MII_IG_MolGen_1

Polygener Risiko Score - RiskAssessment

Beschreibung

Ein polygener Risiko Score (PRS), manchmal auch als polygener Score (PGS) oder genetischer Risikoscore (GRS) bezeichnet, ist eine Schätzung des genetischen Risikos einer Person für ein bestimmtes Merkmal, die durch Aggregation und Quantifizierung der Auswirkungen vieler häufig vorkommender Varianten (in der Regel definiert als Minor-Allel-Häufigkeit ≥1%) im Genom gewonnen wird.

Name	Canonical
MII_PR_MolGen_PolygenerRisikoScore	https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/polygener-risiko-score

Diff

MII_PR_MolGen_PolygenerRisikoScore (RiskAssessment)

RiskAssessment

There are no (further) constraints on this element

Element id

RiskAssessment

Short description

Potential outcomes for a subject with likelihood

Alternate names

Prognosis

Definition

An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.

Data type

RiskAssessment

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.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-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-6: A resource should have narrative for robust management
text.`div`.exists()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()

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

0..1

string

There are no (further) constraints on this element

Element id

RiskAssessment.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

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)

Binding extensions

maxValueSet	AllLanguages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

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: Entity. Role, or Act
rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

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

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

modifierExtension

?! C

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

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

identifier

S Σ

0..*

Identifier

Element id

RiskAssessment.identifier

Short description

Identifikator

Definition

Eindeutiger Identifikator für die Risikobewertung

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
workflow: Event.identifier
w5: FiveWs.identifier
rim: .id
openehr: Workflow Identifier

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.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
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.

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.partOf

status

S Σ

1..1

codeBinding

Element id

RiskAssessment.status

Short description

Status

Definition

Status der Risikobewertung

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Binding

The status of the risk assessment; e.g. preliminary, final, amended, etc.

ObservationStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.status
w5: FiveWs.status

method

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.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Data type

CodeableConcept

Binding

The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.

(unbound) (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.class
rim: .methodCode

code

S Σ

0..1

CodeableConcept

Element id

RiskAssessment.code

Short description

Code

Definition

Art der Risikobewertung

Comments

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.code
w5: FiveWs.what[x]

subject

S Σ C

1..1

Reference(Group | Patient)

Element id

RiskAssessment.subject

Short description

Patient

Definition

Der Patient für den die Risikobewertung erstellt wurde

Comments

Data type

Reference(Group | Patient)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.subject
w5: FiveWs.subject[x]
rim: .participation[typeCode=SBJ].role
openehr: Subject of Care
w5: FiveWs.subject

encounter

S Σ C

0..1

Reference(Encounter)

Element id

RiskAssessment.encounter

Short description

Kontakt

Definition

Der Kontakt in dessen Rahmen die Risikobewertung erstellt wurde

Comments

Data type

Reference(Encounter)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.encounter
w5: FiveWs.context
rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

occurrence[x]

S Σ

0..1

Element id

RiskAssessment.occurrence[x]

Short description

Zeitpunkt

Definition

Zeitpunkt oder Zeitraum der Risikobewertung

Requirements

The assessment results lose validity the more time elapses from when they are first made.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.occurrence[x]
w5: FiveWs.done[x]
rim: .effectiveTime

occurrenceDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

occurrencePeriod

Period

There are no (further) constraints on this element

Data type

Period

condition

S Σ C

0..1

Reference(Condition)

Element id

RiskAssessment.condition

Short description

Erkrankung

Definition

Die Erkrankung für die das Risiko bewertet wird

Comments

Data type

Reference(Condition)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]

performer

Σ C

0..1

Reference(Device | Practitioner | PractitionerRole)

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.

Comments

Data type

Reference(Device | Practitioner | PractitionerRole)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.performer.actor
w5: FiveWs.actor
rim: .participation[typeCode=PFM].role[classCode=ASSIGNED]
openehr: Information Provider

reasonCode

0..*

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.

Comments

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.reasonCode
w5: FiveWs.why[x]

reasonReference

0..*

Reference(Condition | DiagnosticReport | DocumentReference | Observation)

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.

Comments

Data type

Reference(Condition | DiagnosticReport | DocumentReference | Observation)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.reasonReference
w5: FiveWs.why[x]

basis

S C

0..*

Reference(Resource)

Element id

RiskAssessment.basis

Short description

Grundlage

Definition

Die Grundlagen auf denen die Risikobewertung basiert wie z.B. genetische Varianten

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .outboundRelationship[typeCode=DRIV].target
openehr: Risk Factor; Link to Evidence

prediction

S C

0..*

BackboneElement

Element id

RiskAssessment.prediction

Short description

Vorhersage

Definition

Die vorhergesagten Risiken

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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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: n/a
rim: .outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]

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

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

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

whenCodeableConcept

S C

0..1

Extension(CodeableConcept)

Element id

RiskAssessment.prediction.extension:whenCodeableConcept

Short description

Einflussfaktor

Alternate names

extensions, user content

Definition

Zusätzlicher Einflussfaktor für die Risikoberechnung

Comments

Data type

Extension(CodeableConcept)

Extension URL

https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/risk-assessment-einflussfaktor

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

modifierExtension

Σ ?! C

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

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

outcome

0..1

CodeableConcept

Element id

RiskAssessment.prediction.outcome

Short description

Ergebnis

Definition

Das vorhergesagte Ergebnis oder die Erkrankung

Comments

Data type

CodeableConcept

Binding

The condition or other outcome; e.g. death, remission, amputation, infection, etc.

(unbound) (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
rim: .value
openehr: Risk

probability[x]

S C

0..1

Element id

RiskAssessment.prediction.probability[x]

Short description

Wahrscheinlichkeit

Definition

Die quantitative Wahrscheinlichkeit des Risikos

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).

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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: n/a
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

Element id

RiskAssessment.prediction.qualitativeRisk

Short description

Qualitatives Risiko

Definition

Die qualitative Einschätzung des Risikos wie z.B. hoch oder niedrig

Comments

Data type

CodeableConcept

Binding

The likelihood of the occurrence of a specified outcome.

RiskProbability (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

relativeRisk

0..1

decimal

Element id

RiskAssessment.prediction.relativeRisk

Short description

Relatives Risiko

Definition

Das relative Risiko im Vergleich zur Normalbevölkerung

Requirements

Absolute risk is less meaningful than relative risk.

Comments

Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)

Data type

decimal

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
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

Zeitrahmen

Definition

Der Zeitrahmen für den die Vorhersage gilt

Comments

If not specified, the risk applies "over the subject's lifespan".

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: .effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age"].value

whenPeriod

Period

There are no (further) constraints on this element

Data type

Period

whenRange

Range

There are no (further) constraints on this element

Data type

Range

rationale

0..1

string

There are no (further) constraints on this element

Element id

RiskAssessment.prediction.rationale

Short description

Explanation of prediction

Definition

Additional information explaining the basis for the prediction.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: .reasonCode.text
openehr: Rationale

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.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text

note

0..*

Annotation

There are no (further) constraints on this element

Element id

RiskAssessment.note

Short description

Comments on the risk assessment

Definition

Additional comments about the risk assessment.

Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

Data type

Annotation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act
workflow: Event.note

Snapshot

MII_PR_MolGen_PolygenerRisikoScore (RiskAssessment)

RiskAssessment

There are no (further) constraints on this element

Element id

RiskAssessment

Short description

Potential outcomes for a subject with likelihood

Alternate names

Prognosis

Definition

An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.

Data type

RiskAssessment

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.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-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-6: A resource should have narrative for robust management
text.`div`.exists()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()

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

0..1

string

There are no (further) constraints on this element

Element id

RiskAssessment.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

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

Comments

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

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

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

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

Comments

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

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

Comments

Data type

Resource

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

RiskAssessment.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

modifierExtension

?! C

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

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

identifier

S Σ

0..*

Identifier

Element id

RiskAssessment.identifier

Short description

Identifikator

Definition

Eindeutiger Identifikator für die Risikobewertung

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
workflow: Event.identifier
w5: FiveWs.identifier
rim: .id
openehr: Workflow Identifier

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.

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
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.

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.partOf

status

S Σ

1..1

codeBinding

Element id

RiskAssessment.status

Short description

Status

Definition

Status der Risikobewertung

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

code

Binding

The status of the risk assessment; e.g. preliminary, final, amended, etc.

ObservationStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.status
w5: FiveWs.status

method

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.

Comments

Data type

CodeableConcept

Binding

The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.

(unbound) (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.class
rim: .methodCode

code

S Σ

0..1

CodeableConcept

Element id

RiskAssessment.code

Short description

Code

Definition

Art der Risikobewertung

Comments

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.code
w5: FiveWs.what[x]

subject

S Σ C

1..1

Reference(Group | Patient)

Element id

RiskAssessment.subject

Short description

Patient

Definition

Der Patient für den die Risikobewertung erstellt wurde

Comments

Data type

Reference(Group | Patient)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.subject
w5: FiveWs.subject[x]
rim: .participation[typeCode=SBJ].role
openehr: Subject of Care
w5: FiveWs.subject

encounter

S Σ C

0..1

Reference(Encounter)

Element id

RiskAssessment.encounter

Short description

Kontakt

Definition

Der Kontakt in dessen Rahmen die Risikobewertung erstellt wurde

Comments

Data type

Reference(Encounter)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.encounter
w5: FiveWs.context
rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

occurrence[x]

S Σ

0..1

Element id

RiskAssessment.occurrence[x]

Short description

Zeitpunkt

Definition

Zeitpunkt oder Zeitraum der Risikobewertung

Requirements

The assessment results lose validity the more time elapses from when they are first made.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.occurrence[x]
w5: FiveWs.done[x]
rim: .effectiveTime

occurrenceDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

occurrencePeriod

Period

There are no (further) constraints on this element

Data type

Period

condition

S Σ C

0..1

Reference(Condition)

Element id

RiskAssessment.condition

Short description

Erkrankung

Definition

Die Erkrankung für die das Risiko bewertet wird

Comments

Data type

Reference(Condition)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]

performer

Σ C

0..1

Reference(Device | Practitioner | PractitionerRole)

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.

Comments

Data type

Reference(Device | Practitioner | PractitionerRole)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.performer.actor
w5: FiveWs.actor
rim: .participation[typeCode=PFM].role[classCode=ASSIGNED]
openehr: Information Provider

reasonCode

0..*

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.

Comments

Data type

CodeableConcept

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.reasonCode
w5: FiveWs.why[x]

reasonReference

0..*

Reference(Condition | DiagnosticReport | DocumentReference | Observation)

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.

Comments

Data type

Reference(Condition | DiagnosticReport | DocumentReference | Observation)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.reasonReference
w5: FiveWs.why[x]

basis

S C

0..*

Reference(Resource)

Element id

RiskAssessment.basis

Short description

Grundlage

Definition

Die Grundlagen auf denen die Risikobewertung basiert wie z.B. genetische Varianten

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
rim: .outboundRelationship[typeCode=DRIV].target
openehr: Risk Factor; Link to Evidence

prediction

S C

0..*

BackboneElement

Element id

RiskAssessment.prediction

Short description

Vorhersage

Definition

Die vorhergesagten Risiken

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

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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: n/a
rim: .outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]

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

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

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

whenCodeableConcept

S C

0..1

Extension(CodeableConcept)

Element id

RiskAssessment.prediction.extension:whenCodeableConcept

Short description

Einflussfaktor

Alternate names

extensions, user content

Definition

Zusätzlicher Einflussfaktor für die Risikoberechnung

Comments

Data type

Extension(CodeableConcept)

Extension URL

https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/risk-assessment-einflussfaktor

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

modifierExtension

Σ ?! C

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

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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

outcome

0..1

CodeableConcept

Element id

RiskAssessment.prediction.outcome

Short description

Ergebnis

Definition

Das vorhergesagte Ergebnis oder die Erkrankung

Comments

Data type

CodeableConcept

Binding

The condition or other outcome; e.g. death, remission, amputation, infection, etc.

(unbound) (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
rim: .value
openehr: Risk

probability[x]

S C

0..1

Element id

RiskAssessment.prediction.probability[x]

Short description

Wahrscheinlichkeit

Definition

Die quantitative Wahrscheinlichkeit des Risikos

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).

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

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: n/a
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

Element id

RiskAssessment.prediction.qualitativeRisk

Short description

Qualitatives Risiko

Definition

Die qualitative Einschätzung des Risikos wie z.B. hoch oder niedrig

Comments

Data type

CodeableConcept

Binding

The likelihood of the occurrence of a specified outcome.

RiskProbability (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

relativeRisk

0..1

decimal

Element id

RiskAssessment.prediction.relativeRisk

Short description

Relatives Risiko

Definition

Das relative Risiko im Vergleich zur Normalbevölkerung

Requirements

Absolute risk is less meaningful than relative risk.

Comments

Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)

Data type

decimal

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
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

Zeitrahmen

Definition

Der Zeitrahmen für den die Vorhersage gilt

Comments

If not specified, the risk applies "over the subject's lifespan".

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: .effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age"].value

whenPeriod

Period

There are no (further) constraints on this element

Data type

Period

whenRange

Range

There are no (further) constraints on this element

Data type

Range

rationale

0..1

string

There are no (further) constraints on this element

Element id

RiskAssessment.prediction.rationale

Short description

Explanation of prediction

Definition

Additional information explaining the basis for the prediction.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: .reasonCode.text
openehr: Rationale

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.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: .outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text

note

0..*

Annotation

There are no (further) constraints on this element

Element id

RiskAssessment.note

Short description

Comments on the risk assessment

Definition

Additional comments about the risk assessment.

Comments

Data type

Annotation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act
workflow: Event.note

Extension

Einflussfaktor

Name: Einflussfaktor
Definition: Die Extension erweitert RiskAssessment.prediction um die Möglichkeit, weitere ausschlaggebende Faktoren mit Einfluss auf die Risikoberechnung anzugeben.
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/risk-assessment-einflussfaktor

Snapshot

MII_EX_MolGen_RiskAssessment_Einflussfaktor (Extension)	C		Extension	Element id Extension Short description MII EX MolGen RiskAssessment Einflussfaktor Definition Die Extension erweitert RiskAssessment.prediction um die Möglichkeit, weitere ausschlaggebende Faktoren mit Einfluss auf die Risikoberechnung anzugeben. Data type Extension Conditions The cardinality or value of this element may be affected by these constraints: ele-1 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 Extension.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.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 Slicing Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Conditions The cardinality or value of this element may be affected by these constraints: ele-1 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
url		1..1	uriFixed Value	Element id Extension.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 https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/risk-assessment-einflussfaktor Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id Extension.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). Conditions The cardinality or value of this element may be affected by these constraints: ele-1 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueCodeableConcept			CodeableConcept	Data type CodeableConcept

Examples

{

"resourceType": "RiskAssessment",

"id": "mii-exa-molgen-prs-brca1",

"meta": {

"profile": [

"https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/polygener-risiko-score|2026.0.3"

]

"status": "final",

"subject": {

"reference": "Patient/mii-exa-molgen-patient-2"

"occurrenceDateTime": "2022-11-01",

"basis": [

{

"reference": "Observation/mii-exa-molgen-variante-brca1"

}

"prediction": [

{

"extension": [

{

"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/risk-assessment-einflussfaktor",

"valueCodeableConcept": {

"coding": [

{

"system": "http://snomed.info/sct",
"code": "414152003",
"display": "European (ethnic group)"

}

"text": "Der verwendete Polygene Risikoscore wurde bisher nur für die europäische Bevölkerung bei Brustkrebs validiert."

}

"outcome": {

"coding": [

{

"system": "http://snomed.info/sct",
"code": "718220008",
"display": "Hereditary breast and ovarian cancer syndrome (disorder)"

}

]

"qualitativeRisk": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/risk-probability",
"code": "high",
"display": "High likelihood"

}

]

}

]

}