MAIA 1.5 Schnittstellendefinition

Maia Rule Based Evaluation

Tiplu presumed diagnoses are generated and displayed based on a set of rules derived from medical guidelines and literature (state-of-the-art medicine).

Customised presumptive diagnoses can be created and released to all MAIA users in the hospital by physicians trained by the manufacturer, known as Medical Administrators, using a rules editor built into MAIA. These function similarly to Tiplu presumed diagnoses, but additionally provide the option to include therapy and diagnostic information. Medical administrators can enable/disable these rules only for patients within the departments for which they have access rights.

German: Tiplu-Verdachtsdiagnosen werden auf der Grundlage eines von Leitlinien und Fachliteratur (State-of-the-Art Medizin) basierenden Regelwerkes generiert und angezeigt.

Vom Hersteller geschulte Ärzte, so genannte Medical Administrators, können mithilfe eines in MAIA integrierten Regeleditors benutzerdefinierte Verdachtsdiagnosen erstellen und für alle MAIA-Benutzer im Krankenhaus freigeben. Diese funktionieren analog zu Tiplu-Verdachtsdiagnosen, bieten jedoch zusätzlich die Möglichkeit, Therapie- und Diagnostikinformationen zu hinterlegen. Medizinische Administrator:innen können dabei entsprechende Hinweise nur für Patient:innen der Fachabteilungen aktivieren/deaktivieren, auf deren Patient:innen sie ein Zugriffsrecht haben.

Metadaten

Canonical	https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluation
Status	draft
Version	1.0.0
Basis	http://hl7.org/fhir/StructureDefinition/RiskAssessment

Inhalt

MaiaRuleBasedEvaluation (RiskAssessment)	I		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-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	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	Σ	0..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())`
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	S	0..1	Narrative	Element id RiskAssessment.text Short description human-readable narrative 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 HTML representation of this rule-based evaluation 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?
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.text.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.text.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
status	S	1..1	codeBinding	There are no (further) constraints on this element Element id RiskAssessment.text.status Short description generated \| extensions \| additional \| empty Definition The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data. Data type code Binding The status of a resource narrative. NarrativeStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
div	S I	1..1	xhtml	There are no (further) constraints on this element Element id RiskAssessment.text.div Short description Limited xhtml content Definition The actual narrative content, a stripped down version of XHTML. Comments The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content SHALL NOT contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects. Data type xhtml Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes `htmlChecks()` txt-2: The narrative SHALL have some non-whitespace content `htmlChecks()` Mappings rim: N/A
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: N/A
extension	I	1..*	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
ReviewStatus	S I	1..1	Extension(Coding)	Element id RiskAssessment.extension:ReviewStatus Short description Maia rule-based evaluation review status Extension Alternate names extensions, user content Definition Indicates the review status of a rule-based evaluation in MAIA. This extension is used to record whether and how a user has reviewed or validated the generated hint. German: Gibt den Prüfstatus einer regelbasierten Auswertung in MAIA an. Die Extension wird verwendet, um zu dokumentieren, ob und in welcher Form ein Nutzer den gefundenen Hinweis geprüft oder bestätigt hat. 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(Coding) Extension URL https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluationReviewStatus 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:ReviewStatus.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..0	Extension	There are no (further) constraints on this element Element id RiskAssessment.extension:ReviewStatus.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:ReviewStatus.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://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluationReviewStatus Mappings rim: N/A
value[x]	S	0..1	Binding	There are no (further) constraints on this element Element id RiskAssessment.extension:ReviewStatus.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). Binding MaiaRuleBasedEvaluationReviewStatusVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCoding			Coding	There are no (further) constraints on this element Data type Coding
modifierExtension	?! I	0..*	Extension	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 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
HiddenReason	S ?! I	0..1	Extension(CodeableConcept)	Element id RiskAssessment.modifierExtension:HiddenReason Short description Maia Hidden-Reason Alternate names extensions, user content Definition An extension to flag reasons why specific rule-based evaluation has to be hidden or withheld. 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(CodeableConcept) Extension URL https://tiplu.de/fhir/maia/StructureDefinition/MaiaHiddenReason 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.modifierExtension:HiddenReason.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..0	Extension	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.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.modifierExtension:HiddenReason.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://tiplu.de/fhir/maia/StructureDefinition/MaiaHiddenReason Mappings rim: N/A
value[x]	S	1..1		There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.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
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[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.modifierExtension:HiddenReason.value[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
coding	Σ	1..*	Coding	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[x].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 Sliced: Unordered, Open, by $this(Pattern) 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
Reason	S Σ	1..1	CodingBindingPattern	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason Short description Coding representing the reason for hiding the information. 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 Specifies a coded reason, from a controlled vocabulary, explaining why the content has to be hidden. Data type Coding Binding MaiaHiddenReasonVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "https://tiplu.de/fhir/maia/CodeSystem/MaiaHiddenReasonCS" } 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.modifierExtension:HiddenReason.value[x].coding:Reason.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.modifierExtension:HiddenReason.value[x].coding:Reason.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	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.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 The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern https://tiplu.de/fhir/maia/CodeSystem/MaiaHiddenReasonCS Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.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	S Σ	1..1	code	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.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. 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
display	S Σ	1..1	string	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.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. 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
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.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	S Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.modifierExtension:HiddenReason.value[x].text Short description Text representation of the hidden reason. 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 Provides a human-readable explanation for the reason the information has to be hidden. 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
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element id RiskAssessment.identifier Short description Unique identifier for the assessment Definition Business identifier assigned to the risk assessment. 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
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(MaiaRuleBasedEvaluation)	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(MaiaRuleBasedEvaluation) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.partOf
status	S Σ	1..1	codeBinding	Element id RiskAssessment.status Short description Status of the rule-based evaluation Definition The status of the RiskAssessment, using the same statuses as an Observation. Comments Status 'preliminary' is default set for rule-based evaluation. 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
method	S Σ	1..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
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.method.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.method.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	S Σ	1..*	Coding	Element id RiskAssessment.method.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 Sliced: Unordered, Open, by $this(Pattern) 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
AssessmentMethod	S Σ	1..1	CodingBindingPattern	Element id RiskAssessment.method.coding:AssessmentMethod Short description Assessment method used for this RiskAssessment 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 Binding MaiaAssessmentMethodVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "https://tiplu.de/fhir/maia/CodeSystem/MaiaAssessmentMethod" } 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.method.coding:AssessmentMethod.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.method.coding:AssessmentMethod.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	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id RiskAssessment.method.coding:AssessmentMethod.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 The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern https://tiplu.de/fhir/maia/CodeSystem/MaiaAssessmentMethod Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.method.coding:AssessmentMethod.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	S Σ	1..1	codePattern	Element id RiskAssessment.method.coding:AssessmentMethod.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. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern TRBE Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	S Σ	1..1	stringPattern	Element id RiskAssessment.method.coding:AssessmentMethod.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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern Tiplu rule-based evaluation Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id RiskAssessment.method.coding:AssessmentMethod.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.method.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
code	S Σ I	1..1	CodeableConcept	Element id RiskAssessment.code Short description Type of assessment Definition Code of the assessed rule-based evaluation Data type CodeableConcept Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` MaiaTrbeCodeOrText: A code from MaiaPresumedDiagnosisAssessmentType and a free-text display (code.text) must not be used at the same time. `code.coding.where(system = 'https://tiplu.de/fhir/maia/CodeSystem/MaiaPresumedDiagnosisAssessmentType').exists() xor code.text.exists()` Mappings workflow: Event.code w5: FiveWs.what[x]
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.code.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.code.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	S Σ	0..*	Coding	Element id RiskAssessment.code.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 Sliced: Unordered, Open, by $this(Pattern) 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
AssessmentType	S Σ	0..1	CodingBinding	Element id RiskAssessment.code.coding:AssessmentType Short description Coding of the Tiplu presumed diagnosis 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 Binding MaiaPresumedDiagnosisAssessmentTypeVS (required) 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.code.coding:AssessmentType.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.code.coding:AssessmentType.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	S Σ	1..1	uri	There are no (further) constraints on this element Element id RiskAssessment.code.coding:AssessmentType.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 The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. 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
version	Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.code.coding:AssessmentType.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	S Σ	1..1	code	There are no (further) constraints on this element Element id RiskAssessment.code.coding:AssessmentType.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. 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
display	S Σ	1..1	string	There are no (further) constraints on this element Element id RiskAssessment.code.coding:AssessmentType.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. 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
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id RiskAssessment.code.coding:AssessmentType.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	S Σ	0..1	string	Element id RiskAssessment.code.text Short description Name of the custom presumed diagnosis 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
subject	S Σ	1..1	Reference(MaiaPatient)	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(MaiaPatient) 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	0..1	string	There are no (further) constraints on this element 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 Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. 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
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	S Σ	1..1	IdentifierPid	Element id RiskAssessment.subject.identifier Short description Patient ID of the referenced patient Definition An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers. Comments The MAIA FHIR endpoints don't have the possibility to get the patient resource. For this, the resource identifier is mandatory. Data type IdentifierPid Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .identifier 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
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.subject.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.subject.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.subject.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	S Σ	1..1	CodeableConceptBindingPattern	There are no (further) constraints on this element Element id RiskAssessment.subject.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. IdentifierTypeDeBasis (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR" } ] } Mappings v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uri	There are no (further) constraints on this element Element id RiskAssessment.subject.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 Identifier.system is always case sensitive. 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
value	S Σ	1..1	string	There are no (further) constraints on this element Element id RiskAssessment.subject.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 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. 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
period	Σ	0..1	Period	There are no (further) constraints on this element Element id RiskAssessment.subject.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.subject.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
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	S Σ	1..1	Reference(MaiaKontaktGesundheitseinrichtung)	Element id RiskAssessment.encounter Short description Where was assessment performed? Definition The encounter where the assessment was performed. Data type Reference(MaiaKontaktGesundheitseinrichtung) 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]
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.encounter.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	1..*	Extension	There are no (further) constraints on this element Element id RiskAssessment.encounter.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
AccountIdentifier	S I	1..1	Extension(http://fhir.de/StructureDefinition/identifier-abrechnungsnummer)	Element id RiskAssessment.encounter.extension:AccountIdentifier Short description Account Identifier (German: Fallnummer/Abrechnungsnummer) of the referenced account Alternate names extensions, user content Definition This extension allows to append the account identifier to encounter references. The identifier is the one referenced by the account to which the encounter belongs. Comments The MAIA FHIR endpoints don't have the possibility to get the account or encounter resource. For this, the resource identifier is mandatory. Data type Extension(http://fhir.de/StructureDefinition/identifier-abrechnungsnummer) Extension URL https://tiplu.de/fhir/maia/StructureDefinition/MaiaAccountIdentifier 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.encounter.extension:AccountIdentifier.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..0	Extension	There are no (further) constraints on this element Element id RiskAssessment.encounter.extension:AccountIdentifier.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.encounter.extension:AccountIdentifier.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://tiplu.de/fhir/maia/StructureDefinition/MaiaAccountIdentifier Mappings rim: N/A
value[x]	S	0..1		There are no (further) constraints on this element Element id RiskAssessment.encounter.extension:AccountIdentifier.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
valueIdentifier			http://fhir.de/StructureDefinition/identifier-abrechnungsnummer	There are no (further) constraints on this element Data type http://fhir.de/StructureDefinition/identifier-abrechnungsnummer
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.encounter.extension:AccountIdentifier.value[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.encounter.extension:AccountIdentifier.value[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
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id RiskAssessment.encounter.extension:AccountIdentifier.value[x].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	S Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id RiskAssessment.encounter.extension:AccountIdentifier.value[x].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
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id RiskAssessment.encounter.extension:AccountIdentifier.value[x].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 Identifier.system is always case sensitive. 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
value	S Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.encounter.extension:AccountIdentifier.value[x].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 If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. 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
period	Σ	0..1	Period	There are no (further) constraints on this element Element id RiskAssessment.encounter.extension:AccountIdentifier.value[x].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.encounter.extension:AccountIdentifier.value[x].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
reference	Σ I	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.encounter.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 Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. 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
type	Σ	0..1	uriBinding	There are no (further) constraints on this element Element id RiskAssessment.encounter.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.encounter.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.encounter.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
occurrence[x]	Σ	1..1		Element id RiskAssessment.occurrence[x] Short description When was assessment made? Definition The date (and possibly time) the risk assessment was performed. Requirements The assessment results lose validity the more time elapses from when they are first made. Sliced: Unordered, Open, by $this(Type) 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
(All Slices)				There are no (further) constraints on this element
occurrencePeriod			Period	There are no (further) constraints on this element Data type Period
occurrenceDateTime	S Σ	1..1	dateTime	Element id RiskAssessment.occurrence[x]:occurrenceDateTime Short description Last calculation of MAIA Definition The date (and possibly time) the risk assessment was performed. Requirements The assessment results lose validity the more time elapses from when they are first made. Data type dateTime 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
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	S Σ	1..1	Reference(Device)	Element id RiskAssessment.performer Short description Who did assessment? Definition The provider or software application that performed the assessment. Comments A Device example with valid MAIA information can be found in the Simplifier project. Data type Reference(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..*	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..*	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	S	0..*	Reference(Resource)	Element id RiskAssessment.basis Short description Definition of the rule based presumed diagnoses Definition Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.). Data type Reference(Resource) Sliced: Unordered, Open, by $this(Pattern) 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
RiskAssessmentDefinition	S	0..1	Reference(MaiaRiskAssessmentDefinition)Pattern	Element id RiskAssessment.basis:RiskAssessmentDefinition 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(MaiaRiskAssessmentDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "type": "Basic" } Mappings rim: .outboundRelationship[typeCode=DRIV].target openehr: Risk Factor; Link to Evidence
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.basis:RiskAssessmentDefinition.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.basis:RiskAssessmentDefinition.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	S Σ I	1..1	string	There are no (further) constraints on this element Element id RiskAssessment.basis:RiskAssessmentDefinition.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 Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. 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
type	S Σ	1..1	uriBindingPattern	There are no (further) constraints on this element Element id RiskAssessment.basis:RiskAssessmentDefinition.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())` Pattern Basic Mappings rim: N/A
identifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element id RiskAssessment.basis:RiskAssessmentDefinition.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.basis:RiskAssessmentDefinition.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
prediction	S I	1..*	BackboneElement	There are no (further) constraints on this element Element id RiskAssessment.prediction Short description Outcome predicted Definition Describes the expected outcome for the subject. 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		0..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 Beschreiben, warum kein MS und nicht vorhanden TODO 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
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	S	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())`
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.qualitativeRisk.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.qualitativeRisk.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	S Σ	1..*	Coding	Element id RiskAssessment.prediction.qualitativeRisk.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 Sliced: Unordered, Open, by $this(Pattern) 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
QualitativeRisk	S Σ	1..1	CodingBindingPattern	Element id RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk 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 Binding RiskProbability (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://terminology.hl7.org/CodeSystem/risk-probability" } 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.qualitativeRisk.coding:QualitativeRisk.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.qualitativeRisk.coding:QualitativeRisk.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	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.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 The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://terminology.hl7.org/CodeSystem/risk-probability Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.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	S Σ	1..1	code	There are no (further) constraints on this element Element id RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.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. 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
display	S Σ	1..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.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. 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
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.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.qualitativeRisk.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
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]		1..1		Element id RiskAssessment.prediction.when[x] Short description Timeframe or age range Definition Indicates the period of time or age range of the subject to which the specified probability applies. Comments If not specified, the risk applies "over the subject's lifespan". Sliced: Unordered, Open, by $this(Type) 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
(All Slices)				There are no (further) constraints on this element
whenRange			Range	There are no (further) constraints on this element Data type Range
whenPeriod	S	1..1	Period	Element id RiskAssessment.prediction.when[x]:whenPeriod Short description Timeframe or age range Definition Indicates the period of time or age range of the subject to which the specified probability applies. Comments If not specified, the risk applies "over the subject's lifespan". Data type Period 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
id		0..1	string	There are no (further) constraints on this element Element id RiskAssessment.prediction.when[x]:whenPeriod.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]:whenPeriod.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	S Σ I	1..1	dateTime	There are no (further) constraints on this element Element id RiskAssessment.prediction.when[x]:whenPeriod.start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments If the low element is missing, the meaning is that the low boundary is not known. 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
end	S Σ I	0..1	dateTime	There are no (further) constraints on this element Element id RiskAssessment.prediction.when[x]:whenPeriod.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 The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. 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
rationale	S	0..1	string	Element id RiskAssessment.prediction.rationale Short description Reasoning Definition Additional information explaining the basis for the prediction. Comments Provides the patient-specific relevant data points for the result provided by the rule-based evaluation from the patient record if possible. 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
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..*	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. 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

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="MaiaRuleBasedEvaluation" />
    <url value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluation" />
    <version value="1.0.0" />
    <name value="MaiaRuleBasedEvaluation" />
    <title value="Maia Rule Based Evaluation" />
    <status value="draft" />
    <experimental value="false" />
    <date value="2025-04-30" />
    <publisher value="Tiplu GmbH" />
    <description value="Tiplu presumed diagnoses are generated and displayed based on a set of rules derived from medical guidelines and literature (state-of-the-art medicine). \n\nCustomised presumptive diagnoses can be created and released to all MAIA users in the hospital by physicians trained by the manufacturer, known as Medical Administrators, using a rules editor built into MAIA. These function similarly to Tiplu presumed diagnoses, but additionally provide the option to include therapy and diagnostic information. Medical administrators can enable/disable these rules only for patients within the departments for which they have access rights.\n\n*German:*\nTiplu-Verdachtsdiagnosen werden auf der Grundlage eines von Leitlinien und Fachliteratur (State-of-the-Art Medizin) basierenden Regelwerkes generiert und angezeigt. \n\nVom Hersteller geschulte &#196;rzte, so genannte Medical Administrators, k&#246;nnen mithilfe eines in MAIA integrierten Regeleditors benutzerdefinierte Verdachtsdiagnosen erstellen und f&#252;r alle MAIA-Benutzer im Krankenhaus freigeben. Diese funktionieren analog zu Tiplu-Verdachtsdiagnosen, bieten jedoch zus&#228;tzlich die M&#246;glichkeit, Therapie- und Diagnostikinformationen zu hinterlegen.  Medizinische Administrator:innen k&#246;nnen dabei entsprechende Hinweise nur f&#252;r Patient:innen der Fachabteilungen aktivieren/deaktivieren, auf deren Patient:innen sie ein Zugriffsrecht haben." />
    <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.text">
            <path value="RiskAssessment.text" />
            <short value="human-readable narrative" />
            <comment value="HTML representation of this rule-based evaluation" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.text.status">
            <path value="RiskAssessment.text.status" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.text.div">
            <path value="RiskAssessment.text.div" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.extension">
            <path value="RiskAssessment.extension" />
            <min value="1" />
        </element>
        <element id="RiskAssessment.extension:ReviewStatus">
            <path value="RiskAssessment.extension" />
            <sliceName value="ReviewStatus" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluationReviewStatus" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.extension:ReviewStatus.value[x]">
            <path value="RiskAssessment.extension.value[x]" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.modifierExtension:HiddenReason">
            <path value="RiskAssessment.modifierExtension" />
            <sliceName value="HiddenReason" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaHiddenReason" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.modifierExtension:HiddenReason.value[x]">
            <path value="RiskAssessment.modifierExtension.value[x]" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason">
            <path value="RiskAssessment.modifierExtension.value[x].coding" />
            <sliceName value="Reason" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.system">
            <path value="RiskAssessment.modifierExtension.value[x].coding.system" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.code">
            <path value="RiskAssessment.modifierExtension.value[x].coding.code" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.display">
            <path value="RiskAssessment.modifierExtension.value[x].coding.display" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.modifierExtension:HiddenReason.value[x].text">
            <path value="RiskAssessment.modifierExtension.value[x].text" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.parent">
            <path value="RiskAssessment.parent" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluation" />
            </type>
        </element>
        <element id="RiskAssessment.status">
            <path value="RiskAssessment.status" />
            <short value="Status of the rule-based evaluation" />
            <comment value="Status &#39;preliminary&#39; is default set for rule-based evaluation." />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.method">
            <path value="RiskAssessment.method" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.method.coding">
            <path value="RiskAssessment.method.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.method.coding:AssessmentMethod">
            <path value="RiskAssessment.method.coding" />
            <sliceName value="AssessmentMethod" />
            <short value="Assessment method used for this RiskAssessment" />
            <min value="1" />
            <max value="1" />
            <patternCoding>
                <system value="https://tiplu.de/fhir/maia/CodeSystem/MaiaAssessmentMethod" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://tiplu.de/fhir/maia/ValueSet/MaiaAssessmentMethodVS" />
            </binding>
        </element>
        <element id="RiskAssessment.method.coding:AssessmentMethod.system">
            <path value="RiskAssessment.method.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.method.coding:AssessmentMethod.code">
            <path value="RiskAssessment.method.coding.code" />
            <min value="1" />
            <patternCode value="TRBE" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.method.coding:AssessmentMethod.display">
            <path value="RiskAssessment.method.coding.display" />
            <min value="1" />
            <patternString value="Tiplu rule-based evaluation" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.code">
            <path value="RiskAssessment.code" />
            <definition value="Code of the assessed rule-based evaluation" />
            <min value="1" />
            <constraint>
                <key value="MaiaTrbeCodeOrText" />
                <severity value="error" />
                <human value="A code from MaiaPresumedDiagnosisAssessmentType and a free-text display (code.text) must not be used at the same time." />
                <expression value="code.coding.where(system = &#39;https://tiplu.de/fhir/maia/CodeSystem/MaiaPresumedDiagnosisAssessmentType&#39;).exists() xor code.text.exists()" />
                <source value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluation" />
            </constraint>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.code.coding">
            <path value="RiskAssessment.code.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.code.coding:AssessmentType">
            <path value="RiskAssessment.code.coding" />
            <sliceName value="AssessmentType" />
            <short value="Coding of the Tiplu presumed diagnosis" />
            <min value="0" />
            <max value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://tiplu.de/fhir/maia/ValueSet/MaiaPresumedDiagnosisAssessmentTypeVS" />
            </binding>
        </element>
        <element id="RiskAssessment.code.coding:AssessmentType.system">
            <path value="RiskAssessment.code.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.code.coding:AssessmentType.code">
            <path value="RiskAssessment.code.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.code.coding:AssessmentType.display">
            <path value="RiskAssessment.code.coding.display" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.code.text">
            <path value="RiskAssessment.code.text" />
            <short value="Name of the custom presumed diagnosis" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.subject">
            <path value="RiskAssessment.subject" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaPatient" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.subject.identifier">
            <path value="RiskAssessment.subject.identifier" />
            <short value="Patient ID of the referenced patient" />
            <comment value="The MAIA FHIR endpoints don&#39;t have the possibility to get the patient resource. For this, the resource identifier is mandatory." />
            <min value="1" />
            <type>
                <code value="Identifier" />
                <profile value="http://fhir.de/StructureDefinition/identifier-pid" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.subject.identifier.type">
            <path value="RiskAssessment.subject.identifier.type" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.subject.identifier.system">
            <path value="RiskAssessment.subject.identifier.system" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.subject.identifier.value">
            <path value="RiskAssessment.subject.identifier.value" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.encounter">
            <path value="RiskAssessment.encounter" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaKontaktGesundheitseinrichtung" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.encounter.extension">
            <path value="RiskAssessment.encounter.extension" />
            <min value="1" />
        </element>
        <element id="RiskAssessment.encounter.extension:AccountIdentifier">
            <path value="RiskAssessment.encounter.extension" />
            <sliceName value="AccountIdentifier" />
            <short value="Account Identifier (German: Fallnummer/Abrechnungsnummer) of the referenced account" />
            <comment value="The MAIA FHIR endpoints don&#39;t have the possibility to get the account or encounter resource. For this, the resource identifier is mandatory." />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaAccountIdentifier" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.encounter.extension:AccountIdentifier.value[x]">
            <path value="RiskAssessment.encounter.extension.value[x]" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.encounter.extension:AccountIdentifier.value[x].type">
            <path value="RiskAssessment.encounter.extension.value[x].type" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.encounter.extension:AccountIdentifier.value[x].system">
            <path value="RiskAssessment.encounter.extension.value[x].system" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.encounter.extension:AccountIdentifier.value[x].value">
            <path value="RiskAssessment.encounter.extension.value[x].value" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.occurrence[x]">
            <path value="RiskAssessment.occurrence[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <min value="1" />
        </element>
        <element id="RiskAssessment.occurrence[x]:occurrenceDateTime">
            <path value="RiskAssessment.occurrence[x]" />
            <sliceName value="occurrenceDateTime" />
            <short value="Last calculation of MAIA" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="dateTime" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.performer">
            <path value="RiskAssessment.performer" />
            <comment value="A Device example with valid MAIA information can be found in the Simplifier project." />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.basis">
            <path value="RiskAssessment.basis" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Definition of the rule based presumed diagnoses" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.basis:RiskAssessmentDefinition">
            <path value="RiskAssessment.basis" />
            <sliceName value="RiskAssessmentDefinition" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://tiplu.de/fhir/maia/StructureDefinition/MaiaRiskAssessmentDefinition" />
            </type>
            <patternReference>
                <type value="Basic" />
            </patternReference>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.basis:RiskAssessmentDefinition.reference">
            <path value="RiskAssessment.basis.reference" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.basis:RiskAssessmentDefinition.type">
            <path value="RiskAssessment.basis.type" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction">
            <path value="RiskAssessment.prediction" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.outcome">
            <path value="RiskAssessment.prediction.outcome" />
            <comment value="Beschreiben, warum kein MS und nicht vorhanden TODO" />
        </element>
        <element id="RiskAssessment.prediction.qualitativeRisk">
            <path value="RiskAssessment.prediction.qualitativeRisk" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.qualitativeRisk.coding">
            <path value="RiskAssessment.prediction.qualitativeRisk.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk">
            <path value="RiskAssessment.prediction.qualitativeRisk.coding" />
            <sliceName value="QualitativeRisk" />
            <min value="1" />
            <max value="1" />
            <patternCoding>
                <system value="http://terminology.hl7.org/CodeSystem/risk-probability" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://hl7.org/fhir/ValueSet/risk-probability" />
            </binding>
        </element>
        <element id="RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.system">
            <path value="RiskAssessment.prediction.qualitativeRisk.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.code">
            <path value="RiskAssessment.prediction.qualitativeRisk.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.display">
            <path value="RiskAssessment.prediction.qualitativeRisk.coding.display" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.when[x]">
            <path value="RiskAssessment.prediction.when[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <min value="1" />
        </element>
        <element id="RiskAssessment.prediction.when[x]:whenPeriod">
            <path value="RiskAssessment.prediction.when[x]" />
            <sliceName value="whenPeriod" />
            <min value="1" />
            <max value="1" />
            <type>
                <code value="Period" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.when[x]:whenPeriod.start">
            <path value="RiskAssessment.prediction.when[x].start" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.when[x]:whenPeriod.end">
            <path value="RiskAssessment.prediction.when[x].end" />
            <mustSupport value="true" />
        </element>
        <element id="RiskAssessment.prediction.rationale">
            <path value="RiskAssessment.prediction.rationale" />
            <short value="Reasoning" />
            <comment value="Provides the patient-specific relevant data points for the result provided by the rule-based evaluation from the patient record if possible." />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "MaiaRuleBasedEvaluation",
    "url": "https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluation",
    "version": "1.0.0",
    "name": "MaiaRuleBasedEvaluation",
    "title": "Maia Rule Based Evaluation",
    "status": "draft",
    "experimental": false,
    "date": "2025-04-30",
    "publisher": "Tiplu GmbH",
    "description": "Tiplu presumed diagnoses are generated and displayed based on a set of rules derived from medical guidelines and literature (state-of-the-art medicine). \n\nCustomised presumptive diagnoses can be created and released to all MAIA users in the hospital by physicians trained by the manufacturer, known as Medical Administrators, using a rules editor built into MAIA. These function similarly to Tiplu presumed diagnoses, but additionally provide the option to include therapy and diagnostic information. Medical administrators can enable/disable these rules only for patients within the departments for which they have access rights.\n\n*German:*\nTiplu-Verdachtsdiagnosen werden auf der Grundlage eines von Leitlinien und Fachliteratur (State-of-the-Art Medizin) basierenden Regelwerkes generiert und angezeigt. \n\nVom Hersteller geschulte Ärzte, so genannte Medical Administrators, können mithilfe eines in MAIA integrierten Regeleditors benutzerdefinierte Verdachtsdiagnosen erstellen und für alle MAIA-Benutzer im Krankenhaus freigeben. Diese funktionieren analog zu Tiplu-Verdachtsdiagnosen, bieten jedoch zusätzlich die Möglichkeit, Therapie- und Diagnostikinformationen zu hinterlegen.  Medizinische Administrator:innen können dabei entsprechende Hinweise nur für Patient:innen der Fachabteilungen aktivieren/deaktivieren, auf deren Patient:innen sie ein Zugriffsrecht haben.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "RiskAssessment",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "RiskAssessment.text",
                "path": "RiskAssessment.text",
                "short": "human-readable narrative",
                "comment": "HTML representation of this rule-based evaluation",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.text.status",
                "path": "RiskAssessment.text.status",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.text.div",
                "path": "RiskAssessment.text.div",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.extension",
                "path": "RiskAssessment.extension",
                "min": 1
            },
            {
                "id": "RiskAssessment.extension:ReviewStatus",
                "path": "RiskAssessment.extension",
                "sliceName": "ReviewStatus",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluationReviewStatus"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.extension:ReviewStatus.value[x]",
                "path": "RiskAssessment.extension.value[x]",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.modifierExtension:HiddenReason",
                "path": "RiskAssessment.modifierExtension",
                "sliceName": "HiddenReason",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://tiplu.de/fhir/maia/StructureDefinition/MaiaHiddenReason"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.modifierExtension:HiddenReason.value[x]",
                "path": "RiskAssessment.modifierExtension.value[x]",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason",
                "path": "RiskAssessment.modifierExtension.value[x].coding",
                "sliceName": "Reason",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.system",
                "path": "RiskAssessment.modifierExtension.value[x].coding.system",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.code",
                "path": "RiskAssessment.modifierExtension.value[x].coding.code",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.modifierExtension:HiddenReason.value[x].coding:Reason.display",
                "path": "RiskAssessment.modifierExtension.value[x].coding.display",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.modifierExtension:HiddenReason.value[x].text",
                "path": "RiskAssessment.modifierExtension.value[x].text",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.parent",
                "path": "RiskAssessment.parent",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluation"
                        ]
                    }
                ]
            },
            {
                "id": "RiskAssessment.status",
                "path": "RiskAssessment.status",
                "short": "Status of the rule-based evaluation",
                "comment": "Status 'preliminary' is default set for rule-based evaluation.",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.method",
                "path": "RiskAssessment.method",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.method.coding",
                "path": "RiskAssessment.method.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.method.coding:AssessmentMethod",
                "path": "RiskAssessment.method.coding",
                "sliceName": "AssessmentMethod",
                "short": "Assessment method used for this RiskAssessment",
                "min": 1,
                "max": "1",
                "patternCoding": {
                    "system": "https://tiplu.de/fhir/maia/CodeSystem/MaiaAssessmentMethod"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://tiplu.de/fhir/maia/ValueSet/MaiaAssessmentMethodVS"
                }
            },
            {
                "id": "RiskAssessment.method.coding:AssessmentMethod.system",
                "path": "RiskAssessment.method.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.method.coding:AssessmentMethod.code",
                "path": "RiskAssessment.method.coding.code",
                "min": 1,
                "patternCode": "TRBE",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.method.coding:AssessmentMethod.display",
                "path": "RiskAssessment.method.coding.display",
                "min": 1,
                "patternString": "Tiplu rule-based evaluation",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.code",
                "path": "RiskAssessment.code",
                "definition": "Code of the assessed rule-based evaluation",
                "min": 1,
                "constraint":  [
                    {
                        "key": "MaiaTrbeCodeOrText",
                        "severity": "error",
                        "human": "A code from MaiaPresumedDiagnosisAssessmentType and a free-text display (code.text) must not be used at the same time.",
                        "expression": "code.coding.where(system = 'https://tiplu.de/fhir/maia/CodeSystem/MaiaPresumedDiagnosisAssessmentType').exists() xor code.text.exists()",
                        "source": "https://tiplu.de/fhir/maia/StructureDefinition/MaiaRuleBasedEvaluation"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.code.coding",
                "path": "RiskAssessment.code.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.code.coding:AssessmentType",
                "path": "RiskAssessment.code.coding",
                "sliceName": "AssessmentType",
                "short": "Coding of the Tiplu presumed diagnosis",
                "min": 0,
                "max": "1",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://tiplu.de/fhir/maia/ValueSet/MaiaPresumedDiagnosisAssessmentTypeVS"
                }
            },
            {
                "id": "RiskAssessment.code.coding:AssessmentType.system",
                "path": "RiskAssessment.code.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.code.coding:AssessmentType.code",
                "path": "RiskAssessment.code.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.code.coding:AssessmentType.display",
                "path": "RiskAssessment.code.coding.display",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.code.text",
                "path": "RiskAssessment.code.text",
                "short": "Name of the custom presumed diagnosis",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.subject",
                "path": "RiskAssessment.subject",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://tiplu.de/fhir/maia/StructureDefinition/MaiaPatient"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.subject.identifier",
                "path": "RiskAssessment.subject.identifier",
                "short": "Patient ID of the referenced patient",
                "comment": "The MAIA FHIR endpoints don't have the possibility to get the patient resource. For this, the resource identifier is mandatory.",
                "min": 1,
                "type":  [
                    {
                        "code": "Identifier",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/identifier-pid"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.subject.identifier.type",
                "path": "RiskAssessment.subject.identifier.type",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.subject.identifier.system",
                "path": "RiskAssessment.subject.identifier.system",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.subject.identifier.value",
                "path": "RiskAssessment.subject.identifier.value",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.encounter",
                "path": "RiskAssessment.encounter",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://tiplu.de/fhir/maia/StructureDefinition/MaiaKontaktGesundheitseinrichtung"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.encounter.extension",
                "path": "RiskAssessment.encounter.extension",
                "min": 1
            },
            {
                "id": "RiskAssessment.encounter.extension:AccountIdentifier",
                "path": "RiskAssessment.encounter.extension",
                "sliceName": "AccountIdentifier",
                "short": "Account Identifier (German: Fallnummer/Abrechnungsnummer) of the referenced account",
                "comment": "The MAIA FHIR endpoints don't have the possibility to get the account or encounter resource. For this, the resource identifier is mandatory.",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://tiplu.de/fhir/maia/StructureDefinition/MaiaAccountIdentifier"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.encounter.extension:AccountIdentifier.value[x]",
                "path": "RiskAssessment.encounter.extension.value[x]",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.encounter.extension:AccountIdentifier.value[x].type",
                "path": "RiskAssessment.encounter.extension.value[x].type",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.encounter.extension:AccountIdentifier.value[x].system",
                "path": "RiskAssessment.encounter.extension.value[x].system",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.encounter.extension:AccountIdentifier.value[x].value",
                "path": "RiskAssessment.encounter.extension.value[x].value",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.occurrence[x]",
                "path": "RiskAssessment.occurrence[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "RiskAssessment.occurrence[x]:occurrenceDateTime",
                "path": "RiskAssessment.occurrence[x]",
                "sliceName": "occurrenceDateTime",
                "short": "Last calculation of MAIA",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.performer",
                "path": "RiskAssessment.performer",
                "comment": "A Device example with valid MAIA information can be found in the Simplifier project.",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Device"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.basis",
                "path": "RiskAssessment.basis",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Definition of the rule based presumed diagnoses",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.basis:RiskAssessmentDefinition",
                "path": "RiskAssessment.basis",
                "sliceName": "RiskAssessmentDefinition",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://tiplu.de/fhir/maia/StructureDefinition/MaiaRiskAssessmentDefinition"
                        ]
                    }
                ],
                "patternReference": {
                    "type": "Basic"
                },
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.basis:RiskAssessmentDefinition.reference",
                "path": "RiskAssessment.basis.reference",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.basis:RiskAssessmentDefinition.type",
                "path": "RiskAssessment.basis.type",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction",
                "path": "RiskAssessment.prediction",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.outcome",
                "path": "RiskAssessment.prediction.outcome",
                "comment": "Beschreiben, warum kein MS und nicht vorhanden TODO"
            },
            {
                "id": "RiskAssessment.prediction.qualitativeRisk",
                "path": "RiskAssessment.prediction.qualitativeRisk",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.qualitativeRisk.coding",
                "path": "RiskAssessment.prediction.qualitativeRisk.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk",
                "path": "RiskAssessment.prediction.qualitativeRisk.coding",
                "sliceName": "QualitativeRisk",
                "min": 1,
                "max": "1",
                "patternCoding": {
                    "system": "http://terminology.hl7.org/CodeSystem/risk-probability"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://hl7.org/fhir/ValueSet/risk-probability"
                }
            },
            {
                "id": "RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.system",
                "path": "RiskAssessment.prediction.qualitativeRisk.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.code",
                "path": "RiskAssessment.prediction.qualitativeRisk.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk.display",
                "path": "RiskAssessment.prediction.qualitativeRisk.coding.display",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.when[x]",
                "path": "RiskAssessment.prediction.when[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "RiskAssessment.prediction.when[x]:whenPeriod",
                "path": "RiskAssessment.prediction.when[x]",
                "sliceName": "whenPeriod",
                "min": 1,
                "max": "1",
                "type":  [
                    {
                        "code": "Period"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.when[x]:whenPeriod.start",
                "path": "RiskAssessment.prediction.when[x].start",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.when[x]:whenPeriod.end",
                "path": "RiskAssessment.prediction.when[x].end",
                "mustSupport": true
            },
            {
                "id": "RiskAssessment.prediction.rationale",
                "path": "RiskAssessment.prediction.rationale",
                "short": "Reasoning",
                "comment": "Provides the patient-specific relevant data points for the result provided by the rule-based evaluation from the patient record if possible.",
                "mustSupport": true
            }
        ]
    }
}

Maia Rule Based Evaluation

Constraints/Invarianten

Name	Schweregrad	Beschreibung	Ausdruck
MaiaTrbeCodeOrText	error	A code from MaiaPresumedDiagnosisAssessmentType and a free-text display (code.text) must not be used at the same time.	code.coding.where(system = 'https://tiplu.de/fhir/maia/CodeSystem/MaiaPresumedDiagnosisAssessmentType').exists() xor code.text.exists()

Terminology-Bindings

Element	Staerke	ValueSet
RiskAssessment.method.coding:AssessmentMethod	required	https://tiplu.de/fhir/maia/ValueSet/MaiaAssessmentMethodVS
RiskAssessment.code.coding:AssessmentType	required	https://tiplu.de/fhir/maia/ValueSet/MaiaPresumedDiagnosisAssessmentTypeVS
RiskAssessment.prediction.qualitativeRisk.coding:QualitativeRisk	required	http://hl7.org/fhir/ValueSet/risk-probability