Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Clinical Decision Support Work GroupMaturity Level: 1 Trial UseSecurity Category: Patient Compartments: Device, Patient, Practitioner

Detailed Descriptions for the elements in the RiskAssessment resource.

RiskAssessment
Element IdRiskAssessment
Definition

An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.

Cardinality0..*
TypeDomainResource
Alternate NamesPrognosis
Summaryfalse
RiskAssessment.identifier
Element IdRiskAssessment.identifier
Definition

Business identifier assigned to the risk assessment.

NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Summarytrue
RiskAssessment.basedOn
Element IdRiskAssessment.basedOn
Definition

A reference to the request that is fulfilled by this risk assessment.

Cardinality0..1
TypeReference(Any)
Summaryfalse
RiskAssessment.parent
Element IdRiskAssessment.parent
Definition

A reference to a resource that this risk assessment is part of, such as a Procedure.

Cardinality0..1
TypeReference(Any)
Summaryfalse
RiskAssessment.status
Element IdRiskAssessment.status
Definition

The status of the RiskAssessment, using the same statuses as an Observation.

Cardinality1..1
Terminology BindingObservationStatus (Required)
Typecode
Summarytrue
RiskAssessment.method
Element IdRiskAssessment.method
Definition

The algorithm, process or mechanism used to evaluate the risk.

Cardinality0..1
Terminology BindingRiskAssessmentMethod:
TypeCodeableConcept
Requirements

The method can influence the results of the assessment.

Summarytrue
RiskAssessment.code
Element IdRiskAssessment.code
Definition

The type of the risk assessment performed.

Cardinality0..1
TypeCodeableConcept
Summarytrue
RiskAssessment.subject
Element IdRiskAssessment.subject
Definition

The patient or group the risk assessment applies to.

Cardinality1..1
TypeReference(Patient | Group)
PatternsReference(Patient,Group): Common patterns = Participant
Summarytrue
RiskAssessment.encounter
Element IdRiskAssessment.encounter
Definition

The encounter where the assessment was performed.

Cardinality0..1
TypeReference(Encounter)
Summarytrue
RiskAssessment.occurrence[x]
Element IdRiskAssessment.occurrence[x]
Definition

The date (and possibly time) the risk assessment was performed.

Cardinality0..1
TypedateTime|Period
[x] NoteSee Choice of Data Types for further information about how to use [x]
Requirements

The assessment results lose validity the more time elapses from when they are first made.

Summarytrue
RiskAssessment.condition
Element IdRiskAssessment.condition
Definition

For assessments or prognosis specific to a particular condition, indicates the condition being assessed.

Cardinality0..1
TypeReference(Condition)
Summarytrue
RiskAssessment.performer
Element IdRiskAssessment.performer
Definition

The provider or software application that performed the assessment.

Cardinality0..1
TypeReference(Practitioner | PractitionerRole | Device)
PatternsReference(Practitioner,PractitionerRole,Device): Common patterns = Participant
Summarytrue
RiskAssessment.reason
Element IdRiskAssessment.reason
Definition

The reason the risk assessment was performed.

Cardinality0..*
TypeCodeableReference(Condition | Observation | DiagnosticReport | DocumentReference)
PatternsCodeableReference(Condition,Observation,DiagnosticReport,DocumentReference): Common patterns = Event
Summaryfalse
RiskAssessment.basis
Element IdRiskAssessment.basis
Definition

Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.).

Cardinality0..*
TypeReference(Any)
Summaryfalse
RiskAssessment.prediction
Element IdRiskAssessment.prediction
Definition

Describes the expected outcome for the subject.

Cardinality0..*
Summaryfalse
Comments

Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.

Invariants
Defined on this element
ras-2Rule Must be <= 100probability is decimal implies (probability as decimal) <= 100
RiskAssessment.prediction.outcome
Element IdRiskAssessment.prediction.outcome
Definition

One of the potential outcomes for the patient (e.g. remission, death, a particular condition).

Cardinality0..1
Terminology BindingRiskAssessmentOutcome:
TypeCodeableConcept
Summaryfalse
RiskAssessment.prediction.probability[x]
Element IdRiskAssessment.prediction.probability[x]
Definition

Indicates how likely the outcome is (in the specified timeframe).

Cardinality0..1
Typedecimal|Range
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summaryfalse
Comments

If range is used, it represents the lower and upper bounds of certainty; e.g. 40-60% Decimal values are expressed as percentages as well (max = 100).

Invariants
Defined on this element
ras-1Rule low and high must be percentages, if present(low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum)))
RiskAssessment.prediction.qualitativeRisk
Element IdRiskAssessment.prediction.qualitativeRisk
Definition

Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high).

Cardinality0..1
Terminology BindingRisk Probability (Example)
TypeCodeableConcept
Summaryfalse
RiskAssessment.prediction.relativeRisk
Element IdRiskAssessment.prediction.relativeRisk
Definition

Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general. (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk.).

Cardinality0..1
Typedecimal
Requirements

Absolute risk is less meaningful than relative risk.

Summaryfalse
RiskAssessment.prediction.when[x]
Element IdRiskAssessment.prediction.when[x]
Definition

Indicates the period of time or age range of the subject to which the specified probability applies.

Cardinality0..1
TypePeriod|Range
[x] NoteSee Choice of Data Types for further information about how to use [x]
Summaryfalse
Comments

If not specified, the risk applies "over the subject's lifespan".

RiskAssessment.prediction.rationale
Element IdRiskAssessment.prediction.rationale
Definition

Additional information explaining the basis for the prediction.

Cardinality0..1
Typestring
Summaryfalse
RiskAssessment.mitigation
Element IdRiskAssessment.mitigation
Definition

A description of the steps that might be taken to reduce the identified risk(s).

Cardinality0..1
Typestring
Requirements

One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk.

Summaryfalse
RiskAssessment.note
Element IdRiskAssessment.note
Definition

Additional comments about the risk assessment.

Cardinality0..*
TypeAnnotation
Summaryfalse