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9.11.8 Resource RiskAssessment - Detailed Descriptions

Clinical Decision Support icon Work GroupMaturity Level: 2 Trial UseSecurity Category: Patient Compartments: Device, Group, 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.

Short Display Potential outcomes for a subject with likelihood
Cardinality 0..*
Type DomainResource
Alternate Names Prognosis
Summary false
RiskAssessment.identifier
Element Id RiskAssessment.identifier
Definition

Business identifier assigned to the risk assessment.

Short Display Unique identifier for the 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.

Short Display Request fulfilled by this 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.

Short Display Part of this occurrence
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.

Short Display registered | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained
Cardinality 1..1
Terminology Binding Observation Status (Required)
Type code
Summary true
RiskAssessment.method
Element Id RiskAssessment.method
Definition

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

Short Display Evaluation mechanism
Cardinality 0..1
Terminology Binding Risk Assessment Method (Example)
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.

Short Display Type of assessment
Cardinality 0..1
Terminology Binding Risk Assessment Method (Example)
Type CodeableConcept
Summary true
RiskAssessment.subject
Element Id RiskAssessment.subject
Definition

The patient or group the risk assessment applies to.

Short Display Who/what does assessment apply to?
Cardinality 1..1
Type Reference(Patient | Group)
Summary true
RiskAssessment.encounter
Element Id RiskAssessment.encounter
Definition

The encounter where the assessment was performed.

Short Display Where was assessment 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.

Short Display When was assessment made?
Cardinality 0..1
Type dateTime|Period
[x] Note See Choice of Datatypes 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.

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

The provider, patient, related person, or software application that performed the assessment.

Short Display Who did assessment?
Cardinality 0..1
Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device)
Summary true
RiskAssessment.reason
Element Id RiskAssessment.reason
Definition

The reason the risk assessment was performed.

Short Display Why was the assessment necessary?
Cardinality 0..*
Type CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference)
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.).

Short Display Information used in assessment
Cardinality 0..*
Type Reference(Any)
Summary false
RiskAssessment.prediction
Element Id RiskAssessment.prediction
Definition

Describes the expected outcome for the subject.

Short Display Outcome predicted
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.

Constraints
Defined on this element
ras-2Rule Probability as a decimal must be <= 100probability.empty() or ((probability is decimal) implies ((probability as decimal) <= 100))
ras-3Rule Probability as a Quantity must be <= 100%probability.empty() or ((probability is Quantity) implies (((probability as Quantity).value <= 100) and ((probability as Quantity).code = '%') and ((probability as Quantity).system = %ucum)))
RiskAssessment.prediction.outcome
Element Id RiskAssessment.prediction.outcome
Definition

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

Short Display Possible outcome for the subject
Cardinality 0..1
Terminology Binding Risk Assessment Outcome (Example)
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). Range SHOULD be expressed as a Quantity (with a unit of '%'), rather than as a decimal value to make sure the percentage semantics are clear.

Short Display Likelihood of specified outcome
Cardinality 0..1
Type decimal|Quantity|Range
[x] Note See Choice of Datatypes 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).

Constraints
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)))
Affect this element
ras-2Rule Probability as a decimal must be <= 100probability.empty() or ((probability is decimal) implies ((probability as decimal) <= 100))
ras-3Rule Probability as a Quantity must be <= 100%probability.empty() or ((probability is Quantity) implies (((probability as Quantity).value <= 100) and ((probability as Quantity).code = '%') and ((probability as Quantity).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).

Short Display Likelihood of specified outcome as a qualitative value
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.).

Short Display Relative likelihood
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.

Short Display Timeframe or age range
Cardinality 0..1
Type Period|Range
[x] Note See Choice of Datatypes 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.

Short Display Explanation of 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).

Short Display How to reduce risk
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.

Short Display Comments on the risk assessment
Cardinality 0..*
Type Annotation
Summary false