This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
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Definitions for the cqf-riskassessment-cqf-riskassessment Profile.
RiskAssessment(cqf-riskassessment) | |
Definition | An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome. |
Control | 1..1 |
Requirements | |
Alternate Names | Prognosis |
Comments | |
RiskAssessment.id | |
Definition | The logical id of the resource, as used in the url for the resoure. Once assigned, this value never changes. |
Control | 0..1 |
Type | id |
Requirements | |
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID. |
RiskAssessment.meta | |
Definition | 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. |
Control | 0..1 |
Type | Meta |
Requirements | |
Comments | |
RiskAssessment.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Control | 0..1 |
Type | uri |
Is Modifier | true |
Requirements | |
Comments | 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 as much as possible. |
RiskAssessment.language | |
Definition | The base language in which the resource is written. |
Control | 0..1 |
Binding | A human language The codes SHALL be taken from http://tools.ietf.org/html/bcp47 |
Type | code |
Requirements | |
Comments | 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). |
RiskAssessment.text | |
Definition | 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. |
Control | 0..1 This element is affected by the following invariants: dom-1 |
Type | Narrative |
Requirements | |
Alternate Names | narrative, html, xhtml, display |
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. |
RiskAssessment.contained | |
Definition | 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. |
Control | 0..* |
Type | Resource |
Requirements | |
Alternate Names | inline resources, anonymous resources, contained resources |
Comments | 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. |
RiskAssessment.extension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Requirements | |
Alternate Names | extensions, user content |
Comments | 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. |
RiskAssessment.modifierExtension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Requirements | |
Alternate Names | extensions, user content |
Comments | 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. |
RiskAssessment.subject | |
Definition | The patient or group the risk assessment applies to. |
Control | 0..1 |
Type | Choice of: Reference(Profile = (Profile = http://hl7.org/fhir/Profile/Patient)), Reference(Profile = (Profile = http://hl7.org/fhir/Profile/Group)) |
Must Support | true |
Requirements | |
Comments | |
RiskAssessment.date | |
Definition | The date (and possibly time) the risk assessment was performed. |
Control | 0..1 |
Type | dateTime |
Must Support | true |
Requirements | The assessment results lose validity the more time elapses from when they are first made. |
Comments | |
RiskAssessment.condition | |
Definition | For assessments or prognosis specific to a particular condition, indicates the condition being assessed. |
Control | 0..1 |
Type | Reference(Profile = (Profile = http://hl7.org/fhir/Profile/Condition)) |
Must Support | true |
Requirements | |
Comments | |
RiskAssessment.performer | |
Definition | The provider or software application that performed the assessment. |
Control | 0..1 |
Type | Choice of: Reference(Profile = (Profile = http://hl7.org/fhir/Profile/Practitioner)), Reference(Profile = (Profile = http://hl7.org/fhir/Profile/Device)) |
Must Support | true |
Requirements | |
Comments | |
RiskAssessment.identifier | |
Definition | Business identifier assigned to the risk assessment. |
Control | 0..1 |
Type | Identifier |
Requirements | |
Comments | |
RiskAssessment.method | |
Definition | The algorithm, processs or mechanism used to evaluate the risk. |
Control | 0..1 |
Binding | The mechanism or algorithm used to make the assessment. E.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. |
Type | CodeableConcept |
Must Support | true |
Requirements | The method can influence the results of the assessment. |
Comments | |
RiskAssessment.basis | |
Definition | Indicates the source data considered as part of the assessment (FamilyHistory, Observations, Procedures, Conditions, etc.). |
Control | 0..* |
Type | Reference(Profile = http://hl7.org/fhir/Profile/Any) |
Requirements | |
Comments | |
RiskAssessment.prediction | |
Definition | Describes the expected outcome for the subject. |
Control | 0..* |
Must Support | true |
Requirements | |
Comments | Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes. |
RiskAssessment.prediction.id | |
Definition | unique id for the element within a resource (for internal references). |
Control | 0..1 |
Type | id |
Requirements | |
Comments | |
RiskAssessment.prediction.extension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Requirements | |
Alternate Names | extensions, user content |
Comments | 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. |
RiskAssessment.prediction.modifierExtension | |
Definition | 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. |
Control | 0..* |
Type | Extension |
Requirements | |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
RiskAssessment.prediction.outcome | |
Definition | One of the potential outcomes for the patient (e.g. remission, death, a particular condition). |
Control | 1..1 |
Binding | The condition or other outcome. E.g. death, remission, amputation, infection, etc. |
Type | CodeableConcept |
Must Support | true |
Requirements | |
Comments | |
RiskAssessment.prediction.probability[x] | |
Definition | How likely is the outcome (in the specified timeframe). |
Control | 0..1 |
Binding | The likelihood of the occurrence of a specified outcome For example codes, see Risk Probability |
Type | Choice of: decimal, Range, CodeableConcept |
Requirements | |
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-1: low and high must be percentages, if present (xpath: (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'])) ras-2: Must be <= 100 (xpath: @value <= 100) |
RiskAssessment.prediction.relativeRisk | |
Definition | Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general. (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk.). |
Control | 0..1 |
Type | decimal |
Requirements | Absolute risk is less meaningful than relative risk. |
Comments | |
RiskAssessment.prediction.when[x] | |
Definition | Indicates the period of time or age range of the subject to which the specified probability applies. |
Control | 0..1 |
Type | Choice of: Period, Range |
Must Support | true |
Requirements | |
Comments | If not specified, the risk applies "over the subject's lifespan". |
RiskAssessment.prediction.rationale | |
Definition | Additional information explaining the basis for the prediction. |
Control | 0..1 |
Type | string |
Requirements | |
Comments | |
RiskAssessment.mitigation | |
Definition | A description of the steps that might be taken to reduce the identified risk(s). |
Control | 0..1 |
Type | string |
Requirements | One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk. |
Comments |