MII Implementierungsleitfaden Kerndatensatz-Modul Molekulargenetischer Befundbericht
2027.0.0-ballot.1 - Germany

MII IG Kerndatensatz-Modul Molekulargenetischer Befundbericht - Downloaded Version 2027.0.0-ballot.1 See the Directory of published versions

Ressourcenprofil: MII PR MolGen Polygener Risiko Score - Detaillierte Beschreibungen

Active Stand: 2026-09-13

Definitionen für das mii-pr-molgen-polygener-risiko-score ressourcenprofil

Guidance on how to interpret the contents of this table can be foundhere

0. RiskAssessment
Definition

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

ShortPotential outcomes for a subject with likelihood
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesPrognosis
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. RiskAssessment.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. RiskAssessment.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. RiskAssessment.identifier
Definition

Eindeutiger Identifikator für die Risikobewertung


Business identifier assigned to the risk assessment.

ShortIdentifikatorUnique identifier for the assessment
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. RiskAssessment.status
Definition

Status der Risikobewertung


The status of the RiskAssessment, using the same statuses as an Observation.

ShortStatusregistered | preliminary | final | amended +
Control1..1
BindingThe codes SHALL be taken from ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/observation-status|4.0.1)

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

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. RiskAssessment.code
Definition

Art der Risikobewertung


The type of the risk assessment performed.

ShortCodeType of assessment
Control0..1
TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. RiskAssessment.subject
Definition

Der Patient für den die Risikobewertung erstellt wurde


The patient or group the risk assessment applies to.

ShortPatientWho/what does assessment apply to?
Control1..1
TypeReference(Patient, Group)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. RiskAssessment.encounter
Definition

Der Kontakt in dessen Rahmen die Risikobewertung erstellt wurde


The encounter where the assessment was performed.

ShortKontaktWhere was assessment performed?
Control0..1
TypeReference(Encounter)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. RiskAssessment.occurrence[x]
Definition

Zeitpunkt oder Zeitraum der Risikobewertung


The date (and possibly time) the risk assessment was performed.

ShortZeitpunktWhen was assessment made?
Control0..1
TypeChoice of: dateTime, Period
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Requirements

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

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. RiskAssessment.condition
Definition

Die Erkrankung für die das Risiko bewertet wird


For assessments or prognosis specific to a particular condition, indicates the condition being assessed.

ShortErkrankungCondition assessed
Control0..1
TypeReference(Condition)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. RiskAssessment.basis
Definition

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


Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.).

ShortGrundlageInformation used in assessment
Control0..*
TypeReference(Resource)
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. RiskAssessment.prediction
Definition

Die vorhergesagten Risiken


Describes the expected outcome for the subject.

ShortVorhersageOutcome predicted
Comments

Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.

Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ras-2: Must be <= 100 (probability is decimal implies (probability as decimal) <= 100)
ras-2: Must be <= 100 (probability is decimal implies (probability as decimal) <= 100)
24. RiskAssessment.prediction.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on RiskAssessment.prediction.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 26. RiskAssessment.prediction.extension:whenCodeableConcept
    Slice NamewhenCodeableConcept
    Definition

    Zusätzlicher Einflussfaktor für die Risikoberechnung

    ShortEinflussfaktor
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(MII EX MolGen RiskAssessment Einflussfaktor) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    28. RiskAssessment.prediction.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    30. RiskAssessment.prediction.outcome
    Definition

    Das vorhergesagte Ergebnis oder die Erkrankung


    One of the potential outcomes for the patient (e.g. remission, death, a particular condition).

    ShortErgebnisPossible outcome for the subject
    Control0..1
    Binding

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

    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. RiskAssessment.prediction.probability[x]
    Definition

    Die quantitative Wahrscheinlichkeit des Risikos


    Indicates how likely the outcome is (in the specified timeframe).

    ShortWahrscheinlichkeitLikelihood of specified outcome
    Comments

    If range is used, it represents the lower and upper bounds of certainty; e.g. 40-60% Decimal values are expressed as percentages as well (max = 100).

    Control0..1
    TypeChoice of: decimal, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ras-1: low and high must be percentages, if present ((low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum))))
    ras-1: low and high must be percentages, if present ((low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum))))
    34. RiskAssessment.prediction.qualitativeRisk
    Definition

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


    Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high).

    ShortQualitatives RisikoLikelihood of specified outcome as a qualitative value
    Control0..1
    BindingFor example codes, see RiskProbabilityhttp://hl7.org/fhir/ValueSet/risk-probability|4.0.1
    (example to http://hl7.org/fhir/ValueSet/risk-probability|4.0.1)

    The likelihood of the occurrence of a specified outcome.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. RiskAssessment.prediction.relativeRisk
    Definition

    Das relative Risiko im Vergleich zur Normalbevölkerung


    Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general. (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk.).

    ShortRelatives RisikoRelative likelihood
    Control0..1
    Typedecimal
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Requirements

    Absolute risk is less meaningful than relative risk.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. RiskAssessment.prediction.when[x]
    Definition

    Der Zeitrahmen für den die Vorhersage gilt


    Indicates the period of time or age range of the subject to which the specified probability applies.

    ShortZeitrahmenTimeframe or age range
    Comments

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

    Control0..1
    TypeChoice of: Period, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. RiskAssessment
    2. RiskAssessment.identifier
    Definition

    Eindeutiger Identifikator für die Risikobewertung

    ShortIdentifikator
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Must Supporttrue
    4. RiskAssessment.status
    Definition

    Status der Risikobewertung

    ShortStatus
    Must Supporttrue
    6. RiskAssessment.code
    Definition

    Art der Risikobewertung

    ShortCode
    Must Supporttrue
    8. RiskAssessment.subject
    Definition

    Der Patient für den die Risikobewertung erstellt wurde

    ShortPatient
    Must Supporttrue
    10. RiskAssessment.encounter
    Definition

    Der Kontakt in dessen Rahmen die Risikobewertung erstellt wurde

    ShortKontakt
    Must Supporttrue
    12. RiskAssessment.occurrence[x]
    Definition

    Zeitpunkt oder Zeitraum der Risikobewertung

    ShortZeitpunkt
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Must Supporttrue
    14. RiskAssessment.condition
    Definition

    Die Erkrankung für die das Risiko bewertet wird

    ShortErkrankung
    Must Supporttrue
    16. RiskAssessment.basis
    Definition

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

    ShortGrundlage
    Must Supporttrue
    18. RiskAssessment.prediction
    Definition

    Die vorhergesagten Risiken

    ShortVorhersage
    Must Supporttrue
    20. RiskAssessment.prediction.extension
    SlicingThis element introduces a set of slices on RiskAssessment.prediction.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 22. RiskAssessment.prediction.extension:whenCodeableConcept
      Slice NamewhenCodeableConcept
      Definition

      Zusätzlicher Einflussfaktor für die Risikoberechnung

      ShortEinflussfaktor
      Control0..1
      TypeExtension(MII EX MolGen RiskAssessment Einflussfaktor) (Extension Type: CodeableConcept)
      Must Supporttrue
      24. RiskAssessment.prediction.outcome
      Definition

      Das vorhergesagte Ergebnis oder die Erkrankung

      ShortErgebnis
      Must Supporttrue
      26. RiskAssessment.prediction.probability[x]
      Definition

      Die quantitative Wahrscheinlichkeit des Risikos

      ShortWahrscheinlichkeit
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Must Supporttrue
      28. RiskAssessment.prediction.qualitativeRisk
      Definition

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

      ShortQualitatives Risiko
      Must Supporttrue
      30. RiskAssessment.prediction.relativeRisk
      Definition

      Das relative Risiko im Vergleich zur Normalbevölkerung

      ShortRelatives Risiko
      Must Supporttrue
      32. RiskAssessment.prediction.when[x]
      Definition

      Der Zeitrahmen für den die Vorhersage gilt

      ShortZeitrahmen
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Must Supporttrue

      Guidance on how to interpret the contents of this table can be foundhere

      0. RiskAssessment
      Definition

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

      ShortPotential outcomes for a subject with likelihood
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate NamesPrognosis
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. RiskAssessment.id
      Definition

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

      ShortLogical id of this artifact
      Comments

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

      Control0..1
      Typeid
      Is Modifierfalse
      Summarytrue
      4. RiskAssessment.meta
      Definition

      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. RiskAssessment.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. RiskAssessment.language
      Definition

      The base language in which the resource is written.

      ShortLanguage of the resource content
      Comments

      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. RiskAssessment.text
      Definition

      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      ShortText summary of the resource, for human interpretation
      Comments

      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. RiskAssessment.contained
      Definition

      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

      ShortContained, inline Resources
      Comments

      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

      Control0..*
      TypeResource
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      14. RiskAssessment.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. RiskAssessment.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. RiskAssessment.identifier
      Definition

      Eindeutiger Identifikator für die Risikobewertung

      ShortIdentifikator
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. RiskAssessment.basedOn
      Definition

      A reference to the request that is fulfilled by this risk assessment.

      ShortRequest fulfilled by this assessment
      Control0..1
      TypeReference(Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. RiskAssessment.parent
      Definition

      A reference to a resource that this risk assessment is part of, such as a Procedure.

      ShortPart of this occurrence
      Control0..1
      TypeReference(Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. RiskAssessment.status
      Definition

      Status der Risikobewertung

      ShortStatus
      Control1..1
      BindingThe codes SHALL be taken from ObservationStatus
      (required to http://hl7.org/fhir/ValueSet/observation-status|4.0.1)

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

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. RiskAssessment.method
      Definition

      The algorithm, process or mechanism used to evaluate the risk.

      ShortEvaluation mechanism
      Control0..1
      Binding

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

      TypeCodeableConcept
      Is Modifierfalse
      Summarytrue
      Requirements

      The method can influence the results of the assessment.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. RiskAssessment.code
      Definition

      Art der Risikobewertung

      ShortCode
      Control0..1
      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. RiskAssessment.subject
      Definition

      Der Patient für den die Risikobewertung erstellt wurde

      ShortPatient
      Control1..1
      TypeReference(Patient, Group)
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. RiskAssessment.encounter
      Definition

      Der Kontakt in dessen Rahmen die Risikobewertung erstellt wurde

      ShortKontakt
      Control0..1
      TypeReference(Encounter)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. RiskAssessment.occurrence[x]
      Definition

      Zeitpunkt oder Zeitraum der Risikobewertung

      ShortZeitpunkt
      Control0..1
      TypeChoice of: dateTime, Period
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Requirements

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

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. RiskAssessment.condition
      Definition

      Die Erkrankung für die das Risiko bewertet wird

      ShortErkrankung
      Control0..1
      TypeReference(Condition)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. RiskAssessment.performer
      Definition

      The provider or software application that performed the assessment.

      ShortWho did assessment?
      Control0..1
      TypeReference(Practitioner, PractitionerRole, Device)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. RiskAssessment.reasonCode
      Definition

      The reason the risk assessment was performed.

      ShortWhy the assessment was necessary?
      Control0..*
      TypeCodeableConcept
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. RiskAssessment.reasonReference
      Definition

      Resources supporting the reason the risk assessment was performed.

      ShortWhy the assessment was necessary?
      Control0..*
      TypeReference(Condition, Observation, DiagnosticReport, DocumentReference)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. RiskAssessment.basis
      Definition

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

      ShortGrundlage
      Control0..*
      TypeReference(Resource)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. RiskAssessment.prediction
      Definition

      Die vorhergesagten Risiken

      ShortVorhersage
      Comments

      Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ras-2: Must be <= 100 (probability is decimal implies (probability as decimal) <= 100)
      48. RiskAssessment.prediction.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      50. RiskAssessment.prediction.extension
      Definition

      An Extension

      ShortExtension
      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on RiskAssessment.prediction.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 52. RiskAssessment.prediction.extension:whenCodeableConcept
        Slice NamewhenCodeableConcept
        Definition

        Zusätzlicher Einflussfaktor für die Risikoberechnung

        ShortEinflussfaktor
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(MII EX MolGen RiskAssessment Einflussfaktor) (Extension Type: CodeableConcept)
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        54. RiskAssessment.prediction.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

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

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        56. RiskAssessment.prediction.outcome
        Definition

        Das vorhergesagte Ergebnis oder die Erkrankung

        ShortErgebnis
        Control0..1
        Binding

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

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. RiskAssessment.prediction.probability[x]
        Definition

        Die quantitative Wahrscheinlichkeit des Risikos

        ShortWahrscheinlichkeit
        Comments

        If range is used, it represents the lower and upper bounds of certainty; e.g. 40-60% Decimal values are expressed as percentages as well (max = 100).

        Control0..1
        TypeChoice of: decimal, Range
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ras-1: low and high must be percentages, if present ((low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum))))
        60. RiskAssessment.prediction.qualitativeRisk
        Definition

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

        ShortQualitatives Risiko
        Control0..1
        BindingFor example codes, see RiskProbability
        (example to http://hl7.org/fhir/ValueSet/risk-probability|4.0.1)

        The likelihood of the occurrence of a specified outcome.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. RiskAssessment.prediction.relativeRisk
        Definition

        Das relative Risiko im Vergleich zur Normalbevölkerung

        ShortRelatives Risiko
        Control0..1
        Typedecimal
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summaryfalse
        Requirements

        Absolute risk is less meaningful than relative risk.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. RiskAssessment.prediction.when[x]
        Definition

        Der Zeitrahmen für den die Vorhersage gilt

        ShortZeitrahmen
        Comments

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

        Control0..1
        TypeChoice of: Period, Range
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. RiskAssessment.prediction.rationale
        Definition

        Additional information explaining the basis for the prediction.

        ShortExplanation of prediction
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. RiskAssessment.mitigation
        Definition

        A description of the steps that might be taken to reduce the identified risk(s).

        ShortHow to reduce risk
        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        Requirements

        One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. RiskAssessment.note
        Definition

        Additional comments about the risk assessment.

        ShortComments on the risk assessment
        Control0..*
        TypeAnnotation
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))