SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions
Resource Profile: SGHI RiskAssessment
| Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-riskassessment | Version: 0.1.0 | |||
| Draft as of 2025-09-04 | Computable Name: SGHIRiskAssessment | |||
An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.
Usages:
- Examples for this Profile: RiskAssessment/ExampleSGHIRiskAssessment
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 |
| contained |
0..* | Resource | Contained, inline Resources | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
  identifier |
Σ | 1..* | Identifier | Unique identifier for the assessment |
 use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type |
Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Standard Identifier Types (required) |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value |
ΣC | 1..1 | string | The value that is unique Example General: 123456 |
  assigner |
Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text) |
| basedOn |
0..1 | SGHIReference(Resource) | Request fulfilled by this assessment | |
| status |
Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc. |
| subject |
Σ | 1..1 | SGHIReference(SGHI Patient) | Who/what does assessment apply to? |
| encounter |
Σ | 1..1 | SGHIReference(SGHI Encounter) | Where was assessment performed? |
| condition |
Σ | 0..1 | SGHIReference(SGHI Condition) | Condition assessed |
| performer |
Σ | 0..1 | SGHIReference(SGHI Patient | Practitioner) | Who did assessment? |
| reason |
0..* | SGHICodeableReference(SGHI Condition | SGHI Observation | SGHI DiagnosticReport) | Why the assessment was necessary? | |
| basis |
0..* | SGHIReference(QuestionnaireResponse) | Information used in assessment | |
| prediction |
C | 1..* | BackboneElement | Outcome predicted Constraints: ras-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| qualitativeRisk |
1..1 | SGHICodeableConcept | Likelihood of specified outcome as a qualitative value Binding: RiskProbability (example): The likelihood of the occurrence of a specified outcome. | |
| note |
0..* | SGHIAnnotation | Comments on the risk assessment | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| RiskAssessment.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| RiskAssessment.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| RiskAssessment.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0From the FHIR Standard | |
| RiskAssessment.prediction.qualitativeRisk | example | RiskProbabilityhttp://hl7.org/fhir/ValueSet/risk-probabilityFrom the FHIR Standard |
Constraints
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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-2 | error | RiskAssessment.prediction | Probability as a deciml must be <= 100 : probability.empty() or ((probability is decimal) implies ((probability as decimal) <= 100)) |
This structure is derived from RiskAssessment
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| RiskAssessment |
0..* | RiskAssessment | Potential outcomes for a subject with likelihood | |
 identifier |
1..* | Identifier | Unique identifier for the assessment | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | |
| type |
0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Standard Identifier Types (required) | |
| system |
1..1 | uri | The namespace for the identifier value | |
| value |
1..1 | string | The value that is unique | |
| assigner |
1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text) | |
| basedOn |
0..1 | SGHIReference(Resource) | Request fulfilled by this assessment | |
| subject |
1..1 | SGHIReference(SGHI Patient) | Who/what does assessment apply to? | |
| encounter |
1..1 | SGHIReference(SGHI Encounter) | Where was assessment performed? | |
| condition |
0..1 | SGHIReference(SGHI Condition) | Condition assessed | |
| performer |
0..1 | SGHIReference(SGHI Patient | Practitioner) | Who did assessment? | |
| reason |
0..* | SGHICodeableReference(SGHI Condition | SGHI Observation | SGHI DiagnosticReport) | Why the assessment was necessary? | |
| basis |
0..* | SGHIReference(QuestionnaireResponse) | Information used in assessment | |
| prediction |
1..* | BackboneElement | Outcome predicted | |
| qualitativeRisk |
1..1 | SGHICodeableConcept | Likelihood of specified outcome as a qualitative value | |
| note |
0..* | SGHIAnnotation | Comments on the risk assessment | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| RiskAssessment.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| RiskAssessment.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | Unique identifier for the assessment | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | ||||
| type |
Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Standard Identifier Types (required) | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
ΣC | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text) | ||||
| basedOn |
0..1 | SGHIReference(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: (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. | ||||
| code |
Σ | 0..1 | CodeableConcept | Type of assessment | ||||
| subject |
Σ | 1..1 | SGHIReference(SGHI Patient) | Who/what does assessment apply to? | ||||
| encounter |
Σ | 1..1 | SGHIReference(SGHI Encounter) | Where was assessment performed? | ||||
 occurrence[x] |
Σ | 0..1 | When was assessment made? | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| condition |
Σ | 0..1 | SGHIReference(SGHI Condition) | Condition assessed | ||||
| performer |
Σ | 0..1 | SGHIReference(SGHI Patient | Practitioner) | Who did assessment? | ||||
| reason |
0..* | SGHICodeableReference(SGHI Condition | SGHI Observation | SGHI DiagnosticReport) | Why the assessment was necessary? | |||||
| basis |
0..* | SGHIReference(QuestionnaireResponse) | Information used in assessment | |||||
| prediction |
C | 1..* | BackboneElement | Outcome predicted Constraints: ras-2 | ||||
| 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 |
0..1 | CodeableConcept | Possible outcome for the subject Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc. | |||||
| probability[x] |
C | 0..1 | Likelihood of specified outcome Constraints: ras-1 | |||||
| probabilityDecimal |
decimal | |||||||
| probabilityRange |
Range | |||||||
| qualitativeRisk |
1..1 | SGHICodeableConcept | Likelihood of specified outcome as a qualitative value Binding: RiskProbability (example): The likelihood of the occurrence of a specified outcome. | |||||
| relativeRisk |
0..1 | decimal | Relative likelihood | |||||
| when[x] |
0..1 | Timeframe or age range | ||||||
| whenPeriod |
Period | |||||||
| whenRange |
Range | |||||||
| rationale |
0..1 | string | Explanation of prediction | |||||
| mitigation |
0..1 | string | How to reduce risk | |||||
| note |
0..* | SGHIAnnotation | Comments on the risk assessment | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| RiskAssessment.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| RiskAssessment.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| RiskAssessment.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| RiskAssessment.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0From the FHIR Standard | |
| RiskAssessment.method | example | ||
| RiskAssessment.prediction.outcome | example | ||
| RiskAssessment.prediction.qualitativeRisk | example | RiskProbabilityhttp://hl7.org/fhir/ValueSet/risk-probabilityFrom the FHIR Standard |
Constraints
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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] | 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 | Probability as a deciml must be <= 100 : probability.empty() or ((probability is decimal) implies ((probability as decimal) <= 100)) |
This structure is derived from RiskAssessment
Summary
Mandatory: 7 elements
Structures
This structure refers to these other structures:
- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-encounter)
- SGHI Condition (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-condition)
- SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeable-reference)
- SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)
- SGHI DiagnosticReport (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-diagnosticreport)
- SGHI Annotation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-annotation)
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 |
| contained |
0..* | Resource | Contained, inline Resources | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 1..* | Identifier | Unique identifier for the assessment |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) |
| type |
Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Standard Identifier Types (required) |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
| value |
ΣC | 1..1 | string | The value that is unique Example General: 123456 |
| assigner |
Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text) |
| basedOn |
0..1 | SGHIReference(Resource) | Request fulfilled by this assessment | |
| status |
Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc. |
| subject |
Σ | 1..1 | SGHIReference(SGHI Patient) | Who/what does assessment apply to? |
| encounter |
Σ | 1..1 | SGHIReference(SGHI Encounter) | Where was assessment performed? |
| condition |
Σ | 0..1 | SGHIReference(SGHI Condition) | Condition assessed |
| performer |
Σ | 0..1 | SGHIReference(SGHI Patient | Practitioner) | Who did assessment? |
| reason |
0..* | SGHICodeableReference(SGHI Condition | SGHI Observation | SGHI DiagnosticReport) | Why the assessment was necessary? | |
| basis |
0..* | SGHIReference(QuestionnaireResponse) | Information used in assessment | |
| prediction |
C | 1..* | BackboneElement | Outcome predicted Constraints: ras-2 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| qualitativeRisk |
1..1 | SGHICodeableConcept | Likelihood of specified outcome as a qualitative value Binding: RiskProbability (example): The likelihood of the occurrence of a specified outcome. | |
| note |
0..* | SGHIAnnotation | Comments on the risk assessment | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| RiskAssessment.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| RiskAssessment.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| RiskAssessment.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0From the FHIR Standard | |
| RiskAssessment.prediction.qualitativeRisk | example | RiskProbabilityhttp://hl7.org/fhir/ValueSet/risk-probabilityFrom the FHIR Standard |
Constraints
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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-2 | error | RiskAssessment.prediction | Probability as a deciml must be <= 100 : probability.empty() or ((probability is decimal) implies ((probability as decimal) <= 100)) |
Differential View
This structure is derived from RiskAssessment
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| RiskAssessment |
0..* | RiskAssessment | Potential outcomes for a subject with likelihood | |
| identifier |
1..* | Identifier | Unique identifier for the assessment | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | |
| type |
0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Standard Identifier Types (required) | |
| system |
1..1 | uri | The namespace for the identifier value | |
| value |
1..1 | string | The value that is unique | |
| assigner |
1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text) | |
| basedOn |
0..1 | SGHIReference(Resource) | Request fulfilled by this assessment | |
| subject |
1..1 | SGHIReference(SGHI Patient) | Who/what does assessment apply to? | |
| encounter |
1..1 | SGHIReference(SGHI Encounter) | Where was assessment performed? | |
| condition |
0..1 | SGHIReference(SGHI Condition) | Condition assessed | |
| performer |
0..1 | SGHIReference(SGHI Patient | Practitioner) | Who did assessment? | |
| reason |
0..* | SGHICodeableReference(SGHI Condition | SGHI Observation | SGHI DiagnosticReport) | Why the assessment was necessary? | |
| basis |
0..* | SGHIReference(QuestionnaireResponse) | Information used in assessment | |
| prediction |
1..* | BackboneElement | Outcome predicted | |
| qualitativeRisk |
1..1 | SGHICodeableConcept | Likelihood of specified outcome as a qualitative value | |
| note |
0..* | SGHIAnnotation | Comments on the risk assessment | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| RiskAssessment.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| RiskAssessment.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | Unique identifier for the assessment | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required) | ||||
| type |
Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Standard Identifier Types (required) | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value |
ΣC | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text) | ||||
| basedOn |
0..1 | SGHIReference(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: (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. | ||||
| code |
Σ | 0..1 | CodeableConcept | Type of assessment | ||||
| subject |
Σ | 1..1 | SGHIReference(SGHI Patient) | Who/what does assessment apply to? | ||||
| encounter |
Σ | 1..1 | SGHIReference(SGHI Encounter) | Where was assessment performed? | ||||
| occurrence[x] |
Σ | 0..1 | When was assessment made? | |||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| condition |
Σ | 0..1 | SGHIReference(SGHI Condition) | Condition assessed | ||||
| performer |
Σ | 0..1 | SGHIReference(SGHI Patient | Practitioner) | Who did assessment? | ||||
| reason |
0..* | SGHICodeableReference(SGHI Condition | SGHI Observation | SGHI DiagnosticReport) | Why the assessment was necessary? | |||||
| basis |
0..* | SGHIReference(QuestionnaireResponse) | Information used in assessment | |||||
| prediction |
C | 1..* | BackboneElement | Outcome predicted Constraints: ras-2 | ||||
| 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 |
0..1 | CodeableConcept | Possible outcome for the subject Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc. | |||||
| probability[x] |
C | 0..1 | Likelihood of specified outcome Constraints: ras-1 | |||||
| probabilityDecimal |
decimal | |||||||
| probabilityRange |
Range | |||||||
| qualitativeRisk |
1..1 | SGHICodeableConcept | Likelihood of specified outcome as a qualitative value Binding: RiskProbability (example): The likelihood of the occurrence of a specified outcome. | |||||
| relativeRisk |
0..1 | decimal | Relative likelihood | |||||
| when[x] |
0..1 | Timeframe or age range | ||||||
| whenPeriod |
Period | |||||||
| whenRange |
Range | |||||||
| rationale |
0..1 | string | Explanation of prediction | |||||
| mitigation |
0..1 | string | How to reduce risk | |||||
| note |
0..* | SGHIAnnotation | Comments on the risk assessment | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| RiskAssessment.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| RiskAssessment.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| RiskAssessment.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| RiskAssessment.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|5.0.0From the FHIR Standard | |
| RiskAssessment.method | example | ||
| RiskAssessment.prediction.outcome | example | ||
| RiskAssessment.prediction.qualitativeRisk | example | RiskProbabilityhttp://hl7.org/fhir/ValueSet/risk-probabilityFrom the FHIR Standard |
Constraints
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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] | 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 | Probability as a deciml must be <= 100 : probability.empty() or ((probability is decimal) implies ((probability as decimal) <= 100)) |
This structure is derived from RiskAssessment
Summary
Mandatory: 7 elements
Structures
This structure refers to these other structures:
- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-encounter)
- SGHI Condition (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-condition)
- SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeable-reference)
- SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)
- SGHI DiagnosticReport (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-diagnosticreport)
- SGHI Annotation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-annotation)
Other representations of profile: CSV, Excel, Schematron