskAssessment.reasonReference`
  comment:
    v: Element `RiskAssessment.reasonReference` is mapped to FHIR STU3 element `RiskAssessment.reason[x]` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `RiskAssessment.reasonReference` with unmapped reference targets: Condition, DiagnosticReport, DocumentReference, Observation. Source element `RiskAssessment.reasonReference` has unmapped reference types. While the target element `RiskAssessment.reason[x]` is a choice type and does not allow extensions, the `alternate-reference` extension can be applied to Reference values within it.
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      v: DomainResource.extension
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    max:
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  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/alternate-reference
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element:
  id:
    v: RiskAssessment.comment.extension
  path:
    v: RiskAssessment.comment.extension
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      type:
        v: value
      path:
        v: url
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element:
  id:
    v: RiskAssessment.comment.extension:note
  path:
    v: RiskAssessment.comment.extension
  slice name:
    v: note
  short:
    v: R4: note additional types
  definition:
    v: R4: `RiskAssessment.note` additional types (Annotation) additional types from child elements (time)
  comment:
    v: Element `RiskAssessment.note` is mapped to FHIR STU3 element `RiskAssessment.comment` as `SourceIsBroaderThanTarget`. The mappings for `RiskAssessment.note` do not cover the following types: Annotation. The mappings for `RiskAssessment.note` do not cover the following types based on type expansion: time.
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      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-RiskAssessment.note|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-RiskAssessment.note