Release 4 5 Preview #3
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Clinical Decision Support Work Group Maturity Level : 1   Trial Use Security Category : Patient Compartments : Device , Patient , Practitioner

Detailed Descriptions for the elements in the RiskAssessment resource.

RiskAssessment
Element Id RiskAssessment
Definition

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

Cardinality 0..*
Type DomainResource
Alternate Names Prognosis
Summary false
RiskAssessment.identifier
Element Id RiskAssessment.identifier
Definition

Business identifier assigned to the risk assessment.

Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Summary true
RiskAssessment.basedOn
Element Id RiskAssessment.basedOn
Definition

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

Cardinality 0..1
Type Reference ( Any )
Summary false
RiskAssessment.parent
Element Id RiskAssessment.parent
Definition

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

Cardinality 0..1
Type Reference ( Any )
Summary false
RiskAssessment.status
Element Id RiskAssessment.status
Definition

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

Cardinality 1..1
Terminology Binding ObservationStatus ( Required )
Type code
Summary true
RiskAssessment.method
Element Id RiskAssessment.method
Definition

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

Cardinality 0..1
Terminology Binding RiskAssessmentMethod :
Type CodeableConcept
Requirements

The method can influence the results of the assessment.

Summary true
RiskAssessment.code
Element Id RiskAssessment.code
Definition

The type of the risk assessment performed.

Cardinality 0..1
Type CodeableConcept
Summary true
RiskAssessment.subject
Element Id RiskAssessment.subject
Definition

The patient or group the risk assessment applies to.

Cardinality 1..1
Type Reference ( Patient | Group )
Patterns Reference(Patient,Group): Common patterns = Participant
Summary true
RiskAssessment.encounter
Element Id RiskAssessment.encounter
Definition

The encounter where the assessment was performed.

Cardinality 0..1
Type Reference ( Encounter )
Summary true
RiskAssessment.occurrence[x]
Element Id RiskAssessment.occurrence[x]
Definition

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

Cardinality 0..1
Type dateTime | Period
[x] Note See 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.

Summary true
RiskAssessment.condition
Element Id RiskAssessment.condition
Definition

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

Cardinality 0..1
Type Reference ( Condition )
Summary true
RiskAssessment.performer
Element Id RiskAssessment.performer
Definition

The provider or software application that performed the assessment.

Cardinality 0..1
Type Reference ( Practitioner | PractitionerRole | Device )
Summary true Patterns RiskAssessment.reasonCode Element Id RiskAssessment.reasonCode Definition The reason the risk assessment was performed. Cardinality Reference(Practitioner,PractitionerRole,Device): Common patterns = Participant 0..*
Type Summary CodeableConcept true
RiskAssessment.reasonReference RiskAssessment.reason
Element Id RiskAssessment.reasonReference RiskAssessment.reason
Definition

Resources supporting the The reason the risk assessment was performed.

Cardinality 0..*
Type Reference CodeableReference ( Condition | Observation | DiagnosticReport | DocumentReference )
Patterns CodeableReference(Condition,Observation,DiagnosticReport,DocumentReference): Common patterns = Event
Summary false
RiskAssessment.basis
Element Id RiskAssessment.basis
Definition

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

Cardinality 0..*
Type Reference ( Any )
Summary false
RiskAssessment.prediction
Element Id RiskAssessment.prediction
Definition

Describes the expected outcome for the subject.

Cardinality 0..*
Summary false
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-2 Rule Must be <= 100 probability is decimal implies (probability as decimal) <= 100
RiskAssessment.prediction.outcome
Element Id RiskAssessment.prediction.outcome
Definition

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

Cardinality 0..1
Terminology Binding RiskAssessmentOutcome :
Type CodeableConcept
Summary false
RiskAssessment.prediction.probability[x]
Element Id RiskAssessment.prediction.probability[x]
Definition

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

Cardinality 0..1
Type decimal | Range
[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
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 Rule 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 Id RiskAssessment.prediction.qualitativeRisk
Definition

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

Cardinality 0..1
Terminology Binding Risk Probability ( Example )
Type CodeableConcept
Summary false
RiskAssessment.prediction.relativeRisk
Element Id 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.).

Cardinality 0..1
Type decimal
Requirements

Absolute risk is less meaningful than relative risk.

Summary false
RiskAssessment.prediction.when[x]
Element Id RiskAssessment.prediction.when[x]
Definition

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

Cardinality 0..1
Type Period | Range
[x] Note See Choice of Data Types for further information about how to use [x]
Summary false
Comments

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

RiskAssessment.prediction.rationale
Element Id RiskAssessment.prediction.rationale
Definition

Additional information explaining the basis for the prediction.

Cardinality 0..1
Type string
Summary false
RiskAssessment.mitigation
Element Id RiskAssessment.mitigation
Definition

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

Cardinality 0..1
Type string
Requirements

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

Summary false
RiskAssessment.note
Element Id RiskAssessment.note
Definition

Additional comments about the risk assessment.

Cardinality 0..*
Type Annotation
Summary false