ISiK Formularmodul Implementation Guide
Version 6.0.0-rc - ci-build

Resource Profile: ISiK AMTS-Bewertung

Official URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKAMTSBewertung Version: 6.0.0-rc
Active as of 2025-12-17 Computable Name: ISiKAMTSBewertung

Dieses Profil ermöglicht die Abbildung von Informationen zur Risikobeurteilung im Rahmen der Arzneimitteltherapiesicherheit (AMTS).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:acceptedRisk S 0..1 ?gen-e1? [CanonicalType[https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk]] akzeptiertes (in Kauf genommenes) Risiko
URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
... status SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
... code SΣ 0..1 CodeableConcept Art der Risikobeurteilung
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Referenz auf den Patienten
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for occurrence[x] SΣ 0..1 Zeitpunkt oder Zeitraum der Beurteilung
Slice: Unordered, Closed by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime When was assessment made?
.... occurrence[x]:occurrencePeriod SΣ 0..1 Period When was assessment made?
... condition SΣ 0..1 Reference(Condition) Bezugsdiagnose (Referenz)
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... reasonCode S 0..* CodeableConcept Grund der Risikobewertung (codiert)
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Grund der Risikobewertung (Referenz)
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... basis S 0..* Reference(Resource) Entscheidungsgrundlagen der Risikobewertung (Referenz)
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... prediction SC 0..* BackboneElement Outcome predicted
Constraints: ras-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcome S 0..1 CodeableConcept Mögliches Outcome für den Patienten
Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
.... qualitativeRisk S 0..1 CodeableConcept Risikowahrscheinlichkeit (qualitativ, codiert)
Binding: RiskProbability (extensible)
..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
... mitigation S 0..1 string Hinweis zur Risikovermeidung
... note S 0..* Annotation Anmerkung zur Risikobewertung

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RiskAssessment.status Base required ObservationStatus 📍4.0.1 FHIR Std.
RiskAssessment.prediction.​outcome Base example Not State Unknown
RiskAssessment.prediction.​qualitativeRisk Base extensible Risk Probability 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RiskAssessment If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RiskAssessment 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 error RiskAssessment 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 error RiskAssessment If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RiskAssessment A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ras-2 error RiskAssessment.prediction Must be <= 100 probability is decimal implies (probability as decimal) <= 100

This structure is derived from RiskAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... id S 0..1 id serverseitige, interne ID des Datensatzes
... meta
.... versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated 0..1 instant Zeitpunkt der letzten Änderung
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:acceptedRisk S 0..1 ?gen-e1? [CanonicalType[https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk]] akzeptiertes (in Kauf genommenes) Risiko
URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
... code S 0..1 CodeableConcept Art der Risikobeurteilung
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(Patient) Referenz auf den Patienten
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for occurrence[x] S 0..1 dateTime, Period Zeitpunkt oder Zeitraum der Beurteilung
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 0..1 dateTime When was assessment made?
.... occurrence[x]:occurrencePeriod S 0..1 Period When was assessment made?
... condition S 0..1 Reference(Condition) Bezugsdiagnose (Referenz)
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... reasonCode S 0..* CodeableConcept Grund der Risikobewertung (codiert)
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Grund der Risikobewertung (Referenz)
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... basis S 0..* Reference(Resource) Entscheidungsgrundlagen der Risikobewertung (Referenz)
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... prediction S 0..* BackboneElement Outcome predicted
.... outcome S 0..1 CodeableConcept Mögliches Outcome für den Patienten
..... coding S 0..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... text S 0..1 string Plain text representation of the concept
.... qualitativeRisk S 0..1 CodeableConcept Risikowahrscheinlichkeit (qualitativ, codiert)
Binding: RiskProbability (extensible)
..... coding S 0..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... text S 0..1 string Plain text representation of the concept
... mitigation S 0..1 string Hinweis zur Risikovermeidung
... note S 0..* Annotation Anmerkung zur Risikobewertung

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
RiskAssessment.prediction.​qualitativeRisk Base extensible Risk Probability 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:acceptedRisk S 0..1 ?gen-e1? [CanonicalType[https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk]] akzeptiertes (in Kauf genommenes) Risiko
URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier for the assessment
... basedOn 0..1 Reference(Resource) Request fulfilled by this assessment
... parent 0..1 Reference(Resource) Part of this occurrence
... status SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
... method Σ 0..1 CodeableConcept Evaluation mechanism
Binding Description: (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.
... code SΣ 0..1 CodeableConcept Art der Risikobeurteilung
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Referenz auf den Patienten
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for occurrence[x] SΣ 0..1 Zeitpunkt oder Zeitraum der Beurteilung
Slice: Unordered, Closed by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime When was assessment made?
.... occurrence[x]:occurrencePeriod SΣ 0..1 Period When was assessment made?
... condition SΣ 0..1 Reference(Condition) Bezugsdiagnose (Referenz)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... performer Σ 0..1 Reference(Practitioner | PractitionerRole | Device) Who did assessment?
... reasonCode S 0..* CodeableConcept Grund der Risikobewertung (codiert)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Grund der Risikobewertung (Referenz)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... basis S 0..* Reference(Resource) Entscheidungsgrundlagen der Risikobewertung (Referenz)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... prediction SC 0..* BackboneElement Outcome predicted
Constraints: ras-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcome S 0..1 CodeableConcept Mögliches Outcome für den Patienten
Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
.... probability[x] C 0..1 Likelihood of specified outcome
Constraints: ras-1
..... probabilityDecimal decimal
..... probabilityRange Range
.... qualitativeRisk S 0..1 CodeableConcept Risikowahrscheinlichkeit (qualitativ, codiert)
Binding: RiskProbability (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
.... relativeRisk 0..1 decimal Relative likelihood
.... when[x] 0..1 Timeframe or age range
..... whenPeriod Period
..... whenRange Range
.... rationale 0..1 string Explanation of prediction
... mitigation S 0..1 string Hinweis zur Risikovermeidung
... note S 0..* Annotation Anmerkung zur Risikobewertung

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RiskAssessment.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
RiskAssessment.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
RiskAssessment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
RiskAssessment.status Base required ObservationStatus 📍4.0.1 FHIR Std.
RiskAssessment.method Base example Not State Unknown
RiskAssessment.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.condition.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.reasonReference.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.basis.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.prediction.​outcome Base example Not State Unknown
RiskAssessment.prediction.​qualitativeRisk Base extensible Risk Probability 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RiskAssessment If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RiskAssessment 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 error RiskAssessment 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 error RiskAssessment If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RiskAssessment A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ras-1 error RiskAssessment.prediction.probability[x] 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)))
ras-2 error RiskAssessment.prediction Must be <= 100 probability is decimal implies (probability as decimal) <= 100
ElementShort descriptionNotes
RiskAssessment.basis Entscheidungsgrundlagen der Risikobewertung (Referenz)

Begründung des Must-Support-Support-Flag (MS): Die Referenz zu den Grundlagen der Beurteilung ermöglicht die Transparenz der Beurteilungs-Findung.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.basis.reference
RiskAssessment.code Art der Risikobeurteilung

Begründung des Must-Support-Support-Flag (MS): Es handelt sich um eine Grundinformation zur Risikobewertung.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.code.coding
RiskAssessment.code.coding.code
RiskAssessment.code.coding.display
RiskAssessment.code.coding.system
RiskAssessment.code.text
RiskAssessment.condition Bezugsdiagnose (Referenz)

Begründung des Must-Support-Support-Flag (MS): Die Bezugsdiagnose ist eine relevante Hintergrundinformation.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.condition.reference
RiskAssessment.encounter Referenz auf den Abteilungskontakt

Begründung des Must-Support-Support-Flag (MS): Der Encounter liefert den Kontext zur Risikobeurteilung.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.encounter.reference

Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.
RiskAssessment.extension
RiskAssessment.extension:acceptedRisk akzeptiertes (in Kauf genommenes) Risiko

Begründung des Must-Support: Die Möglichkeit der freitextlichen Dokumentation dieser Daten wurde von der Fachseite (AG) gewünscht.

Hinweis: Hier kann die Begründung und ggf. erforderliche Begleitmaßnahmen für ein in Kauf genommenes Risiko dokumentiert werden.
RiskAssessment.id serverseitige, interne ID des Datensatzes

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.
RiskAssessment.mitigation Hinweis zur Risikovermeidung

Begründung des Must-Support-Support-Flag (MS): Hinweise zur Risikovermeidung sind eine Kerninformation der Risikobeurteilung.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.note Anmerkung zur Risikobewertung

Begründung des Must-Support-Support-Flag (MS): freitextliche Anmerkungen sind fachlich üblich und gewünscht.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.occurrence[x] Zeitpunkt oder Zeitraum der Beurteilung

Begründung des Must-Support-Support-Flag (MS): Die Angabe des Zeitpunkts oder Zeitraums ist essentiell für die Nachvollziehbarkeit.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.occurrence[x]:occurrenceDateTime

Begründung des Must-Support-Support-Flag (MS): Die Angabe des Zeitpunkts ist essentiell für die Nachvollziehbarkeit.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.occurrence[x]:occurrencePeriod

Begründung des Must-Support-Support-Flag (MS): Die Angabe des Zeitraums ist essentiell für die Nachvollziehbarkeit.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.prediction

Begründung des Must-Support-Support-Flag (MS): Angaben über Outcome und Größe des Risikos.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.prediction.outcome Mögliches Outcome für den Patienten

Begründung des Must-Support-Support-Flag (MS): Das erwartete Outcome ist eine Kerninformation der Risikobeurteilung.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.prediction.outcome.coding
RiskAssessment.prediction.outcome.coding.code
RiskAssessment.prediction.outcome.coding.display
RiskAssessment.prediction.outcome.coding.system
RiskAssessment.prediction.outcome.text
RiskAssessment.prediction.qualitativeRisk Risikowahrscheinlichkeit (qualitativ, codiert)

Begründung des Must-Support-Support-Flag (MS): Die Risikowahrscheinlichkeit ist eine Kerninformation der Risikobeurteilung.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.prediction.qualitativeRisk.coding
RiskAssessment.prediction.qualitativeRisk.coding.code
RiskAssessment.prediction.qualitativeRisk.coding.display
RiskAssessment.prediction.qualitativeRisk.coding.system
RiskAssessment.prediction.qualitativeRisk.text
RiskAssessment.reasonCode Grund der Risikobewertung (codiert)

Begründung des Must-Support-Support-Flag (MS): Die Angabe einer Begründung ist fachlich üblich und angebracht.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.reasonCode.coding
RiskAssessment.reasonCode.coding.code
RiskAssessment.reasonCode.coding.display
RiskAssessment.reasonCode.coding.system
RiskAssessment.reasonCode.text
RiskAssessment.reasonReference Grund der Risikobewertung (Referenz)

Begründung des Must-Support-Support-Flag (MS): Die Angabe einer Begründung ist fachlich üblich und angebracht.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.reasonReference.reference
RiskAssessment.status

Begründung des Must-Support-Support-Flag (MS): Die Angabe des Status ist im Standard vorgeschrieben.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.subject Referenz auf den Patienten

Begründung des Must-Support-Support-Flag (MS): Eine Risikobewertung muss sich immer auf ein Subjekt (hier: Patient) beziehen.

Hintergrund: Das MS wurde im Rahmen der Ausarbeitung zur Stufe 4 des ISiK Moduls Medikation hinzugefügt und mit den Stakeholdern abgestimmt.
RiskAssessment.subject.reference

Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden.

This structure is derived from RiskAssessment

Summary

Mandatory: 1 element(12 nested mandatory elements)
Must-Support: 44 elements

Extensions

This structure refers to these extensions:

  • Unable to summarise extension https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk (no extension found)

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of RiskAssessment.occurrence[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:acceptedRisk S 0..1 ?gen-e1? [CanonicalType[https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk]] akzeptiertes (in Kauf genommenes) Risiko
URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
... status SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
... code SΣ 0..1 CodeableConcept Art der Risikobeurteilung
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Referenz auf den Patienten
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for occurrence[x] SΣ 0..1 Zeitpunkt oder Zeitraum der Beurteilung
Slice: Unordered, Closed by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime When was assessment made?
.... occurrence[x]:occurrencePeriod SΣ 0..1 Period When was assessment made?
... condition SΣ 0..1 Reference(Condition) Bezugsdiagnose (Referenz)
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... reasonCode S 0..* CodeableConcept Grund der Risikobewertung (codiert)
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Grund der Risikobewertung (Referenz)
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... basis S 0..* Reference(Resource) Entscheidungsgrundlagen der Risikobewertung (Referenz)
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... prediction SC 0..* BackboneElement Outcome predicted
Constraints: ras-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcome S 0..1 CodeableConcept Mögliches Outcome für den Patienten
Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc.
..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
.... qualitativeRisk S 0..1 CodeableConcept Risikowahrscheinlichkeit (qualitativ, codiert)
Binding: RiskProbability (extensible)
..... coding SΣ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
... mitigation S 0..1 string Hinweis zur Risikovermeidung
... note S 0..* Annotation Anmerkung zur Risikobewertung

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RiskAssessment.status Base required ObservationStatus 📍4.0.1 FHIR Std.
RiskAssessment.prediction.​outcome Base example Not State Unknown
RiskAssessment.prediction.​qualitativeRisk Base extensible Risk Probability 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RiskAssessment If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RiskAssessment 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 error RiskAssessment 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 error RiskAssessment If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RiskAssessment A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ras-2 error RiskAssessment.prediction Must be <= 100 probability is decimal implies (probability as decimal) <= 100

Differential View

This structure is derived from RiskAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... id S 0..1 id serverseitige, interne ID des Datensatzes
... meta
.... versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated 0..1 instant Zeitpunkt der letzten Änderung
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:acceptedRisk S 0..1 ?gen-e1? [CanonicalType[https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk]] akzeptiertes (in Kauf genommenes) Risiko
URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
... code S 0..1 CodeableConcept Art der Risikobeurteilung
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(Patient) Referenz auf den Patienten
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for occurrence[x] S 0..1 dateTime, Period Zeitpunkt oder Zeitraum der Beurteilung
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 0..1 dateTime When was assessment made?
.... occurrence[x]:occurrencePeriod S 0..1 Period When was assessment made?
... condition S 0..1 Reference(Condition) Bezugsdiagnose (Referenz)
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... reasonCode S 0..* CodeableConcept Grund der Risikobewertung (codiert)
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Grund der Risikobewertung (Referenz)
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... basis S 0..* Reference(Resource) Entscheidungsgrundlagen der Risikobewertung (Referenz)
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... prediction S 0..* BackboneElement Outcome predicted
.... outcome S 0..1 CodeableConcept Mögliches Outcome für den Patienten
..... coding S 0..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... text S 0..1 string Plain text representation of the concept
.... qualitativeRisk S 0..1 CodeableConcept Risikowahrscheinlichkeit (qualitativ, codiert)
Binding: RiskProbability (extensible)
..... coding S 0..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... text S 0..1 string Plain text representation of the concept
... mitigation S 0..1 string Hinweis zur Risikovermeidung
... note S 0..* Annotation Anmerkung zur Risikobewertung

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
RiskAssessment.prediction.​qualitativeRisk Base extensible Risk Probability 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:acceptedRisk S 0..1 ?gen-e1? [CanonicalType[https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk]] akzeptiertes (in Kauf genommenes) Risiko
URL: https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier for the assessment
... basedOn 0..1 Reference(Resource) Request fulfilled by this assessment
... parent 0..1 Reference(Resource) Part of this occurrence
... status SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
... method Σ 0..1 CodeableConcept Evaluation mechanism
Binding Description: (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.
... code SΣ 0..1 CodeableConcept Art der Risikobeurteilung
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Referenz auf den Patienten
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Referenz auf den Abteilungskontakt
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for occurrence[x] SΣ 0..1 Zeitpunkt oder Zeitraum der Beurteilung
Slice: Unordered, Closed by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrence[x]:occurrenceDateTime SΣ 0..1 dateTime When was assessment made?
.... occurrence[x]:occurrencePeriod SΣ 0..1 Period When was assessment made?
... condition SΣ 0..1 Reference(Condition) Bezugsdiagnose (Referenz)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... performer Σ 0..1 Reference(Practitioner | PractitionerRole | Device) Who did assessment?
... reasonCode S 0..* CodeableConcept Grund der Risikobewertung (codiert)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Grund der Risikobewertung (Referenz)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... basis S 0..* Reference(Resource) Entscheidungsgrundlagen der Risikobewertung (Referenz)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... prediction SC 0..* BackboneElement Outcome predicted
Constraints: ras-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... outcome S 0..1 CodeableConcept Mögliches Outcome für den Patienten
Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
.... probability[x] C 0..1 Likelihood of specified outcome
Constraints: ras-1
..... probabilityDecimal decimal
..... probabilityRange Range
.... qualitativeRisk S 0..1 CodeableConcept Risikowahrscheinlichkeit (qualitativ, codiert)
Binding: RiskProbability (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 0..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
.... relativeRisk 0..1 decimal Relative likelihood
.... when[x] 0..1 Timeframe or age range
..... whenPeriod Period
..... whenRange Range
.... rationale 0..1 string Explanation of prediction
... mitigation S 0..1 string Hinweis zur Risikovermeidung
... note S 0..* Annotation Anmerkung zur Risikobewertung

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RiskAssessment.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
RiskAssessment.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
RiskAssessment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
RiskAssessment.status Base required ObservationStatus 📍4.0.1 FHIR Std.
RiskAssessment.method Base example Not State Unknown
RiskAssessment.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.condition.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.reasonReference.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.basis.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
RiskAssessment.prediction.​outcome Base example Not State Unknown
RiskAssessment.prediction.​qualitativeRisk Base extensible Risk Probability 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RiskAssessment If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RiskAssessment 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 error RiskAssessment 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 error RiskAssessment If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RiskAssessment A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ras-1 error RiskAssessment.prediction.probability[x] 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)))
ras-2 error RiskAssessment.prediction Must be <= 100 probability is decimal implies (probability as decimal) <= 100

This structure is derived from RiskAssessment

Summary

Mandatory: 1 element(12 nested mandatory elements)
Must-Support: 44 elements

Extensions

This structure refers to these extensions:

  • Unable to summarise extension https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk (no extension found)

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of RiskAssessment.occurrence[x]

 

Other representations of profile: CSV, Excel, Schematron