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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
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)
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)
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)
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)
Summarytrue
RiskAssessment.reasonCode
Element IdRiskAssessment.reasonCode
Definition

The reason the risk assessment was performed.

Cardinality0..*
TypeCodeableConcept
RiskAssessment.reasonReference
Element IdRiskAssessment.reasonReference
Definition

Resources supporting the reason the risk assessment was performed.

Cardinality0..*
TypeReference(Condition | Observation | DiagnosticReport | DocumentReference)
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)
RiskAssessment.prediction
Element IdRiskAssessment.prediction
Definition

Describes the expected outcome for the subject.

Cardinality0..*
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
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]
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
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.

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]
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
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.

RiskAssessment.note
Element IdRiskAssessment.note
Definition

Additional comments about the risk assessment.

Cardinality0..*
TypeAnnotation