{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Healthriskassessment-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-healthriskassessment-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-EVALUATION.health_risk.v1"
    }
  ],
  "version": "0",
  "name": "Healthriskassessment",
  "title": "Health risk assessment",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors.",
  "purpose": "To record known risk factors for an identified disease, condition, or other potentially adverse health issue, and/or an evaluation of the likelihood of the individual experiencing it in the future.\r\n\r\nThis archetype has been deliberately left open and broad in scope. The 'Health Risk' could be determined from risk factors from any or all of: medical; biomarker; lifestyle; social; occupational hazard; or environmental domains.\r\n\r\nThe intent of this archetype is to document potential risk at a point in time, and to support decision-making that may reduce the identified risk, whether by clinicians or the individual themselves.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "Health_risk_assessment",
        "path": "Health_risk_assessment",
        "short": "Health risk assessment",
        "definition": "Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.protocol",
        "path": "Health_risk_assessment.protocol",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.protocol.Last_updated",
        "path": "Health_risk_assessment.protocol.Last_updated",
        "short": "Last updated",
        "definition": "The date this health risk assessment was last updated.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.protocol.Last_updated",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.protocol.Last_updated.value",
        "path": "Health_risk_assessment.protocol.Last_updated.value",
        "short": "Last updated",
        "definition": "The date this health risk assessment was last updated.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.protocol.Last_updated.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.protocol.Assessment_method",
        "path": "Health_risk_assessment.protocol.Assessment_method",
        "short": "Assessment method",
        "definition": "Identification of the algorithm or guideline used to make the assessment of risk.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.protocol.Assessment_method",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.protocol.Assessment_method.value",
        "path": "Health_risk_assessment.protocol.Assessment_method.value",
        "short": "Assessment method",
        "definition": "Identification of the algorithm or guideline used to make the assessment of risk.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.protocol.Assessment_method.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.protocol.Extension",
        "path": "Health_risk_assessment.protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Health_risk_assessment.protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure",
        "path": "Health_risk_assessment.structure",
        "short": "structure",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Health_risk",
        "path": "Health_risk_assessment.structure.Health_risk",
        "short": "Health risk",
        "definition": "Identification of the potential future disease, condition or health issue for which the risk is being assessed, by name.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Health_risk",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Health_risk.value",
        "path": "Health_risk_assessment.structure.Health_risk.value",
        "short": "Health risk",
        "definition": "Identification of the potential future disease, condition or health issue for which the risk is being assessed, by name.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Health_risk.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors",
        "path": "Health_risk_assessment.structure.Risk_factors",
        "short": "Risk factors",
        "definition": "Details about each possible risk factor.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Risk_factor",
        "path": "Health_risk_assessment.structure.Risk_factors.Risk_factor",
        "short": "Risk factor",
        "definition": "Identification of the risk factor, by name.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Risk_factor",
          "min": 1,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Risk_factor.value",
        "path": "Health_risk_assessment.structure.Risk_factors.Risk_factor.value",
        "short": "Risk factor",
        "definition": "Identification of the risk factor, by name.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Risk_factor.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Presence",
        "path": "Health_risk_assessment.structure.Risk_factors.Presence",
        "short": "Presence",
        "definition": "Presence of the risk factor.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Presence",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Presence.value",
        "path": "Health_risk_assessment.structure.Risk_factors.Presence.value",
        "short": "Presence",
        "definition": "Presence of the risk factor.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Presence.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Description",
        "path": "Health_risk_assessment.structure.Risk_factors.Description",
        "short": "Description",
        "definition": "Narrative description about the risk factor.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Description",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Description.value",
        "path": "Health_risk_assessment.structure.Risk_factors.Description.value",
        "short": "Description",
        "definition": "Narrative description about the risk factor.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Description.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Date_identified",
        "path": "Health_risk_assessment.structure.Risk_factors.Date_identified",
        "short": "Date identified",
        "definition": "The date/time that the risk factor was identified.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Date_identified",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Date_identified.value",
        "path": "Health_risk_assessment.structure.Risk_factors.Date_identified.value",
        "short": "Date identified",
        "definition": "The date/time that the risk factor was identified.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Date_identified.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Mitigated",
        "path": "Health_risk_assessment.structure.Risk_factors.Mitigated",
        "short": "Mitigated",
        "definition": "The risk factor has been identified as present, but then subsequently been mitigated by treatment or investigation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Mitigated",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Mitigated.value",
        "path": "Health_risk_assessment.structure.Risk_factors.Mitigated.value",
        "short": "Mitigated",
        "definition": "The risk factor has been identified as present, but then subsequently been mitigated by treatment or investigation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Mitigated.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Link_to_evidence",
        "path": "Health_risk_assessment.structure.Risk_factors.Link_to_evidence",
        "short": "Link to evidence",
        "definition": "Identification of the path to the archetype or data node for the evidence of risk.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Link_to_evidence",
          "min": 0,
          "max": "*"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Link_to_evidence.value",
        "path": "Health_risk_assessment.structure.Risk_factors.Link_to_evidence.value",
        "short": "Link to evidence",
        "definition": "Identification of the path to the archetype or data node for the evidence of risk.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Link_to_evidence.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Detail",
        "path": "Health_risk_assessment.structure.Risk_factors.Detail",
        "short": "Detail",
        "definition": "Structured detail about other aspects of the risk factor assessment.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Detail",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Comment",
        "path": "Health_risk_assessment.structure.Risk_factors.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the risk factor not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Comment",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Risk_factors.Comment.value",
        "path": "Health_risk_assessment.structure.Risk_factors.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the risk factor not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_factors.Comment.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_assessment",
        "path": "Health_risk_assessment.structure.Risk_assessment",
        "short": "Risk assessment",
        "definition": "Evaluation of the health risk.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_assessment",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Risk_assessment.value_DV_TEXT",
        "path": "Health_risk_assessment.structure.Risk_assessment.value_DV_TEXT",
        "short": "Risk assessment",
        "definition": "Evaluation of the health risk.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_assessment.value_DV_TEXT",
          "min": 0,
          "max": "1"
        },
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          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_assessment.value_DV_PROPORTION",
        "path": "Health_risk_assessment.structure.Risk_assessment.value_DV_PROPORTION",
        "short": "Risk assessment",
        "definition": "Evaluation of the health risk.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_assessment.value_DV_PROPORTION",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Risk_assessment.value_DvQuantity",
        "path": "Health_risk_assessment.structure.Risk_assessment.value_DvQuantity",
        "short": "Risk assessment",
        "definition": "Evaluation of the health risk.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Risk_assessment.value_DvQuantity",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Assessment_type",
        "path": "Health_risk_assessment.structure.Assessment_type",
        "short": "Assessment type",
        "definition": "Record of whether the risk assessment is a relative or absolute.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Assessment_type",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Assessment_type.value",
        "path": "Health_risk_assessment.structure.Assessment_type.value",
        "short": "Assessment type",
        "definition": "Record of whether the risk assessment is a relative or absolute.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Assessment_type.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Time_period",
        "path": "Health_risk_assessment.structure.Time_period",
        "short": "Time period",
        "definition": "The time period during which the predicted health risk is relevant.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Time_period",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Time_period.value",
        "path": "Health_risk_assessment.structure.Time_period.value",
        "short": "Time period",
        "definition": "The time period during which the predicted health risk is relevant.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Time_period.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Duration"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Rationale",
        "path": "Health_risk_assessment.structure.Rationale",
        "short": "Rationale",
        "definition": "Justification for this risk assessment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Rationale",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Rationale.value",
        "path": "Health_risk_assessment.structure.Rationale.value",
        "short": "Rationale",
        "definition": "Justification for this risk assessment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Rationale.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "Health_risk_assessment.structure.Comment",
        "path": "Health_risk_assessment.structure.Comment",
        "short": "Comment",
        "definition": "Additional narrative about the risk assessment not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Comment",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "Health_risk_assessment.structure.Comment.value",
        "path": "Health_risk_assessment.structure.Comment.value",
        "short": "Comment",
        "definition": "Additional narrative about the risk assessment not captured in other fields.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Health_risk_assessment.structure.Comment.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}