BCY Immunization Distribution Service Implementation Guide

RiskAssessment

The RiskAssessment FHIR resource is for Risk Factor purposes.

RiskAssessment	I		RiskAssessment	Element id RiskAssessment Short description FHIR resource applies for PIR Risk Factors Alternate names Prognosis Definition FHIR resource applies for PIR Risk Factors. Note: Only Risk Factor wtih Response = "YES" and Reason ends with '' in PIR will be sent in IDS. Data type* RiskAssessment Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() Mappings rim: Entity. Role, or Act workflow: Event v2: N/A rim: Observation[classCode=OBS, moodCode=EVN, code="Risk Assessment"] openehr: OpenEHR-EHR-EVALUATION.risk.v1
id	Σ	1..1	string	Element id RiskAssessment.id Short description PIR internal Risk Factor ID + External Risk Factor ID from source system(s) Definition PIR internal Risk Factor Identifier + External Risk Factor ID from source system(s) Comments See Mappings Data type string Mappings source-PIR: RISK_FACTORS.RISK_FACTOR_ID source-PHSL: riskFactorId
meta	Σ	1..1	Meta	There are no (further) constraints on this element Element id RiskAssessment.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
versionId	Σ	0..1	id	Element id RiskAssessment.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments Apply "2025.01.1". This indicates the FHIR Specs as of year 2025 Jan Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
lastUpdated	Σ	0..1	instant	Element id RiskAssessment.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments Updated: Relax the previously crossed-out elements. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
source	Σ	0..1	uri	There are no (further) constraints on this element Element id RiskAssessment.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
profile	Σ	1..1	canonical(StructureDefinition)	Element id RiskAssessment.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments Apply "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment" Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
security	Σ	0..1	CodingBinding	There are no (further) constraints on this element Element id RiskAssessment.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
tag	Σ	0..1	Coding	There are no (further) constraints on this element Element id RiskAssessment.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id RiskAssessment.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id RiskAssessment.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id RiskAssessment.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..1	Resource	There are no (further) constraints on this element Element id RiskAssessment.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	Element id RiskAssessment.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
riskFactorStatusExtension	I	0..1	Extension(Complex)	Element id RiskAssessment.extension:riskFactorStatusExtension Short description Risk Factor Deletion Reason Alternate names extensions, user content Definition Risk Factor Deletion Reason Comments To be applied to send if Risk Factor has been end-dated in PIR and/or Risk Factor has been deleted in PIR Data type Extension(Complex) Extension URL http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/riskFactor-status Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
RFendDateReason	I	0..1	Extension	Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason Short description Risk Factor End-Dated Reason Alternate names extensions, user content Definition Risk Factor Deleted Reason Comments To be applied to send if Risk Factor has been end-dated in PIR Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
id		0..0	string	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value RFendDateReason Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueString			string	There are no (further) constraints on this element Data type string
RFdeleteReason	I	0..1	Extension	Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason Short description Risk Factor End-Dated Reason = "Other, specify" Alternate names extensions, user content Definition Risk Factor End-Dated Reason = "Other, specify" Comments To be applied to send if Risk Factor has been deleted in PIR with reason found in PIR drop-down list or NO delete reason provided. See Mappings. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a source-PIR-nullReason: Other
id		0..0	string	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value RFdeleteReason Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueString			string	There are no (further) constraints on this element Data type string
RFdeleteReasonOther	I	0..1	Extension	Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther Short description Risk Factor Deleted Reason Other, specify Alternate names extensions, user content Definition Risk Factor Deleted Reason Other, specify Comments To be applied to send if Risk Factor has been deleted in PIR with reason not found in PIR drop-down list or NO deletion reason provided. See Mappings. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a source-PIR-null: unknown
id		0..0	string	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value RFdeleteReasonOther Mappings rim: N/A
value[x]		1..1		There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueString			string	There are no (further) constraints on this element Data type string
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/riskFactor-status Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element Element id RiskAssessment.extension:riskFactorStatusExtension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
identifier	Σ	1..1	Identifier	Element id RiskAssessment.identifier Short description PIR internal Risk Factor ID + External Risk Factor ID Definition PIR internal Risk Factor ID and/or External Risk Factor ID sent from source system(s) Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.identifier w5: FiveWs.identifier rim: .id openehr: Workflow Identifier
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.identifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id RiskAssessment.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id RiskAssessment.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.5 rim: Role.code or implied by context
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.identifier.type.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.identifier.type.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	Σ	0..1	Coding	There are no (further) constraints on this element Element id RiskAssessment.identifier.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	Σ	1..1	string	Element id RiskAssessment.identifier.type.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText source-PIR: PANORAMARISKFACTORID
system	Σ	1..1	uri	Element id RiskAssessment.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments See Mappings Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType source-PIR: https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-risk-factor-id
value	Σ	1..1	string	Element id RiskAssessment.identifier.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value source-PIR: RISK_FACTORS.RISK_FACTOR_ID source-PHSL: riskFactorId
period	Σ	0..1	Period	There are no (further) constraints on this element Element id RiskAssessment.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	0..1	Reference(Organization)	There are no (further) constraints on this element Element id RiskAssessment.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
basedOn		0..1	Reference(Resource)	There are no (further) constraints on this element Element id RiskAssessment.basedOn Short description Request fulfilled by this assessment Definition A reference to the request that is fulfilled by this risk assessment. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.basedOn
parent		0..1	Reference(Resource)	There are no (further) constraints on this element Element id RiskAssessment.parent Short description Part of this occurrence Definition A reference to a resource that this risk assessment is part of, such as a Procedure. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.partOf
status	Σ	1..1	codeBinding	Element id RiskAssessment.status Short description PIR applies statuses : final \| canceled \| Definition PIR applies statuses : final \| canceled \| Comments See Mappings Data type code Binding The status of the risk assessment; e.g. preliminary, final, amended, etc. ObservationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.status w5: FiveWs.status source-PIR-final: final source-PIR-deleted: cancelled
method	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id RiskAssessment.method Short description Evaluation mechanism Definition The algorithm, process or mechanism used to evaluate the risk. Requirements The method can influence the results of the assessment. Data type CodeableConcept Binding The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. (unbound) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.class rim: .methodCode
code	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element id RiskAssessment.code Short description Type of assessment Definition The type of the risk assessment performed. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.code w5: FiveWs.what[x]
subject	Σ	1..1	Reference(Patient \| Group)	There are no (further) constraints on this element Element id RiskAssessment.subject Short description Who/what does assessment apply to? Definition The patient or group the risk assessment applies to. Data type Reference(Patient \| Group) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.subject w5: FiveWs.subject[x] rim: .participation[typeCode=SBJ].role openehr: Subject of Care w5: FiveWs.subject
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.subject.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.subject.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
reference	Σ I	1..1	string	Element id RiskAssessment.subject.reference Short description Literal reference, Relative, internal or absolute URL Definition A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A source-PIR: fullURL of Panorama + "Patient" + PIR Client ID
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id RiskAssessment.subject.type Short description Type the reference refers to (e.g. "Patient") Definition The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). Comments This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. Data type uri Binding Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id RiskAssessment.subject.identifier Short description Logical reference, when literal reference is not known Definition An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. Comments When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .identifier
display	Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.subject.display Short description Text alternative for the resource Definition Plain text narrative that identifies the resource in addition to the resource reference. Comments This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
encounter	Σ	0..1	Reference(Encounter)	There are no (further) constraints on this element Element id RiskAssessment.encounter Short description Where was assessment performed? Definition The encounter where the assessment was performed. Data type Reference(Encounter) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.encounter w5: FiveWs.context rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
occurrence[x]	Σ	1..1		Element id RiskAssessment.occurrence[x] Short description Risk Factor Date Reported Definition Risk Factor Date Reported Requirements The assessment results lose validity the more time elapses from when they are first made. Comments See Mappings Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.occurrence[x] w5: FiveWs.done[x] rim: .effectiveTime source-PIR: RISK_FACTORS.REPORTED_DATE source-PHSL: reportedDate
occurrenceDateTime			dateTime	Data type dateTime
id		0..0	string	There are no (further) constraints on this element Element id RiskAssessment.occurrence[x].id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references) Data type string
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.occurrence[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
value		0..1	System.DateTime	There are no (further) constraints on this element Element id RiskAssessment.occurrence[x].value Short description Primitive value for dateTime Definition The actual value Data type System.DateTime
condition	Σ	0..1	Reference(Condition)	There are no (further) constraints on this element Element id RiskAssessment.condition Short description Condition assessed Definition For assessments or prognosis specific to a particular condition, indicates the condition being assessed. Data type Reference(Condition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]
performer	Σ	0..1	Reference(Practitioner \| PractitionerRole \| Device)	There are no (further) constraints on this element Element id RiskAssessment.performer Short description Who did assessment? Definition The provider or software application that performed the assessment. Data type Reference(Practitioner \| PractitionerRole \| Device) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.performer.actor w5: FiveWs.actor rim: .participation[typeCode=PFM].role[classCode=ASSIGNED] openehr: Information Provider
reasonCode		0..1	CodeableConcept	There are no (further) constraints on this element Element id RiskAssessment.reasonCode Short description Why the assessment was necessary? Definition The reason the risk assessment was performed. Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.reasonCode w5: FiveWs.why[x]
reasonReference		0..1	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element id RiskAssessment.reasonReference Short description Why the assessment was necessary? Definition Resources supporting the reason the risk assessment was performed. Data type Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.reasonReference w5: FiveWs.why[x]
basis		0..1	Reference(Resource)	There are no (further) constraints on this element Element id RiskAssessment.basis Short description Information used in assessment Definition Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.). Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .outboundRelationship[typeCode=DRIV].target openehr: Risk Factor; Link to Evidence
prediction	I	1..*	BackboneElement	Element id RiskAssessment.prediction Short description Risk Factor PIR Code and Description Definition Risk Factor PIR Code and Description Comments Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ras-2: Must be <= 100 `probability is decimal implies (probability as decimal) <= 100` Mappings rim: .outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.prediction.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.prediction.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
outcome		1..1	CodeableConcept	Element id RiskAssessment.prediction.outcome Short description Possible outcome for the subject Definition One of the potential outcomes for the patient (e.g. remission, death, a particular condition). Comments For IDS Phase 5.2: Only send code with description ends with () Data type* CodeableConcept Binding The condition or other outcome; e.g. death, remission, amputation, infection, etc. (unbound) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .value openehr: Risk
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.outcome.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.prediction.outcome.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	Σ	1..1	Coding	There are no (further) constraints on this element Element id RiskAssessment.prediction.outcome.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.outcome.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.prediction.outcome.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	Σ	1..1	uri	Element id RiskAssessment.prediction.outcome.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments See Mappings Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem source-PIR: https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code
version	Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.outcome.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	Element id RiskAssessment.prediction.outcome.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments See Mappings Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code source-PIR: BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (RISK_FACTORS.RISK_FACTOR_CODE_CNCPT_ID) source-PHSL: riskFactorCode
display	Σ	1..1	string	Element id RiskAssessment.prediction.outcome.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName source-PIR: REPORTNG.GET_ITERM_DESC(RISK_FACTORS.RISK_FACTOR_CODE_CNCPT_ID) source-PHSL: riskFactorDescription
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id RiskAssessment.prediction.outcome.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.outcome.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
probability[x]	I	0..1		There are no (further) constraints on this element Element id RiskAssessment.prediction.probability[x] Short description Likelihood of specified outcome Definition Indicates how likely the outcome is (in the specified timeframe). 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). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ras-1: 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)))` Mappings rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="probability"].value openehr: Category
probabilityDecimal			decimal	There are no (further) constraints on this element Data type decimal
probabilityRange			Range	There are no (further) constraints on this element Data type Range
qualitativeRisk		0..1	CodeableConcept	There are no (further) constraints on this element Element id RiskAssessment.prediction.qualitativeRisk Short description Likelihood of specified outcome as a qualitative value Definition Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high). Data type CodeableConcept Binding The likelihood of the occurrence of a specified outcome. RiskProbability (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
relativeRisk		0..1	decimal	There are no (further) constraints on this element Element id RiskAssessment.prediction.relativeRisk Short description Relative likelihood 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.). Requirements Absolute risk is less meaningful than relative risk. Data type decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="relative risk"].value
when[x]		0..1		Element id RiskAssessment.prediction.when[x] Short description Risk Factor Timeframe Definition Risk Factor Timeframe: Start Date, End Date Comments If not specified, the risk applies "over the subject's lifespan". Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age"].value
whenPeriod			Period	Data type Period
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.when[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.prediction.when[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
start	Σ I	0..1	dateTime	Element id RiskAssessment.prediction.when[x].start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments See Mappings Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.1 rim: ./low source-PIR: RISK_FACTORS.START_DATE source-PHSL: effectiveFromDate
end	Σ I	0..1	dateTime	Element id RiskAssessment.prediction.when[x].end Short description End time with inclusive boundary, if not ongoing Definition The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. Comments See Mappings Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: DR.2 rim: ./high source-PIR: RISK_FACTORS.END_DATE source-PHSL: effectiveTo
rationale		1..1	string	Element id RiskAssessment.prediction.rationale Short description Risk Factor RESPONSE in PIR Definition Risk Factor RESPONSE in PIR. Possible RESPONSE values are "Asked but Unknown" / "Declined to answer" / "Entered in error" / "Yes" / "No" / "Not assessed", but only Response = YES will be send in IDS. Comments See Mappings Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .reasonCode.text openehr: Rationale source-PIR: BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (RISK_FACTORS.RISK_FACTOR_RESP_CODE_CNCPT_ID) + " - "+REPORTNG.GET_ITERM_DESC(RISK_FACTORS.RISK_FACTOR_RESP_CODE_CNCPT_ID) source-PHSL: riskFacotrResponse
mitigation		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.mitigation Short description How to reduce risk Definition A description of the steps that might be taken to reduce the identified risk(s). Requirements One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text
note		0..1	Annotation	Element id RiskAssessment.note Short description Risk Factor Comments Definition Additional comments about the risk factor Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.note
id		0..0	string	There are no (further) constraints on this element Element id RiskAssessment.note.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.note.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
author[x]	Σ	0..0		There are no (further) constraints on this element Element id RiskAssessment.note.author[x] Short description Individual responsible for the annotation Definition The individual responsible for making the annotation. Comments Organization is used when there's no need for specific attribution as to who made the comment. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.participant[typeCode=AUT].role
time	Σ	0..1	dateTime	There are no (further) constraints on this element Element id RiskAssessment.note.time Short description When the annotation was made Definition Indicates when this particular annotation was made. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.effectiveTime
text	Σ	1..1	markdown	Element id RiskAssessment.note.text Short description The annotation - text content (as markdown) Definition The text of the annotation in markdown format. Comments See Mappings Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Act.text source-PIR: RISK_FACTORS.OTHER_RISK_FACTOR source-PHSL: additionalInformation

RiskAssessment
Definition	FHIR resource applies for PIR Risk Factors. Note: Only Risk Factor wtih Response = "YES" and Reason ends with '*' in PIR will be sent in IDS.
Cardinality	0...*
Alias	Prognosis
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists()
Mappings	rim: Entity. Role, or Act workflow: Event v2: N/A rim: Observation[classCode=OBS, moodCode=EVN, code="Risk Assessment"] openehr: OpenEHR-EHR-EVALUATION.risk.v1
RiskAssessment.id
Definition	PIR internal Risk Factor Identifier + External Risk Factor ID from source system(s)
Cardinality	1...1
Type	string
Summary	True
Comments	See Mappings
Mappings	source-PIR: RISK_FACTORS.RISK_FACTOR_ID source-PHSL: riskFactorId
RiskAssessment.meta
Definition	The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality	1...1
Type	Meta
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.meta.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.meta.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.meta.versionId
Definition	The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Cardinality	0...1
Type	id
Summary	True
Comments	Apply "2025.01.1". This indicates the FHIR Specs as of year 2025 Jan
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.meta.lastUpdated
Definition	When the resource last changed - e.g. when the version changed.
Cardinality	0...1
Type	instant
Summary	True
Comments	Updated: Relax the previously crossed-out elements.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.meta.source
Definition	A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Cardinality	0...1
Type	uri
Summary	True
Comments	In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.meta.profile
Definition	A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).
Cardinality	1...1
Type	canonical(StructureDefinition)
Summary	True
Comments	Apply "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment"
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.meta.security
Definition	Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Cardinality	0...1
Type	Coding
Binding	Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)
Summary	True
Comments	The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.meta.tag
Definition	Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Cardinality	0...1
Type	Coding
Binding	Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)
Summary	True
Comments	The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.implicitRules
Definition	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality	0...1
Type	uri
Modifier	True
Summary	True
Comments	Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.language
Definition	The base language in which the resource is written.
Cardinality	0...1
Type	code
Binding	A human language. CommonLanguages (preferred)
Comments	Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.text
Definition	A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality	0...1
Type	Narrative
Alias	narrative, html, xhtml, display
Comments	Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Act.text?
RiskAssessment.contained
Definition	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality	0...1
Type	Resource
Alias	inline resources, anonymous resources, contained resources
Comments	This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Mappings	rim: N/A
RiskAssessment.extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
RiskAssessment.extension:riskFactorStatusExtension
Definition	Risk Factor Deletion Reason
Cardinality	0...1
Type	Extension(Complex)
Alias	extensions, user content
Comments	To be applied to send if Risk Factor has been end-dated in PIR and/or Risk Factor has been deleted in PIR
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason
Definition	Risk Factor Deleted Reason
Cardinality	0...1
Type	Extension
Alias	extensions, user content
Comments	To be applied to send if Risk Factor has been end-dated in PIR
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	RFendDateReason
Mappings	rim: N/A
RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason
Definition	Risk Factor End-Dated Reason = "Other, specify"
Cardinality	0...1
Type	Extension
Alias	extensions, user content
Comments	To be applied to send if Risk Factor has been deleted in PIR with reason found in PIR drop-down list or NO delete reason provided. See Mappings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a source-PIR-nullReason: Other
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	RFdeleteReason
Mappings	rim: N/A
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther
Definition	Risk Factor Deleted Reason Other, specify
Cardinality	0...1
Type	Extension
Alias	extensions, user content
Comments	To be applied to send if Risk Factor has been deleted in PIR with reason not found in PIR drop-down list or NO deletion reason provided. See Mappings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a source-PIR-null: unknown
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	RFdeleteReasonOther
Mappings	rim: N/A
RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	1...1
Type	string
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
RiskAssessment.extension:riskFactorStatusExtension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Fixed Value	http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/riskFactor-status
Mappings	rim: N/A
RiskAssessment.extension:riskFactorStatusExtension.value[x]
Definition	Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).
Cardinality	0...0
Type	base64Binary
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
RiskAssessment.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Alias	extensions, user content
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
RiskAssessment.identifier
Definition	PIR internal Risk Factor ID and/or External Risk Factor ID sent from source system(s)
Cardinality	1...1
Type	Identifier
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.identifier w5: FiveWs.identifier rim: .id openehr: Workflow Identifier
RiskAssessment.identifier.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.identifier.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.identifier.use
Definition	The purpose of this identifier.
Cardinality	0...1
Type	code
Binding	Identifies the purpose for this identifier, if known . IdentifierUse (required)
Modifier	True
Summary	True
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Comments	Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Role.code or implied by context
RiskAssessment.identifier.type
Definition	A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Cardinality	0...1
Type	CodeableConcept
Binding	A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)
Summary	True
Requirements	Allows users to make use of identifiers when the identifier system is not known.
Comments	This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.5 rim: Role.code or implied by context
RiskAssessment.identifier.type.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.identifier.type.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.identifier.type.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	0...1
Type	Coding
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
RiskAssessment.identifier.type.text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	1...1
Type	string
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText source-PIR: PANORAMARISKFACTORID
RiskAssessment.identifier.system
Definition	Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Cardinality	1...1
Type	uri
Summary	True
Requirements	There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Examples	General http://www.acme.com/identifiers/patient
Mappings	v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType source-PIR: https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-risk-factor-id
RiskAssessment.identifier.value
Definition	The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Cardinality	1...1
Type	string
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Examples	General 123456
Mappings	v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value source-PIR: RISK_FACTORS.RISK_FACTOR_ID source-PHSL: riskFactorId
RiskAssessment.identifier.period
Definition	Time period during which identifier is/was valid for use.
Cardinality	0...1
Type	Period
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
RiskAssessment.identifier.assigner
Definition	Organization that issued/manages the identifier.
Cardinality	0...1
Type	Reference(Organization)
Summary	True
Comments	The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
RiskAssessment.basedOn
Definition	A reference to the request that is fulfilled by this risk assessment.
Cardinality	0...1
Type	Reference(Resource)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.basedOn
RiskAssessment.parent
Definition	A reference to a resource that this risk assessment is part of, such as a Procedure.
Cardinality	0...1
Type	Reference(Resource)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.partOf
RiskAssessment.status
Definition	PIR applies statuses : final \| canceled \|
Cardinality	1...1
Type	code
Binding	The status of the risk assessment; e.g. preliminary, final, amended, etc. ObservationStatus (required)
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.status w5: FiveWs.status source-PIR-final: final source-PIR-deleted: cancelled
RiskAssessment.method
Definition	The algorithm, process or mechanism used to evaluate the risk.
Cardinality	0...1
Type	CodeableConcept
Binding	The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc. (unbound) (example)
Summary	True
Requirements	The method can influence the results of the assessment.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.class rim: .methodCode
RiskAssessment.code
Definition	The type of the risk assessment performed.
Cardinality	0...1
Type	CodeableConcept
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.code w5: FiveWs.what[x]
RiskAssessment.subject
Definition	The patient or group the risk assessment applies to.
Cardinality	1...1
Type	Reference(Patient \| Group)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.subject w5: FiveWs.subject[x] rim: .participation[typeCode=SBJ].role openehr: Subject of Care w5: FiveWs.subject
RiskAssessment.subject.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.subject.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.subject.reference
Definition	A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Cardinality	1...1
Type	string
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A source-PIR: fullURL of Panorama + "Patient" + PIR Client ID
RiskAssessment.subject.type
Definition	The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Cardinality	0...1
Type	uri
Binding	Aa resource (or, for logical models, the URI of the logical model). ResourceType (extensible)
Summary	True
Comments	This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
RiskAssessment.subject.identifier
Definition	An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Cardinality	0...1
Type	Identifier
Summary	True
Comments	When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation\|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .identifier
RiskAssessment.subject.display
Definition	Plain text narrative that identifies the resource in addition to the resource reference.
Cardinality	0...1
Type	string
Summary	True
Comments	This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: N/A
RiskAssessment.encounter
Definition	The encounter where the assessment was performed.
Cardinality	0...1
Type	Reference(Encounter)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.encounter w5: FiveWs.context rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
RiskAssessment.occurrence[x]
Definition	Risk Factor Date Reported
Cardinality	1...1
Type	dateTime
Summary	True
Requirements	The assessment results lose validity the more time elapses from when they are first made.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.occurrence[x] w5: FiveWs.done[x] rim: .effectiveTime source-PIR: RISK_FACTORS.REPORTED_DATE source-PHSL: reportedDate
RiskAssessment.occurrence[x].id
Definition	unique id for the element within a resource (for internal references)
Cardinality	0...0
Type	string
RiskAssessment.occurrence[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
RiskAssessment.occurrence[x].value
Definition	The actual value
Cardinality	0...1
Type	System.DateTime
RiskAssessment.condition
Definition	For assessments or prognosis specific to a particular condition, indicates the condition being assessed.
Cardinality	0...1
Type	Reference(Condition)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]
RiskAssessment.performer
Definition	The provider or software application that performed the assessment.
Cardinality	0...1
Type	Reference(Practitioner \| PractitionerRole \| Device)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.performer.actor w5: FiveWs.actor rim: .participation[typeCode=PFM].role[classCode=ASSIGNED] openehr: Information Provider
RiskAssessment.reasonCode
Definition	The reason the risk assessment was performed.
Cardinality	0...1
Type	CodeableConcept
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.reasonCode w5: FiveWs.why[x]
RiskAssessment.reasonReference
Definition	Resources supporting the reason the risk assessment was performed.
Cardinality	0...1
Type	Reference(Condition \| Observation \| DiagnosticReport \| DocumentReference)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.reasonReference w5: FiveWs.why[x]
RiskAssessment.basis
Definition	Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.).
Cardinality	0...1
Type	Reference(Resource)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .outboundRelationship[typeCode=DRIV].target openehr: Risk Factor; Link to Evidence
RiskAssessment.prediction
Definition	Risk Factor PIR Code and Description
Cardinality	1...*
Type	BackboneElement
Comments	Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ras-2: Must be <= 100 `probability is decimal implies (probability as decimal) <= 100`
Mappings	rim: .outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]
RiskAssessment.prediction.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.prediction.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.prediction.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
RiskAssessment.prediction.outcome
Definition	One of the potential outcomes for the patient (e.g. remission, death, a particular condition).
Cardinality	1...1
Type	CodeableConcept
Binding	The condition or other outcome; e.g. death, remission, amputation, infection, etc. (unbound) (example)
Comments	For IDS Phase 5.2: Only send code with description ends with (*)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .value openehr: Risk
RiskAssessment.prediction.outcome.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.prediction.outcome.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.prediction.outcome.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
RiskAssessment.prediction.outcome.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.prediction.outcome.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.prediction.outcome.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	1...1
Type	uri
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem source-PIR: https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code
RiskAssessment.prediction.outcome.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
RiskAssessment.prediction.outcome.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Summary	True
Requirements	Need to refer to a particular code in the system.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code source-PIR: BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (RISK_FACTORS.RISK_FACTOR_CODE_CNCPT_ID) source-PHSL: riskFactorCode
RiskAssessment.prediction.outcome.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	1...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName source-PIR: REPORTNG.GET_ITERM_DESC(RISK_FACTORS.RISK_FACTOR_CODE_CNCPT_ID) source-PHSL: riskFactorDescription
RiskAssessment.prediction.outcome.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
RiskAssessment.prediction.outcome.text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...1
Type	string
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Very often the text is the same as a displayName of one of the codings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
RiskAssessment.prediction.probability[x]
Definition	Indicates how likely the outcome is (in the specified timeframe).
Cardinality	0...1
Type	decimal
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	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ras-1: 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)))`
Mappings	rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="probability"].value openehr: Category
RiskAssessment.prediction.qualitativeRisk
Definition	Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high).
Cardinality	0...1
Type	CodeableConcept
Binding	The likelihood of the occurrence of a specified outcome. RiskProbability (example)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
RiskAssessment.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.).
Cardinality	0...1
Type	decimal
Requirements	Absolute risk is less meaningful than relative risk.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="relative risk"].value
RiskAssessment.prediction.when[x]
Definition	Risk Factor Timeframe: Start Date, End Date
Cardinality	0...1
Type	Period
Comments	If not specified, the risk applies "over the subject's lifespan".
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age"].value
RiskAssessment.prediction.when[x].id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
RiskAssessment.prediction.when[x].extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.prediction.when[x].start
Definition	The start of the period. The boundary is inclusive.
Cardinality	0...1
Type	dateTime
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: DR.1 rim: ./low source-PIR: RISK_FACTORS.START_DATE source-PHSL: effectiveFromDate
RiskAssessment.prediction.when[x].end
Definition	The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Cardinality	0...1
Type	dateTime
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: DR.2 rim: ./high source-PIR: RISK_FACTORS.END_DATE source-PHSL: effectiveTo
RiskAssessment.prediction.rationale
Definition	Risk Factor RESPONSE in PIR. Possible RESPONSE values are "Asked but Unknown" / "Declined to answer" / "Entered in error" / "Yes" / "No" / "Not assessed", but only Response = YES will be send in IDS.
Cardinality	1...1
Type	string
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .reasonCode.text openehr: Rationale source-PIR: BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (RISK_FACTORS.RISK_FACTOR_RESP_CODE_CNCPT_ID) + " - "+REPORTNG.GET_ITERM_DESC(RISK_FACTORS.RISK_FACTOR_RESP_CODE_CNCPT_ID) source-PHSL: riskFacotrResponse
RiskAssessment.mitigation
Definition	A description of the steps that might be taken to reduce the identified risk(s).
Cardinality	0...1
Type	string
Requirements	One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text
RiskAssessment.note
Definition	Additional comments about the risk factor
Cardinality	0...1
Type	Annotation
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.note
RiskAssessment.note.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...0
Type	string
Mappings	rim: n/a
RiskAssessment.note.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
RiskAssessment.note.author[x]
Definition	The individual responsible for making the annotation.
Cardinality	0...0
Type	Reference(Practitioner \| Patient \| RelatedPerson \| Organization)
Summary	True
Comments	Organization is used when there's no need for specific attribution as to who made the comment.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.participant[typeCode=AUT].role
RiskAssessment.note.time
Definition	Indicates when this particular annotation was made.
Cardinality	0...1
Type	dateTime
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.effectiveTime
RiskAssessment.note.text
Definition	The text of the annotation in markdown format.
Cardinality	1...1
Type	markdown
Summary	True
Comments	See Mappings
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: N/A rim: Act.text source-PIR: RISK_FACTORS.OTHER_RISK_FACTOR source-PHSL: additionalInformation

<StructureDefinition xmlns="http://hl7.org/fhir">
    <url value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment" />
    <name value="RiskAssessment" />
    <status value="draft" />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="RiskAssessment" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/RiskAssessment" />
    <derivation value="constraint" />
    <differential>
        <element id="RiskAssessment">
            <path value="RiskAssessment" />
            <short value="FHIR resource applies for PIR Risk Factors" />
            <definition value="FHIR resource applies for PIR Risk Factors.   Note: Only Risk Factor wtih Response = &quot;YES&quot; and Reason ends with &#39;*&#39; in PIR will be sent in IDS." />
        </element>
        <element id="RiskAssessment.id">
            <path value="RiskAssessment.id" />
            <short value="PIR internal Risk Factor ID + External Risk Factor ID from source system(s)" />
            <definition value="PIR internal Risk Factor Identifier + External Risk Factor ID from source system(s)" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="RISK_FACTORS.RISK_FACTOR_ID" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="riskFactorId" />
            </mapping>
        </element>
        <element id="RiskAssessment.meta">
            <path value="RiskAssessment.meta" />
            <min value="1" />
        </element>
        <element id="RiskAssessment.meta.versionId">
            <path value="RiskAssessment.meta.versionId" />
            <comment value="Apply &quot;2025.01.1&quot;.  This indicates the FHIR Specs as of year 2025 Jan" />
        </element>
        <element id="RiskAssessment.meta.lastUpdated">
            <path value="RiskAssessment.meta.lastUpdated" />
            <comment value="Updated: Relax the previously crossed-out elements." />
        </element>
        <element id="RiskAssessment.meta.profile">
            <path value="RiskAssessment.meta.profile" />
            <comment value="Apply &quot;http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment&quot;" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.meta.security">
            <path value="RiskAssessment.meta.security" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.meta.tag">
            <path value="RiskAssessment.meta.tag" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.contained">
            <path value="RiskAssessment.contained" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.extension:riskFactorStatusExtension">
            <path value="RiskAssessment.extension" />
            <sliceName value="riskFactorStatusExtension" />
            <short value="Risk Factor Deletion Reason" />
            <definition value="Risk Factor Deletion Reason" />
            <comment value="To be applied to send if Risk Factor has been end-dated in PIR and/or Risk Factor has been deleted in PIR" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/riskFactor-status" />
            </type>
        </element>
        <element id="RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason">
            <path value="RiskAssessment.extension.extension" />
            <sliceName value="RFendDateReason" />
            <comment value="To be applied to send if Risk Factor has been end-dated in PIR" />
        </element>
        <element id="RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason">
            <path value="RiskAssessment.extension.extension" />
            <sliceName value="RFdeleteReason" />
            <short value="Risk Factor End-Dated Reason = &quot;Other, specify&quot;" />
            <definition value="Risk Factor End-Dated Reason = &quot;Other, specify&quot;" />
            <comment value="To be applied to send if Risk Factor has been deleted in PIR with reason found in PIR drop-down list or NO delete reason provided.  See Mappings." />
            <mapping>
                <identity value="source-PIR-nullReason" />
                <map value="Other" />
            </mapping>
        </element>
        <element id="RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther">
            <path value="RiskAssessment.extension.extension" />
            <sliceName value="RFdeleteReasonOther" />
            <comment value="To be applied to send if Risk Factor has been deleted in PIR with reason not found in PIR drop-down list or NO deletion reason provided.  See Mappings." />
            <mapping>
                <identity value="source-PIR-null" />
                <map value="unknown" />
            </mapping>
        </element>
        <element id="RiskAssessment.identifier">
            <path value="RiskAssessment.identifier" />
            <short value="PIR internal Risk Factor ID + External Risk Factor ID" />
            <definition value="PIR internal Risk Factor ID and/or External Risk Factor ID sent from source system(s)" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.identifier.type.coding">
            <path value="RiskAssessment.identifier.type.coding" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.identifier.type.text">
            <path value="RiskAssessment.identifier.type.text" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="PANORAMARISKFACTORID" />
            </mapping>
        </element>
        <element id="RiskAssessment.identifier.system">
            <path value="RiskAssessment.identifier.system" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-risk-factor-id" />
            </mapping>
        </element>
        <element id="RiskAssessment.identifier.value">
            <path value="RiskAssessment.identifier.value" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="RISK_FACTORS.RISK_FACTOR_ID" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="riskFactorId" />
            </mapping>
        </element>
        <element id="RiskAssessment.status">
            <path value="RiskAssessment.status" />
            <short value="PIR applies statuses : final | canceled |" />
            <definition value="PIR applies statuses : final | canceled |" />
            <comment value="See Mappings" />
            <mapping>
                <identity value="source-PIR-final" />
                <map value="final" />
            </mapping>
            <mapping>
                <identity value="source-PIR-deleted" />
                <map value="cancelled" />
            </mapping>
        </element>
        <element id="RiskAssessment.subject.reference">
            <path value="RiskAssessment.subject.reference" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="fullURL of Panorama + &quot;Patient&quot; + PIR Client ID" />
            </mapping>
        </element>
        <element id="RiskAssessment.occurrence[x]">
            <path value="RiskAssessment.occurrence[x]" />
            <short value="Risk Factor Date Reported" />
            <definition value="Risk Factor Date Reported" />
            <comment value="See Mappings" />
            <min value="1" />
            <type>
                <code value="dateTime" />
            </type>
            <mapping>
                <identity value="source-PIR" />
                <map value="RISK_FACTORS.REPORTED_DATE" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="reportedDate" />
            </mapping>
        </element>
        <element id="RiskAssessment.occurrence[x].id">
            <path value="RiskAssessment.occurrence[x].id" />
            <max value="0" />
        </element>
        <element id="RiskAssessment.reasonCode">
            <path value="RiskAssessment.reasonCode" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.reasonReference">
            <path value="RiskAssessment.reasonReference" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.basis">
            <path value="RiskAssessment.basis" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.prediction">
            <path value="RiskAssessment.prediction" />
            <short value="Risk Factor PIR Code and Description" />
            <definition value="Risk Factor PIR Code and Description" />
            <min value="1" />
        </element>
        <element id="RiskAssessment.prediction.outcome">
            <path value="RiskAssessment.prediction.outcome" />
            <comment value="For IDS Phase 5.2: Only send code with description ends with (*)" />
            <min value="1" />
        </element>
        <element id="RiskAssessment.prediction.outcome.coding">
            <path value="RiskAssessment.prediction.outcome.coding" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.prediction.outcome.coding.system">
            <path value="RiskAssessment.prediction.outcome.coding.system" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code" />
            </mapping>
        </element>
        <element id="RiskAssessment.prediction.outcome.coding.code">
            <path value="RiskAssessment.prediction.outcome.coding.code" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (RISK_FACTORS.RISK_FACTOR_CODE_CNCPT_ID)" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="riskFactorCode" />
            </mapping>
        </element>
        <element id="RiskAssessment.prediction.outcome.coding.display">
            <path value="RiskAssessment.prediction.outcome.coding.display" />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="REPORTNG.GET_ITERM_DESC(RISK_FACTORS.RISK_FACTOR_CODE_CNCPT_ID)" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="riskFactorDescription" />
            </mapping>
        </element>
        <element id="RiskAssessment.prediction.when[x]">
            <path value="RiskAssessment.prediction.when[x]" />
            <short value="Risk Factor Timeframe" />
            <definition value="Risk Factor Timeframe: Start Date, End Date" />
            <type>
                <code value="Period" />
            </type>
        </element>
        <element id="RiskAssessment.prediction.when[x].start">
            <path value="RiskAssessment.prediction.when[x].start" />
            <comment value="See Mappings" />
            <mapping>
                <identity value="source-PIR" />
                <map value="RISK_FACTORS.START_DATE" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="effectiveFromDate" />
            </mapping>
        </element>
        <element id="RiskAssessment.prediction.when[x].end">
            <path value="RiskAssessment.prediction.when[x].end" />
            <comment value="See Mappings" />
            <mapping>
                <identity value="source-PIR" />
                <map value="RISK_FACTORS.END_DATE" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="effectiveTo" />
            </mapping>
        </element>
        <element id="RiskAssessment.prediction.rationale">
            <path value="RiskAssessment.prediction.rationale" />
            <short value="Risk Factor RESPONSE in PIR" />
            <definition value="Risk Factor RESPONSE in PIR.  Possible RESPONSE values are &quot;Asked but Unknown&quot; / &quot;Declined to answer&quot; / &quot;Entered in error&quot; / &quot;Yes&quot; / &quot;No&quot; / &quot;Not assessed&quot;, but only Response = YES will be send in IDS." />
            <comment value="See Mappings" />
            <min value="1" />
            <mapping>
                <identity value="source-PIR" />
                <map value="BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (RISK_FACTORS.RISK_FACTOR_RESP_CODE_CNCPT_ID) + &quot; - &quot;+REPORTNG.GET_ITERM_DESC(RISK_FACTORS.RISK_FACTOR_RESP_CODE_CNCPT_ID)" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="riskFacotrResponse" />
            </mapping>
        </element>
        <element id="RiskAssessment.note">
            <path value="RiskAssessment.note" />
            <short value="Risk Factor Comments" />
            <definition value="Additional comments about the risk factor" />
            <max value="1" />
        </element>
        <element id="RiskAssessment.note.id">
            <path value="RiskAssessment.note.id" />
            <max value="0" />
        </element>
        <element id="RiskAssessment.note.author[x]">
            <path value="RiskAssessment.note.author[x]" />
            <max value="0" />
        </element>
        <element id="RiskAssessment.note.text">
            <path value="RiskAssessment.note.text" />
            <comment value="See Mappings" />
            <mapping>
                <identity value="source-PIR" />
                <map value="RISK_FACTORS.OTHER_RISK_FACTOR" />
            </mapping>
            <mapping>
                <identity value="source-PHSL" />
                <map value="additionalInformation" />
            </mapping>
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment",
    "name": "RiskAssessment",
    "status": "draft",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "RiskAssessment",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "RiskAssessment",
                "path": "RiskAssessment",
                "short": "FHIR resource applies for PIR Risk Factors",
                "definition": "FHIR resource applies for PIR Risk Factors.   Note: Only Risk Factor wtih Response = \"YES\" and Reason ends with '*' in PIR will be sent in IDS."
            },
            {
                "id": "RiskAssessment.id",
                "path": "RiskAssessment.id",
                "short": "PIR internal Risk Factor ID + External Risk Factor ID from source system(s)",
                "definition": "PIR internal Risk Factor Identifier + External Risk Factor ID from source system(s)",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "RISK_FACTORS.RISK_FACTOR_ID"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "riskFactorId"
                    }
                ]
            },
            {
                "id": "RiskAssessment.meta",
                "path": "RiskAssessment.meta",
                "min": 1
            },
            {
                "id": "RiskAssessment.meta.versionId",
                "path": "RiskAssessment.meta.versionId",
                "comment": "Apply \"2025.01.1\".  This indicates the FHIR Specs as of year 2025 Jan"
            },
            {
                "id": "RiskAssessment.meta.lastUpdated",
                "path": "RiskAssessment.meta.lastUpdated",
                "comment": "Updated: Relax the previously crossed-out elements."
            },
            {
                "id": "RiskAssessment.meta.profile",
                "path": "RiskAssessment.meta.profile",
                "comment": "Apply \"http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/RiskAssessment\"",
                "min": 1,
                "max": "1"
            },
            {
                "id": "RiskAssessment.meta.security",
                "path": "RiskAssessment.meta.security",
                "max": "1"
            },
            {
                "id": "RiskAssessment.meta.tag",
                "path": "RiskAssessment.meta.tag",
                "max": "1"
            },
            {
                "id": "RiskAssessment.contained",
                "path": "RiskAssessment.contained",
                "max": "1"
            },
            {
                "id": "RiskAssessment.extension:riskFactorStatusExtension",
                "path": "RiskAssessment.extension",
                "sliceName": "riskFactorStatusExtension",
                "short": "Risk Factor Deletion Reason",
                "definition": "Risk Factor Deletion Reason",
                "comment": "To be applied to send if Risk Factor has been end-dated in PIR and/or Risk Factor has been deleted in PIR",
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/riskFactor-status"
                        ]
                    }
                ]
            },
            {
                "id": "RiskAssessment.extension:riskFactorStatusExtension.extension:RFendDateReason",
                "path": "RiskAssessment.extension.extension",
                "sliceName": "RFendDateReason",
                "comment": "To be applied to send if Risk Factor has been end-dated in PIR"
            },
            {
                "id": "RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReason",
                "path": "RiskAssessment.extension.extension",
                "sliceName": "RFdeleteReason",
                "short": "Risk Factor End-Dated Reason = \"Other, specify\"",
                "definition": "Risk Factor End-Dated Reason = \"Other, specify\"",
                "comment": "To be applied to send if Risk Factor has been deleted in PIR with reason found in PIR drop-down list or NO delete reason provided.  See Mappings.",
                "mapping":  [
                    {
                        "identity": "source-PIR-nullReason",
                        "map": "Other"
                    }
                ]
            },
            {
                "id": "RiskAssessment.extension:riskFactorStatusExtension.extension:RFdeleteReasonOther",
                "path": "RiskAssessment.extension.extension",
                "sliceName": "RFdeleteReasonOther",
                "comment": "To be applied to send if Risk Factor has been deleted in PIR with reason not found in PIR drop-down list or NO deletion reason provided.  See Mappings.",
                "mapping":  [
                    {
                        "identity": "source-PIR-null",
                        "map": "unknown"
                    }
                ]
            },
            {
                "id": "RiskAssessment.identifier",
                "path": "RiskAssessment.identifier",
                "short": "PIR internal Risk Factor ID + External Risk Factor ID",
                "definition": "PIR internal Risk Factor ID and/or External Risk Factor ID sent from source system(s)",
                "min": 1,
                "max": "1"
            },
            {
                "id": "RiskAssessment.identifier.type.coding",
                "path": "RiskAssessment.identifier.type.coding",
                "max": "1"
            },
            {
                "id": "RiskAssessment.identifier.type.text",
                "path": "RiskAssessment.identifier.type.text",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "PANORAMARISKFACTORID"
                    }
                ]
            },
            {
                "id": "RiskAssessment.identifier.system",
                "path": "RiskAssessment.identifier.system",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-risk-factor-id"
                    }
                ]
            },
            {
                "id": "RiskAssessment.identifier.value",
                "path": "RiskAssessment.identifier.value",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "RISK_FACTORS.RISK_FACTOR_ID"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "riskFactorId"
                    }
                ]
            },
            {
                "id": "RiskAssessment.status",
                "path": "RiskAssessment.status",
                "short": "PIR applies statuses : final | canceled |",
                "definition": "PIR applies statuses : final | canceled |",
                "comment": "See Mappings",
                "mapping":  [
                    {
                        "identity": "source-PIR-final",
                        "map": "final"
                    },
                    {
                        "identity": "source-PIR-deleted",
                        "map": "cancelled"
                    }
                ]
            },
            {
                "id": "RiskAssessment.subject.reference",
                "path": "RiskAssessment.subject.reference",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "fullURL of Panorama + \"Patient\" + PIR Client ID"
                    }
                ]
            },
            {
                "id": "RiskAssessment.occurrence[x]",
                "path": "RiskAssessment.occurrence[x]",
                "short": "Risk Factor Date Reported",
                "definition": "Risk Factor Date Reported",
                "comment": "See Mappings",
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "RISK_FACTORS.REPORTED_DATE"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "reportedDate"
                    }
                ]
            },
            {
                "id": "RiskAssessment.occurrence[x].id",
                "path": "RiskAssessment.occurrence[x].id",
                "max": "0"
            },
            {
                "id": "RiskAssessment.reasonCode",
                "path": "RiskAssessment.reasonCode",
                "max": "1"
            },
            {
                "id": "RiskAssessment.reasonReference",
                "path": "RiskAssessment.reasonReference",
                "max": "1"
            },
            {
                "id": "RiskAssessment.basis",
                "path": "RiskAssessment.basis",
                "max": "1"
            },
            {
                "id": "RiskAssessment.prediction",
                "path": "RiskAssessment.prediction",
                "short": "Risk Factor PIR Code and Description",
                "definition": "Risk Factor PIR Code and Description",
                "min": 1
            },
            {
                "id": "RiskAssessment.prediction.outcome",
                "path": "RiskAssessment.prediction.outcome",
                "comment": "For IDS Phase 5.2: Only send code with description ends with (*)",
                "min": 1
            },
            {
                "id": "RiskAssessment.prediction.outcome.coding",
                "path": "RiskAssessment.prediction.outcome.coding",
                "min": 1,
                "max": "1"
            },
            {
                "id": "RiskAssessment.prediction.outcome.coding.system",
                "path": "RiskAssessment.prediction.outcome.coding.system",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code"
                    }
                ]
            },
            {
                "id": "RiskAssessment.prediction.outcome.coding.code",
                "path": "RiskAssessment.prediction.outcome.coding.code",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (RISK_FACTORS.RISK_FACTOR_CODE_CNCPT_ID)"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "riskFactorCode"
                    }
                ]
            },
            {
                "id": "RiskAssessment.prediction.outcome.coding.display",
                "path": "RiskAssessment.prediction.outcome.coding.display",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "REPORTNG.GET_ITERM_DESC(RISK_FACTORS.RISK_FACTOR_CODE_CNCPT_ID)"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "riskFactorDescription"
                    }
                ]
            },
            {
                "id": "RiskAssessment.prediction.when[x]",
                "path": "RiskAssessment.prediction.when[x]",
                "short": "Risk Factor Timeframe",
                "definition": "Risk Factor Timeframe: Start Date, End Date",
                "type":  [
                    {
                        "code": "Period"
                    }
                ]
            },
            {
                "id": "RiskAssessment.prediction.when[x].start",
                "path": "RiskAssessment.prediction.when[x].start",
                "comment": "See Mappings",
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "RISK_FACTORS.START_DATE"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "effectiveFromDate"
                    }
                ]
            },
            {
                "id": "RiskAssessment.prediction.when[x].end",
                "path": "RiskAssessment.prediction.when[x].end",
                "comment": "See Mappings",
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "RISK_FACTORS.END_DATE"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "effectiveTo"
                    }
                ]
            },
            {
                "id": "RiskAssessment.prediction.rationale",
                "path": "RiskAssessment.prediction.rationale",
                "short": "Risk Factor RESPONSE in PIR",
                "definition": "Risk Factor RESPONSE in PIR.  Possible RESPONSE values are \"Asked but Unknown\" / \"Declined to answer\" / \"Entered in error\" / \"Yes\" / \"No\" / \"Not assessed\", but only Response = YES will be send in IDS.",
                "comment": "See Mappings",
                "min": 1,
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "BCYREPORTNG.RBCY_FN_GET_CONCEPT_CODE (RISK_FACTORS.RISK_FACTOR_RESP_CODE_CNCPT_ID) + \" - \"+REPORTNG.GET_ITERM_DESC(RISK_FACTORS.RISK_FACTOR_RESP_CODE_CNCPT_ID)"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "riskFacotrResponse"
                    }
                ]
            },
            {
                "id": "RiskAssessment.note",
                "path": "RiskAssessment.note",
                "short": "Risk Factor Comments",
                "definition": "Additional comments about the risk factor",
                "max": "1"
            },
            {
                "id": "RiskAssessment.note.id",
                "path": "RiskAssessment.note.id",
                "max": "0"
            },
            {
                "id": "RiskAssessment.note.author[x]",
                "path": "RiskAssessment.note.author[x]",
                "max": "0"
            },
            {
                "id": "RiskAssessment.note.text",
                "path": "RiskAssessment.note.text",
                "comment": "See Mappings",
                "mapping":  [
                    {
                        "identity": "source-PIR",
                        "map": "RISK_FACTORS.OTHER_RISK_FACTOR"
                    },
                    {
                        "identity": "source-PHSL",
                        "map": "additionalInformation"
                    }
                ]
            }
        ]
    }
}