All risk assertions are captured at one time based on a single set of source inputs. Capture of a single risk MAY be done using the Observation class, particularly in circumstances where it’s treated as a generic observation, but for consistency, all risk assessments and prognosis should be captured using Risk Assessment.
This resource captures predicted outcomes for a patient or population on the basis of source information. Examples include:
– A prognosis statement for a particular condition
– Risk of health outcome (heart attack, particular type of cancer) on the basis of lifestyle factors and/or family history
– List of potential health risks based on a patient’s genetic analysis
– A prediction of outbreak infection rates within a geography based on immunization rates
– This resource can be used to represent the results of formal scoring/decision support tools that evaluate risk. It can also be used to capture a practitioner’s subjective assessment of the patient’s risk based on existing knowledge and previous experience.
Risk assessments may be based on a variety of factors, including:
– Basic demographic information from the Patient or Group resources
– Various Observations including vital signs, lab information, assessments, genetic information, etc.
– Current, past and proposed therapies Immunization, Procedure, CarePlan, etc.
Risk Assessments can be determined manually by health-care providers based on their professional expertise, by using an algorithmic scoring system or through a combination. Risk assessments can also be computed by decision support systems. Operation Definitions may be defined by servers to generate risk assessments based on particular combinations of source resources or other inputs.