Risk Assessment Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-riskassessment |
|---|---|
| Status | draft (experimental) · 1.26.0 |
| Base | RiskAssessment (constraint) |
| Source | FSH · JSON |
Nexus EMR profile for RiskAssessment -- computed clinical risk scores. First pass: status, method, predictions (outcome + probability + qualitative band), basis. Closed to SMART apps pending an exposure decision.
Elements / Snapshot
The full effective definition: base RiskAssessment with this profile's constraints applied.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| RiskAssessment | 0..* | Nexus EMR Risk Assessment Core Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, nexus-note-extension-not-where-native |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation i Invariants: ele-1 |
|
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | 0..* | Identifier | Unique identifier for the assessment Invariants: ele-1 |
|
| basedOn | 0..1 | Reference(Resource) | Request fulfilled by this assessment Invariants: ele-1 |
|
| parent | 0..1 | Reference(Resource) | Part of this occurrence Invariants: ele-1 |
|
| status | S | 1..1 | code | registered | preliminary | final | amended | ... | entered-in-error Binding: observation-status ( required)Invariants: ele-1 |
| method | S | 0..1 | CodeableConcept | Which score was computed (text-first until a method vocabulary settles) Invariants: ele-1 |
| code | 0..1 | CodeableConcept | Type of assessment Invariants: ele-1 |
|
| subject | S | 1..1 | Reference(Patient Profile) | The patient Invariants: ele-1 |
| encounter | 0..1 | Reference(Encounter) | Where was assessment performed? Invariants: ele-1 |
|
| occurrence[x] | 0..1 | dateTime, Period | When was assessment made? Slicing: type:$this (open) Invariants: ele-1 |
|
| occurrence[x]:occurrenceDateTime | S | 0..1 | dateTime | When the risk score was computed Invariants: ele-1 |
| condition | S | 0..1 | Reference(Condition Profile) | The condition the assessment is about, when there is one Invariants: ele-1 |
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Device) | Who did assessment? Invariants: ele-1 |
|
| reasonCode | 0..* | CodeableConcept | Why the assessment was necessary? Invariants: ele-1 |
|
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why the assessment was necessary? Invariants: ele-1 |
|
| basis | S | 0..* | Reference(Resource) | What went into the calculation (the Observations/Conditions used) Invariants: ele-1 |
| prediction | S | 0..* | BackboneElement | The score itself: outcome + probability + qualitative band i Invariants: ele-1, ras-2 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| outcome | S | 0..1 | CodeableConcept | What is being predicted ('10-year cardiovascular event') Invariants: ele-1 |
| probability[x] | 0..1 | decimal, Range | Likelihood of specified outcome i Slicing: type:$this (open) Invariants: ele-1, ras-1 |
|
| probability[x]:probabilityDecimal | S | 0..1 | decimal | The numeric score, as a probability in [0,1] i Invariants: ele-1, ras-1 |
| qualitativeRisk | S | 0..1 | CodeableConcept | low | moderate | high (the display band) Binding: risk-probability ( extensible)Invariants: ele-1 |
| relativeRisk | 0..1 | decimal | Relative likelihood Invariants: ele-1 |
|
| when[x] | 0..1 | Period, Range | Timeframe or age range i Invariants: ele-1 |
|
| rationale | 0..1 | string | Explanation of prediction Invariants: ele-1 |
|
| mitigation | 0..1 | string | How to reduce risk Invariants: ele-1 |
|
| note | 0..* | Annotation | Comments on the risk assessment Invariants: ele-1 |