<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="8840bbe5-f43b-46ce-879c-28fe4f4edc5b" />
  <meta>
    <versionId value="18" />
    <lastUpdated value="2016-11-16T16:32:02.173+00:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml" />
  </text>
  <url value="http://www.mais.org.ar/fhir/StructureDefinition/HealthRiskAssessment" />
  <version value="1" />
  <name value="HealthRiskAssessment" />
  <status value="draft" />
  <experimental value="true" />
  <fhirVersion value="1.0.2" />
  <kind value="logical" />
  <abstract value="false" />
  <base value="http://hl7.org/fhir/StructureDefinition/Element" />
  <snapshot>
    <element>
      <path value="HealthRiskAssessment" />
      <short value="HealthRiskAssessment" />
      <definition value="Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors." />
      <comments value="ealth Risk, draft archetype, NEHTA Clinical Knowledge Manager [Internet]. Australia: National eHealth Transition Authority. Authored: 2006 Apr 23. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1276 (accessed 2015 Mar 04). Archetype originated from the openEHR " />
      <min value="0" />
      <type>
        <code value="Element" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.HealthRisk" />
      <name value="HealthRisk" />
      <short value="Health Risk" />
      <definition value="Identification of the potential future disease, condition or health issue for which the risk is being assessed, by name.&#xD;&#xA;Comment: Coding of 'Health risk' with a terminology is preferred, where possible. Free text should be used only if there is no appropriate terminology available. For example: risk of cardiovascular disease, with risk factors of hypertension and hypercholesterolaemia." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="preferred" />
        <description value="Conditions Assessed" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/condition-code" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors" />
      <name value="RiskFactors" />
      <short value="Risk Factors" />
      <definition value="Details about each possible risk factor." />
      <min value="0" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.RiskFactor" />
      <name value="RiskFactor" />
      <short value="Risk Factor" />
      <definition value="Identification of the risk factor, by name.&#xD;&#xA;Comment: For example: hypertension and hypercholesterolaemia, which may be used as part of the overall assessment for cardiovascular disease; or a genetic marker. Coding of 'Risk factor' with a terminology, where possible." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Presence" />
      <name value="Presence" />
      <short value="Presence" />
      <definition value="Presence of the risk factor." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <strength value="required" />
        <description value="Present [The risk factor has been identified for this individual.] Indeterminate [It is not possible to determine if the risk factor is present or absent.]" />
        <valueSetReference>
          <reference value="http://fhir.hl7fundamentals.org/baseDstu2/ValueSet/112437" />
        </valueSetReference>
      </binding>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Description" />
      <name value="Description" />
      <short value="Description " />
      <definition value="Narrative description about the risk factor." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Mitigated" />
      <name value="Mitigated" />
      <short value="Mitigated" />
      <definition value=" The risk factor has been identified as present, but then subsequently been mitigated by treatment or investigation. Comment: Record as True if the risk factor has been treated or i" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="boolean" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.LinkToEvidence[X]" />
      <name value="LinkToEvidence[X]" />
      <short value="Link To Evidence" />
      <definition value=" Identification of the path to the archetype or data node for the evidence of risk." />
      <min value="0" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/ClinicalImpression" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Composition" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail" />
      <name value="Detail" />
      <short value="Detail" />
      <definition value=" Structured detail about other aspects of the risk factor assessment.&#xD;&#xA;Comment: For example: Prevalence of the risk factor in family members." />
      <min value="0" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.Description" />
      <name value="Description" />
      <short value="Description" />
      <definition value="Narrative description about occurrence in family members." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.GenericPredisposition" />
      <name value="GenericPredisposition" />
      <short value="Genetic Predisposition" />
      <definition value="Is there a genetic basis for the identified risk factor, problem or diagnosis?&#xD;&#xA;Comment: Optional to record as True if there is a recognised genetic predisposition. In many cases, this may be inferred from the risk factor, problem or diagnosis and not need to be recorded explicitly." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="boolean" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.InheritanceType" />
      <name value="InheritanceType" />
      <short value="Inheritance Type" />
      <definition value="Category of inheritance for the identified identified risk factor, problem or diagnosis.&#xD;&#xA;Comment: For example: autosomal dominant, autosomal recessive, X-linked dominant, X-linked recessive, condominant, or mitochondrial." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.AffectedFamily" />
      <name value="AffectedFamily" />
      <short value="Affected Family" />
      <definition value="Details about the numbers of family members affected.&#xD;&#xA;Comment: This cluster will be repeated for each relationship, family line, sex value or combination of all three. For example, the cluster will be repeated for any or all of first degree relative (without sex specified), first degree relative from maternal line; first degree male relative or first degree female relative; or all males, all females." />
      <min value="0" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.AffectedFamily.Relationship" />
      <name value="Relationship" />
      <short value="Relationship" />
      <definition value="The degree of relationship between the subject of care and a selected group of family members." />
      <comments value="First degree relative [50% genetic share with the subject - for example, parent, sibling or child.]&#xD;&#xA;Second degree relative [25% genetic share with the subject - for example, grandparent, aunt, uncle, niece, nephew, grandchildren. and half siblings.]&#xD;&#xA;Third degree relative [12.5% genetic share with the subject - for example, great grandparent, great aunt, great uncle, first cousin, children of nieces and nephews, and great grandchildren.]&#xD;&#xA;Genetic family [All genetically-related family members.]&#xD;&#xA;Non-genetic family [All non-genetic family members.]" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <strength value="required" />
        <description value="Relationship Valueset" />
        <valueSetUri value="http://www.mais.org.ar/valuesets/prevalence_relationship" />
      </binding>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.AffectedFamily.FamilyLine" />
      <name value="FamilyLine" />
      <short value="Family Line" />
      <definition value="Identification of the maternal or paternal family line in the relationship.&#xD;&#xA;Comment: Only for use with genetic family members." />
      <comments value="Maternal line [Related through the subject's mother.]&#xD;&#xA;Paternal line [Related through the subject's father.]" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <strength value="required" />
        <description value="Family Line ValueSet" />
        <valueSetUri value="http://www.mais.org.ar/valuesets/prevalence_familyline" />
      </binding>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.AffectedFamily.BiologicalSex" />
      <name value="BiologicalSex" />
      <short value="Biological Sex" />
      <definition value="The biological sex of the family member/s" />
      <comments value="Male [Family member who is biologically male.]&#xD;&#xA;Female [Family member who is biologically female.]&#xD;&#xA;Indeterminate/Intersex/Unspecified [Family member who either has the biological attributes of both sexes or lacks some of the biological attributes considered necessary to be defined as one or the other sex.]" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Coding" />
      </type>
      <binding>
        <strength value="required" />
        <description value="Biological Sex ValueSet" />
        <valueSetUri value="http://www.mais.org.ar/valuesets/Prevalence_BiologicalSex" />
      </binding>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.AffectedFamily.NumberAffected" />
      <name value="NumberAffected" />
      <short value="Number Affected" />
      <definition value="The number of family members known to be affected.&#xD;&#xA;Comment: This is the number of family members who are affected AND who also fit selected relationship, family line and sex criteria. Effectively this number is the numerator for calculation of an 'Affected ratio'." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="integer" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskFactors.Detail.AffectedFamily.NumberEligible" />
      <name value="NumberEligible" />
      <short value="Number Eligible" />
      <definition value="The number of eligible family members.&#xD;&#xA;Comment: This is the number of family members who potentially could be affected AND who also fit selected relationship, family line and sex criteria. Effectively this number is the denominator for calculation of an 'Affected ratio'." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="integer" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.RiskAssessment[X]" />
      <name value="RiskAssessment[X]" />
      <short value="Risk Assessment" />
      <definition value="Evaluation of the health risk.&#xD;&#xA;Comment: There may be multiple variations on the assessment of risk. The Choice data type allows for recording of the assessment as either free text or value sets (such as low, medium or hig). The proportion data type allows recording of a percentage, a ratio or a fraction. The quantity data type allows recording of a decimal number." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <type>
        <code value="decimal" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.AssessmentType" />
      <name value="AssessmentType" />
      <short value="Assessment Type" />
      <definition value="Record of whether the risk assessment is a relative or absolute." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="Assessment Type" />
        <valueSetUri value="http://www.mais.org.ar/valuesets/assessment_type" />
      </binding>
    </element>
    <element>
      <path value="HealthRiskAssessment.TimePeriod" />
      <name value="TimePeriod" />
      <short value="Time Period" />
      <definition value="The time period during which the predicted health risk is relevant. Comment: That is: the risk of experiencing the identified 'Health risk' in the next &lt;X&gt; years." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Duration" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.Rationale" />
      <name value="Rationale" />
      <short value="Rationale" />
      <definition value="Justification for this risk assessment.&#xD;&#xA;Comment: Details that may be added to this data element may include information about the population subgroups etc against which the determination of risk is assessed." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.Comment" />
      <name value="Comment" />
      <short value="Comment" />
      <definition value="Additional narrative about the risk assessment not captured in other fields" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element>
      <path value="HealthRiskAssessment.Subject" />
      <name value="Subject" />
      <short value="Patient" />
      <definition value="Patient" />
      <requirements value="Recommendation by Dr. David Hay because it's a FHIR resource" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
    </element>
  </snapshot>
</StructureDefinition>