Remote Anamnesis Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: CancerRiskAssessment_Patient

Representation of the risk assessment profile derived from medical history data and clinical predictive models based on artificial intelligence

Usages:

• This Profile is not used by any profiles in this Implementation Guide

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RiskAssessment		0..*	RiskAssessment	Potential outcomes for a subject with likelihood
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	SΣ	1..1	code	Risk assessment status (e.g., preliminary, final) Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
method	SΣ	0..1	CodeableConcept	Method or algorithm used (guideline, AI model, score) Binding Description: (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.
code	SΣ	1..1	CodeableConcept	Type of risk assessed (e.g., cardiovascular, metabolic, cancer)
subject	SΣ	1..1	Reference(Anamnesis_Patient)	Reference to the patient being assessed
performer	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	Operator or system that generated the assessment
basis	S	0..*	Reference(Observation | Condition | FamilyMemberHistory)	Clinical sources on which the assessment is based (e.g., Observation, Condition, FamilyMemberHistory)
prediction	SC	1..*	BackboneElement	Predictive results derived from the risk assessment Constraints: ras-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcome		0..1	CodeableConcept	Expected event or potential condition (e.g., heart attack, neoplasm) Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc.
probability[x]	C	0..1		Estimated probability of the predicted event Constraints: ras-1
probabilityDecimal			decimal
probabilityRange			Range
when[x]		0..1		Time window in which the event is predicted to occur
whenPeriod			Period
whenRange			Range
mitigation		0..1	string	Suggested actions to reduce or prevent the predicted risk
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
RiskAssessment.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
RiskAssessment.method	example
RiskAssessment.prediction.outcome	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RiskAssessment		0..*	RiskAssessment	Potential outcomes for a subject with likelihood
status	S	1..1	code	Risk assessment status (e.g., preliminary, final)
method	S	0..1	CodeableConcept	Method or algorithm used (guideline, AI model, score)
code	S	1..1	CodeableConcept	Type of risk assessed (e.g., cardiovascular, metabolic, cancer)
subject	S	1..1	Reference(Anamnesis_Patient)	Reference to the patient being assessed
performer		0..1	Reference(Practitioner | PractitionerRole | Device)	Operator or system that generated the assessment
basis	S	0..*	Reference(Observation | Condition | FamilyMemberHistory)	Clinical sources on which the assessment is based (e.g., Observation, Condition, FamilyMemberHistory)
prediction	S	1..*	BackboneElement	Predictive results derived from the risk assessment
outcome		0..1	CodeableConcept	Expected event or potential condition (e.g., heart attack, neoplasm)
probability[x]		0..1	decimal, Range	Estimated probability of the predicted event
when[x]		0..1	Period, Range	Time window in which the event is predicted to occur
mitigation		0..1	string	Suggested actions to reduce or prevent the predicted risk
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RiskAssessment		0..*	RiskAssessment	Potential outcomes for a subject with likelihood
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
extension		0..*	Extension	Additional content defined by implementations
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	Risk assessment status (e.g., preliminary, final) Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
method	SΣ	0..1	CodeableConcept	Method or algorithm used (guideline, AI model, score) Binding Description: (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.
code	SΣ	1..1	CodeableConcept	Type of risk assessed (e.g., cardiovascular, metabolic, cancer)
subject	SΣ	1..1	Reference(Anamnesis_Patient)	Reference to the patient being assessed
encounter	Σ	0..1	Reference(Encounter)	Where was assessment performed?
occurrence[x]	Σ	0..1		When was assessment made?
occurrenceDateTime			dateTime
occurrencePeriod			Period
condition	Σ	0..1	Reference(Condition)	Condition assessed
performer	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	Operator or system that generated the assessment
reasonCode		0..*	CodeableConcept	Why the assessment was necessary?
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why the assessment was necessary?
basis	S	0..*	Reference(Observation | Condition | FamilyMemberHistory)	Clinical sources on which the assessment is based (e.g., Observation, Condition, FamilyMemberHistory)
prediction	SC	1..*	BackboneElement	Predictive results derived from the risk assessment 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		0..1	CodeableConcept	Expected event or potential condition (e.g., heart attack, neoplasm) Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc.
probability[x]	C	0..1		Estimated probability of the predicted event Constraints: ras-1
probabilityDecimal			decimal
probabilityRange			Range
qualitativeRisk		0..1	CodeableConcept	Likelihood of specified outcome as a qualitative value Binding: RiskProbability (example): The likelihood of the occurrence of a specified outcome.
relativeRisk		0..1	decimal	Relative likelihood
when[x]		0..1		Time window in which the event is predicted to occur
whenPeriod			Period
whenRange			Range
rationale		0..1	string	Explanation of prediction
mitigation		0..1	string	Suggested actions to reduce or prevent the predicted risk
note		0..*	Annotation	Comments on the risk assessment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
RiskAssessment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
RiskAssessment.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
RiskAssessment.method	example
RiskAssessment.prediction.outcome	example
RiskAssessment.prediction.qualitativeRisk	example	RiskProbability http://hl7.org/fhir/ValueSet/risk-probability From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 2 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Anamnesis_Patient (http://remote-anamnesis.na.icar.cnr/StructureDefinition/patient-anamnesi)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RiskAssessment		0..*	RiskAssessment	Potential outcomes for a subject with likelihood
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	SΣ	1..1	code	Risk assessment status (e.g., preliminary, final) Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
method	SΣ	0..1	CodeableConcept	Method or algorithm used (guideline, AI model, score) Binding Description: (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.
code	SΣ	1..1	CodeableConcept	Type of risk assessed (e.g., cardiovascular, metabolic, cancer)
subject	SΣ	1..1	Reference(Anamnesis_Patient)	Reference to the patient being assessed
performer	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	Operator or system that generated the assessment
basis	S	0..*	Reference(Observation | Condition | FamilyMemberHistory)	Clinical sources on which the assessment is based (e.g., Observation, Condition, FamilyMemberHistory)
prediction	SC	1..*	BackboneElement	Predictive results derived from the risk assessment Constraints: ras-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
outcome		0..1	CodeableConcept	Expected event or potential condition (e.g., heart attack, neoplasm) Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc.
probability[x]	C	0..1		Estimated probability of the predicted event Constraints: ras-1
probabilityDecimal			decimal
probabilityRange			Range
when[x]		0..1		Time window in which the event is predicted to occur
whenPeriod			Period
whenRange			Range
mitigation		0..1	string	Suggested actions to reduce or prevent the predicted risk
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
RiskAssessment.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
RiskAssessment.method	example
RiskAssessment.prediction.outcome	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Differential View

This structure is derived from RiskAssessment

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RiskAssessment		0..*	RiskAssessment	Potential outcomes for a subject with likelihood
status	S	1..1	code	Risk assessment status (e.g., preliminary, final)
method	S	0..1	CodeableConcept	Method or algorithm used (guideline, AI model, score)
code	S	1..1	CodeableConcept	Type of risk assessed (e.g., cardiovascular, metabolic, cancer)
subject	S	1..1	Reference(Anamnesis_Patient)	Reference to the patient being assessed
performer		0..1	Reference(Practitioner | PractitionerRole | Device)	Operator or system that generated the assessment
basis	S	0..*	Reference(Observation | Condition | FamilyMemberHistory)	Clinical sources on which the assessment is based (e.g., Observation, Condition, FamilyMemberHistory)
prediction	S	1..*	BackboneElement	Predictive results derived from the risk assessment
outcome		0..1	CodeableConcept	Expected event or potential condition (e.g., heart attack, neoplasm)
probability[x]		0..1	decimal, Range	Estimated probability of the predicted event
when[x]		0..1	Period, Range	Time window in which the event is predicted to occur
mitigation		0..1	string	Suggested actions to reduce or prevent the predicted risk
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
RiskAssessment		0..*	RiskAssessment	Potential outcomes for a subject with likelihood
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
extension		0..*	Extension	Additional content defined by implementations
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	Risk assessment status (e.g., preliminary, final) Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
method	SΣ	0..1	CodeableConcept	Method or algorithm used (guideline, AI model, score) Binding Description: (example): The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc.
code	SΣ	1..1	CodeableConcept	Type of risk assessed (e.g., cardiovascular, metabolic, cancer)
subject	SΣ	1..1	Reference(Anamnesis_Patient)	Reference to the patient being assessed
encounter	Σ	0..1	Reference(Encounter)	Where was assessment performed?
occurrence[x]	Σ	0..1		When was assessment made?
occurrenceDateTime			dateTime
occurrencePeriod			Period
condition	Σ	0..1	Reference(Condition)	Condition assessed
performer	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	Operator or system that generated the assessment
reasonCode		0..*	CodeableConcept	Why the assessment was necessary?
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport | DocumentReference)	Why the assessment was necessary?
basis	S	0..*	Reference(Observation | Condition | FamilyMemberHistory)	Clinical sources on which the assessment is based (e.g., Observation, Condition, FamilyMemberHistory)
prediction	SC	1..*	BackboneElement	Predictive results derived from the risk assessment 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		0..1	CodeableConcept	Expected event or potential condition (e.g., heart attack, neoplasm) Binding Description: (example): The condition or other outcome; e.g. death, remission, amputation, infection, etc.
probability[x]	C	0..1		Estimated probability of the predicted event Constraints: ras-1
probabilityDecimal			decimal
probabilityRange			Range
qualitativeRisk		0..1	CodeableConcept	Likelihood of specified outcome as a qualitative value Binding: RiskProbability (example): The likelihood of the occurrence of a specified outcome.
relativeRisk		0..1	decimal	Relative likelihood
when[x]		0..1		Time window in which the event is predicted to occur
whenPeriod			Period
whenRange			Range
rationale		0..1	string	Explanation of prediction
mitigation		0..1	string	Suggested actions to reduce or prevent the predicted risk
note		0..*	Annotation	Comments on the risk assessment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
RiskAssessment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
RiskAssessment.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
RiskAssessment.method	example
RiskAssessment.prediction.outcome	example
RiskAssessment.prediction.qualitativeRisk	example	RiskProbability http://hl7.org/fhir/ValueSet/risk-probability From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 2 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Anamnesis_Patient (http://remote-anamnesis.na.icar.cnr/StructureDefinition/patient-anamnesi)

Other representations of profile: CSV, Excel, Schematron