---
type: "resource-definitions"
title: "RiskAssessment Definitions"
resource: "RiskAssessment"
---

# RiskAssessment Definitions

<a id="RiskAssessment"></a>

## RiskAssessment
Potential outcomes for a subject with likelihood

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

**Aliases:** Prognosis

**Cardinality:** 0..*

**Mappings:** workflow=Event; v2=N/A; rim=Observation[classCode=OBS, moodCode=EVN, code="Risk Assessment"]; openehr=OpenEHR-EHR-EVALUATION.risk.v1; w5=clinical.general


<a id="RiskAssessment.identifier"></a>

## RiskAssessment.identifier
Unique identifier for the assessment

**Definition:** Business identifier assigned to the risk assessment.

**Cardinality:** 0..*

**Type:** [Identifier](/Identifier)

**Summary:** true

**Mappings:** workflow=Event.identifier; w5=FiveWs.identifier; rim=.id; openehr=Workflow Identifier


<a id="RiskAssessment.basedOn"></a>

## RiskAssessment.basedOn
Request fulfilled by this assessment

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

**Cardinality:** 0..1

**Type:** Reference([Resource](/Resource))

**Mappings:** workflow=Event.basedOn


<a id="RiskAssessment.parent"></a>

## RiskAssessment.parent
Part of this occurrence

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

**Cardinality:** 0..1

**Type:** Reference([Resource](/Resource))

**Mappings:** workflow=Event.partOf


<a id="RiskAssessment.status"></a>

## RiskAssessment.status
registered | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained

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

**Cardinality:** 1..1

**Type:** [code](/code)

**Binding:** required:[observation-status](/valueset-observation-status)

**Summary:** true

**Mappings:** workflow=Event.status; w5=FiveWs.status


<a id="RiskAssessment.method"></a>

## RiskAssessment.method
Evaluation mechanism

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

**Requirements:** The method can influence the results of the assessment.

**Cardinality:** 0..1

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[risk-assessment-method](/valueset-risk-assessment-method)

**Summary:** true

**Mappings:** w5=FiveWs.class; rim=.methodCode


<a id="RiskAssessment.code"></a>

## RiskAssessment.code
Type of assessment

**Definition:** The type of the risk assessment performed.

**Cardinality:** 0..1

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[risk-assessment-method](/valueset-risk-assessment-method)

**Summary:** true

**Mappings:** workflow=Event.code; w5=FiveWs.what[x]


<a id="RiskAssessment.subject"></a>

## RiskAssessment.subject
Who/what does assessment apply to?

**Definition:** The patient or group the risk assessment applies to.

**Cardinality:** 1..1

**Type:** Reference([Patient](/Patient), [Group](/Group))

**Summary:** true

**Mappings:** workflow=Event.subject; w5=FiveWs.subject; rim=.participation[typeCode=SBJ].role; openehr=Subject of Care


<a id="RiskAssessment.encounter"></a>

## RiskAssessment.encounter
Where was assessment performed?

**Definition:** The encounter where the assessment was performed.

**Cardinality:** 0..1

**Type:** Reference([Encounter](/Encounter))

**Summary:** true

**Mappings:** workflow=Event.encounter; w5=FiveWs.context; rim=.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]


<a id="RiskAssessment.occurrence[x]"></a>

## RiskAssessment.occurrence[x]
When was assessment made?

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

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

**Cardinality:** 0..1

**Type:** [dateTime](/dateTime), [Period](/Period)

**Summary:** true

**Mappings:** workflow=Event.occurrence[x]; w5=FiveWs.done[x]; rim=.effectiveTime


<a id="RiskAssessment.condition"></a>

## RiskAssessment.condition
Condition assessed

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

**Cardinality:** 0..1

**Type:** Reference([Condition](/Condition))

**Summary:** true

**Mappings:** rim=.outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]


<a id="RiskAssessment.performer"></a>

## RiskAssessment.performer
Who did assessment?

**Definition:** The provider, patient, related person, or software application that performed the assessment.

**Cardinality:** 0..1

**Type:** Reference([Patient](/Patient), [Practitioner](/Practitioner), [PractitionerRole](/PractitionerRole), [RelatedPerson](/RelatedPerson), [Device](/Device))

**Summary:** true

**Mappings:** workflow=Event.performer.actor; w5=FiveWs.actor; rim=.participation[typeCode=PFM].role[classCode=ASSIGNED]; openehr=Information Provider


<a id="RiskAssessment.reason"></a>

## RiskAssessment.reason
Why was the assessment necessary?

**Definition:** The reason the risk assessment was performed.

**Cardinality:** 0..*

**Type:** [CodeableReference](/CodeableReference)

**Mappings:** workflow=Event.reason; w5=FiveWs.why[x]


<a id="RiskAssessment.basis"></a>

## RiskAssessment.basis
Information used in assessment

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

**Cardinality:** 0..*

**Type:** Reference([Resource](/Resource))

**Mappings:** rim=.outboundRelationship[typeCode=DRIV].target; openehr=Risk Factor; Link to Evidence


<a id="RiskAssessment.prediction"></a>

## RiskAssessment.prediction
Outcome predicted

**Definition:** Describes the expected outcome for the subject.

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

**Cardinality:** 0..*

**Type:** [BackboneElement](/BackboneElement)

**Constraints:** ras-2 | error | Probability as a decimal must be <= 100 | probability.empty() or ((probability is decimal) implies ((probability as decimal) <= 100)); ras-3 | error | Probability as a Quantity must be <= 100% | probability.empty() or ((probability is Quantity) implies (((probability as Quantity).value <= 100) and ((probability as Quantity).code = '%') and ((probability as Quantity).system = %ucum)))

**Mappings:** rim=.outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]


<a id="RiskAssessment.prediction.outcome"></a>

## RiskAssessment.prediction.outcome
Possible outcome for the subject

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

**Cardinality:** 0..1

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[risk-assessment-outcome](/valueset-risk-assessment-outcome)

**Mappings:** rim=.value; openehr=Risk


<a id="RiskAssessment.prediction.probability[x]"></a>

## RiskAssessment.prediction.probability[x]
Likelihood of specified outcome

**Definition:** Indicates how likely the outcome is (in the specified timeframe). Range SHOULD be expressed as a Quantity (with a unit of '%'), rather than as a decimal value to make sure the percentage semantics are clear.

**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).

**Conditions:** ras-2, ras-3

**Cardinality:** 0..1

**Type:** [decimal](/decimal), [Quantity](/Quantity), [Range](/Range)

**Constraints:** ras-1 | error | low and high must be percentages, if present | (low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum)))

**Mappings:** rim=.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="probability"].value; openehr=Category


<a id="RiskAssessment.prediction.qualitativeRisk"></a>

## RiskAssessment.prediction.qualitativeRisk
Likelihood of specified outcome as a qualitative value

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

**Cardinality:** 0..1

**Type:** [CodeableConcept](/CodeableConcept)

**Binding:** example:[risk-probability](/valueset-risk-probability)


<a id="RiskAssessment.prediction.relativeRisk"></a>

## RiskAssessment.prediction.relativeRisk
Relative likelihood

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

**Requirements:** Absolute risk is less meaningful than relative risk.

**Cardinality:** 0..1

**Type:** [decimal](/decimal)

**Mappings:** rim=.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="relative risk"].value


<a id="RiskAssessment.prediction.when[x]"></a>

## RiskAssessment.prediction.when[x]
Timeframe or age range

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

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

**Cardinality:** 0..1

**Type:** [Period](/Period), [Range](/Range)

**Mappings:** rim=.effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age"].value


<a id="RiskAssessment.prediction.rationale"></a>

## RiskAssessment.prediction.rationale
Explanation of prediction

**Definition:** Additional information explaining the basis for the prediction.

**Cardinality:** 0..1

**Type:** [string](/string)

**Mappings:** rim=.reasonCode.text; openehr=Rationale


<a id="RiskAssessment.mitigation"></a>

## RiskAssessment.mitigation
How to reduce risk

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

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

**Cardinality:** 0..1

**Type:** [string](/string)

**Mappings:** rim=.outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text


<a id="RiskAssessment.note"></a>

## RiskAssessment.note
Comments on the risk assessment

**Definition:** Additional comments about the risk assessment.

**Cardinality:** 0..*

**Type:** [Annotation](/Annotation)

**Mappings:** workflow=Event.note