LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1
LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide, published by Ministry of Health, Sri Lanka. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lk-gov-health-hiu/lk-nehr-fhir-ips/ and changes regularly. See the Directory of published versions
Official URL: http://fhir.health.gov.lk/ips/StructureDefinition/cvd-risk-category | Version: 0.1.0 | |||
Active as of 2024-09-22 | Computable Name: CVDRiskCategory |
Represents the patient's CVD risk score.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from RiskAssessment
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
RiskAssessment | 0..* | RiskAssessment | Potential outcomes for a subject with likelihood | |
code | 1..1 | CodeableConcept | Type of assessment Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 441829007 | |
subject | 1..1 | Reference(Patient) | Who/what does assessment apply to? | |
encounter | 1..1 | Reference(Target Facility Encounter) | Where was assessment performed? | |
Slices for occurrence[x] | 1..1 | dateTime | When was assessment made? Slice: Unordered, Open by type:$this | |
occurrence[x]:occurrenceDateTime | 1..1 | dateTime | When was assessment made? | |
performer | 1..1 | Reference(Practitioner | Device Information) | Who did assessment? | |
prediction | 1..* | BackboneElement | Outcome predicted | |
outcome | 1..1 | CodeableConcept | Possible outcome for the subject | |
Slices for probability[x] | 0..1 | decimal, Range | Likelihood of specified outcome Slice: Unordered, Open by type:$this | |
probability[x]:probabilityDecimal | S | 0..1 | decimal | Likelihood of specified outcome |
qualitativeRisk | 1..1 | CodeableConcept | Likelihood of specified outcome as a qualitative value Binding: Cardiovascular Risk Categories (extensible) | |
Slices for when[x] | 1..1 | Range | Timeframe or age range Slice: Unordered, Open by type:$this | |
when[x]:whenRange | 1..1 | Range | Timeframe or age range | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
RiskAssessment.prediction.qualitativeRisk | extensible | VSCVDRiskCategory (a valid code from Cardiovascular Risk Categories)http://fhir.health.gov.lk/ips/ValueSet/vs-cvd-risk-category from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
RiskAssessment | 0..* | RiskAssessment | Potential outcomes for a subject with likelihood | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc. |
code | Σ | 1..1 | CodeableConcept | Type of assessment Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 441829007 | |
subject | Σ | 1..1 | Reference(Patient) | Who/what does assessment apply to? |
encounter | Σ | 1..1 | Reference(Target Facility Encounter) | Where was assessment performed? |
Slices for occurrence[x] | Σ | 1..1 | dateTime | When was assessment made? Slice: Unordered, Closed by type:$this |
occurrence[x]:occurrenceDateTime | Σ | 1..1 | dateTime | When was assessment made? |
performer | Σ | 1..1 | Reference(Practitioner | Device Information) | Who did assessment? |
prediction | C | 1..* | BackboneElement | Outcome predicted ras-2: Must be <= 100 |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
outcome | 1..1 | CodeableConcept | Possible outcome for the subject Binding Description (No ValueSet): (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc. | |
Slices for probability[x] | C | 0..1 | Likelihood of specified outcome Slice: Unordered, Open by type:$this ras-1: low and high must be percentages, if present | |
probabilityDecimal | decimal | |||
probabilityRange | Range | |||
probability[x]:probabilityDecimal | SC | 0..1 | decimal | Likelihood of specified outcome ras-1: low and high must be percentages, if present |
qualitativeRisk | 1..1 | CodeableConcept | Likelihood of specified outcome as a qualitative value Binding: Cardiovascular Risk Categories (extensible) | |
Slices for when[x] | 1..1 | Range | Timeframe or age range Slice: Unordered, Closed by type:$this | |
when[x]:whenRange | 1..1 | Range | Timeframe or age range | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
RiskAssessment.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
RiskAssessment.prediction.outcome | example | ||
RiskAssessment.prediction.qualitativeRisk | extensible | VSCVDRiskCategory (a valid code from Cardiovascular Risk Categories)http://fhir.health.gov.lk/ips/ValueSet/vs-cvd-risk-category from this IG |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | RiskAssessment | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | RiskAssessment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | RiskAssessment | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | RiskAssessment | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | RiskAssessment | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ras-1 | error | RiskAssessment.prediction.probability[x], RiskAssessment.prediction.probability[x]:probabilityDecimal | 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))) | |
ras-2 | error | RiskAssessment.prediction | Must be <= 100 : probability is decimal implies (probability as decimal) <= 100 |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
RiskAssessment | 0..* | RiskAssessment | Potential outcomes for a subject with likelihood | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Unique identifier for the assessment | ||||
basedOn | 0..1 | Reference(Resource) | Request fulfilled by this assessment | |||||
parent | 0..1 | Reference(Resource) | Part of this occurrence | |||||
status | Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc. | ||||
method | Σ | 0..1 | CodeableConcept | Evaluation mechanism Binding Description (No ValueSet): (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. | ||||
code | Σ | 1..1 | CodeableConcept | Type of assessment Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 441829007 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
subject | Σ | 1..1 | Reference(Patient) | Who/what does assessment apply to? | ||||
encounter | Σ | 1..1 | Reference(Target Facility Encounter) | Where was assessment performed? | ||||
Slices for occurrence[x] | Σ | 1..1 | dateTime | When was assessment made? Slice: Unordered, Closed by type:$this | ||||
occurrence[x]:occurrenceDateTime | Σ | 1..1 | dateTime | When was assessment made? | ||||
condition | Σ | 0..1 | Reference(Condition) | Condition assessed | ||||
performer | Σ | 1..1 | Reference(Practitioner | Device Information) | Who did assessment? | ||||
reasonCode | 0..* | CodeableConcept | Why the assessment was necessary? | |||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why the assessment was necessary? | |||||
basis | 0..* | Reference(Resource) | Information used in assessment | |||||
prediction | C | 1..* | BackboneElement | Outcome predicted ras-2: Must be <= 100 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
outcome | 1..1 | CodeableConcept | Possible outcome for the subject Binding Description (No ValueSet): (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc. | |||||
Slices for probability[x] | C | 0..1 | Likelihood of specified outcome Slice: Unordered, Open by type:$this ras-1: low and high must be percentages, if present | |||||
probabilityDecimal | decimal | |||||||
probabilityRange | Range | |||||||
probability[x]:probabilityDecimal | SC | 0..1 | decimal | Likelihood of specified outcome ras-1: low and high must be percentages, if present | ||||
qualitativeRisk | 1..1 | CodeableConcept | Likelihood of specified outcome as a qualitative value Binding: Cardiovascular Risk Categories (extensible) | |||||
relativeRisk | 0..1 | decimal | Relative likelihood | |||||
Slices for when[x] | 1..1 | Range | Timeframe or age range Slice: Unordered, Closed by type:$this | |||||
when[x]:whenRange | 1..1 | Range | Timeframe or age range | |||||
rationale | 0..1 | string | Explanation of prediction | |||||
mitigation | 0..1 | string | How to reduce risk | |||||
note | 0..* | Annotation | Comments on the risk assessment | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
RiskAssessment.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
RiskAssessment.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
RiskAssessment.method | example | |||||
RiskAssessment.prediction.outcome | example | |||||
RiskAssessment.prediction.qualitativeRisk | extensible | VSCVDRiskCategory (a valid code from Cardiovascular Risk Categories)http://fhir.health.gov.lk/ips/ValueSet/vs-cvd-risk-category from this IG |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | RiskAssessment | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | RiskAssessment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | RiskAssessment | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | RiskAssessment | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | RiskAssessment | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ras-1 | error | RiskAssessment.prediction.probability[x], RiskAssessment.prediction.probability[x]:probabilityDecimal | 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))) | |
ras-2 | error | RiskAssessment.prediction | Must be <= 100 : probability is decimal implies (probability as decimal) <= 100 |
This structure is derived from RiskAssessment
Summary
Mandatory: 10 elements
Must-Support: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from RiskAssessment
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
RiskAssessment | 0..* | RiskAssessment | Potential outcomes for a subject with likelihood | |
code | 1..1 | CodeableConcept | Type of assessment Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 441829007 | |
subject | 1..1 | Reference(Patient) | Who/what does assessment apply to? | |
encounter | 1..1 | Reference(Target Facility Encounter) | Where was assessment performed? | |
Slices for occurrence[x] | 1..1 | dateTime | When was assessment made? Slice: Unordered, Open by type:$this | |
occurrence[x]:occurrenceDateTime | 1..1 | dateTime | When was assessment made? | |
performer | 1..1 | Reference(Practitioner | Device Information) | Who did assessment? | |
prediction | 1..* | BackboneElement | Outcome predicted | |
outcome | 1..1 | CodeableConcept | Possible outcome for the subject | |
Slices for probability[x] | 0..1 | decimal, Range | Likelihood of specified outcome Slice: Unordered, Open by type:$this | |
probability[x]:probabilityDecimal | S | 0..1 | decimal | Likelihood of specified outcome |
qualitativeRisk | 1..1 | CodeableConcept | Likelihood of specified outcome as a qualitative value Binding: Cardiovascular Risk Categories (extensible) | |
Slices for when[x] | 1..1 | Range | Timeframe or age range Slice: Unordered, Open by type:$this | |
when[x]:whenRange | 1..1 | Range | Timeframe or age range | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
RiskAssessment.prediction.qualitativeRisk | extensible | VSCVDRiskCategory (a valid code from Cardiovascular Risk Categories)http://fhir.health.gov.lk/ips/ValueSet/vs-cvd-risk-category from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
RiskAssessment | 0..* | RiskAssessment | Potential outcomes for a subject with likelihood | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc. |
code | Σ | 1..1 | CodeableConcept | Type of assessment Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 441829007 | |
subject | Σ | 1..1 | Reference(Patient) | Who/what does assessment apply to? |
encounter | Σ | 1..1 | Reference(Target Facility Encounter) | Where was assessment performed? |
Slices for occurrence[x] | Σ | 1..1 | dateTime | When was assessment made? Slice: Unordered, Closed by type:$this |
occurrence[x]:occurrenceDateTime | Σ | 1..1 | dateTime | When was assessment made? |
performer | Σ | 1..1 | Reference(Practitioner | Device Information) | Who did assessment? |
prediction | C | 1..* | BackboneElement | Outcome predicted ras-2: Must be <= 100 |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
outcome | 1..1 | CodeableConcept | Possible outcome for the subject Binding Description (No ValueSet): (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc. | |
Slices for probability[x] | C | 0..1 | Likelihood of specified outcome Slice: Unordered, Open by type:$this ras-1: low and high must be percentages, if present | |
probabilityDecimal | decimal | |||
probabilityRange | Range | |||
probability[x]:probabilityDecimal | SC | 0..1 | decimal | Likelihood of specified outcome ras-1: low and high must be percentages, if present |
qualitativeRisk | 1..1 | CodeableConcept | Likelihood of specified outcome as a qualitative value Binding: Cardiovascular Risk Categories (extensible) | |
Slices for when[x] | 1..1 | Range | Timeframe or age range Slice: Unordered, Closed by type:$this | |
when[x]:whenRange | 1..1 | Range | Timeframe or age range | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
RiskAssessment.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
RiskAssessment.prediction.outcome | example | ||
RiskAssessment.prediction.qualitativeRisk | extensible | VSCVDRiskCategory (a valid code from Cardiovascular Risk Categories)http://fhir.health.gov.lk/ips/ValueSet/vs-cvd-risk-category from this IG |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | RiskAssessment | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | RiskAssessment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | RiskAssessment | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | RiskAssessment | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | RiskAssessment | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ras-1 | error | RiskAssessment.prediction.probability[x], RiskAssessment.prediction.probability[x]:probabilityDecimal | 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))) | |
ras-2 | error | RiskAssessment.prediction | Must be <= 100 : probability is decimal implies (probability as decimal) <= 100 |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
RiskAssessment | 0..* | RiskAssessment | Potential outcomes for a subject with likelihood | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Unique identifier for the assessment | ||||
basedOn | 0..1 | Reference(Resource) | Request fulfilled by this assessment | |||||
parent | 0..1 | Reference(Resource) | Part of this occurrence | |||||
status | Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc. | ||||
method | Σ | 0..1 | CodeableConcept | Evaluation mechanism Binding Description (No ValueSet): (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. | ||||
code | Σ | 1..1 | CodeableConcept | Type of assessment Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 441829007 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
subject | Σ | 1..1 | Reference(Patient) | Who/what does assessment apply to? | ||||
encounter | Σ | 1..1 | Reference(Target Facility Encounter) | Where was assessment performed? | ||||
Slices for occurrence[x] | Σ | 1..1 | dateTime | When was assessment made? Slice: Unordered, Closed by type:$this | ||||
occurrence[x]:occurrenceDateTime | Σ | 1..1 | dateTime | When was assessment made? | ||||
condition | Σ | 0..1 | Reference(Condition) | Condition assessed | ||||
performer | Σ | 1..1 | Reference(Practitioner | Device Information) | Who did assessment? | ||||
reasonCode | 0..* | CodeableConcept | Why the assessment was necessary? | |||||
reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why the assessment was necessary? | |||||
basis | 0..* | Reference(Resource) | Information used in assessment | |||||
prediction | C | 1..* | BackboneElement | Outcome predicted ras-2: Must be <= 100 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
outcome | 1..1 | CodeableConcept | Possible outcome for the subject Binding Description (No ValueSet): (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc. | |||||
Slices for probability[x] | C | 0..1 | Likelihood of specified outcome Slice: Unordered, Open by type:$this ras-1: low and high must be percentages, if present | |||||
probabilityDecimal | decimal | |||||||
probabilityRange | Range | |||||||
probability[x]:probabilityDecimal | SC | 0..1 | decimal | Likelihood of specified outcome ras-1: low and high must be percentages, if present | ||||
qualitativeRisk | 1..1 | CodeableConcept | Likelihood of specified outcome as a qualitative value Binding: Cardiovascular Risk Categories (extensible) | |||||
relativeRisk | 0..1 | decimal | Relative likelihood | |||||
Slices for when[x] | 1..1 | Range | Timeframe or age range Slice: Unordered, Closed by type:$this | |||||
when[x]:whenRange | 1..1 | Range | Timeframe or age range | |||||
rationale | 0..1 | string | Explanation of prediction | |||||
mitigation | 0..1 | string | How to reduce risk | |||||
note | 0..* | Annotation | Comments on the risk assessment | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
RiskAssessment.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
RiskAssessment.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
RiskAssessment.method | example | |||||
RiskAssessment.prediction.outcome | example | |||||
RiskAssessment.prediction.qualitativeRisk | extensible | VSCVDRiskCategory (a valid code from Cardiovascular Risk Categories)http://fhir.health.gov.lk/ips/ValueSet/vs-cvd-risk-category from this IG |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | RiskAssessment | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | RiskAssessment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | RiskAssessment | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | RiskAssessment | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | RiskAssessment | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ras-1 | error | RiskAssessment.prediction.probability[x], RiskAssessment.prediction.probability[x]:probabilityDecimal | 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))) | |
ras-2 | error | RiskAssessment.prediction | Must be <= 100 : probability is decimal implies (probability as decimal) <= 100 |
This structure is derived from RiskAssessment
Summary
Mandatory: 10 elements
Must-Support: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron