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RiskAssessment "riskexample" Version "1"

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Risk assessment for reference only

{
  "resourceType" : "RiskAssessment",
  "id" : "riskexample",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:47.187Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Risk assessment for reference only</div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://example.org",
      "value" : "risk-assessment-breastcancer1"
    }
  ],
  "basedOn" : {
    "reference" : "ImmunizationRecommendation/example"
  },
  "parent" : {
    "reference" : "DiagnosticReport/example"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://browser.ihtsdotools.org/",
        "code" : "709510001",
        "display" : "Assessment of risk for disease (procedure)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/example",
    "display" : "Encounter with patient @example"
  },
  "occurrenceDateTime" : "2017-10-10",
  "condition" : {
    "reference" : "Condition/example"
  },
  "performer" : {
    "reference" : "Practitioner/example"
  },
  "basis" : [
    {
      "reference" : "DiagnosticReport/example"
    },
    {
      "reference" : "Observation/example"
    }
  ],
  "prediction" : [
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.000368,
      "whenRange" : {
        "low" : {
          "value" : 54,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 57,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    }
  ],
  "note" : [
    {
      "text" : "This risk assessment is for reference only"
    }
  ]
}

RiskAssessment "prognosis" Version "1"

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Moderate risk of permanent weakness of the left arm, but otherwise no permanent disability


{
  "resourceType" : "RiskAssessment",
  "id" : "prognosis",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:47.124Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Moderate risk of permanent weakness of the left arm, but otherwise no permanent disability</p>\n </div>"
  },
  "status" : "final",
  "subject" : {
    "reference" : "Patient/example"
  },
  "occurrenceDateTime" : "2010-11-22",
  "condition" : {
    "reference" : "Condition/stroke",
    "display" : "Ischemic Stroke"
  },
  "prediction" : [
    {
      "outcome" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "249943000:363698007=72098002,260868000=6934004"
          }
        ],
        "text" : "permanent weakness of the left arm"
      },
      "qualitativeRisk" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/risk-probability",
            "code" : "moderate",
            "display" : "moderate likelihood"
          }
        ]
      }
    }
  ]
}

RiskAssessment "population" Version "1"

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Todo - e.g. probable number of infections in a given region over a time period for a given disease based on vaccination rates and other factors


{
  "resourceType" : "RiskAssessment",
  "id" : "population",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:47.077Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Todo - e.g. probable number of infections in a given region over a time period for a given disease based on vaccination rates and other factors</p>\n </div>"
  },
  "contained" : [
    {
      "resourceType" : "Group",
      "id" : "group1",
      "type" : "person",
      "actual" : false
    }
  ],
  "status" : "final",
  "subject" : {
    "reference" : "#group1"
  }
}

RiskAssessment "genetic" Version "1"

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Updated: by

Probability of developing breast cancer before the age indicated:

Age Probability (%)
current-53 0.0168
54-57 0.0368
58-62 0.0594
63-67 0.0838
68-72 0.1089
73-77 0.1327
78-82 0.1530
83-87 0.1663

{
  "resourceType" : "RiskAssessment",
  "id" : "genetic",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:47.015Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Probability of developing breast cancer before the age indicated:</p>\n <table>\n <thead>\n <tr>\n <th>Age</th>\n <th>Probability (%)</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <td>current-53</td>\n <td>0.0168</td>\n </tr>\n <tr>\n <td>54-57</td>\n <td>0.0368</td>\n </tr>\n <tr>\n <td>58-62</td>\n <td>0.0594</td>\n </tr>\n <tr>\n <td>63-67</td>\n <td>0.0838</td>\n </tr>\n <tr>\n <td>68-72</td>\n <td>0.1089</td>\n </tr>\n <tr>\n <td>73-77</td>\n <td>0.1327</td>\n </tr>\n <tr>\n <td>78-82</td>\n <td>0.1530</td>\n </tr>\n <tr>\n <td>83-87</td>\n <td>0.1663</td>\n </tr>\n </tbody>\n </table>\n </div>"
  },
  "status" : "final",
  "method" : {
    "coding" : [
      {
        "code" : "BRCAPRO"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/b248b1b2-1686-4b94-9936-37d7a5f94b51"
  },
  "occurrenceDateTime" : "2006-01-13T23:01:00Z",
  "basis" : [
    {
      "reference" : "List/prognosis"
    }
  ],
  "prediction" : [
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.000168,
      "whenRange" : {
        "high" : {
          "value" : 53,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    },
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.000368,
      "whenRange" : {
        "low" : {
          "value" : 54,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 57,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    },
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.000594,
      "whenRange" : {
        "low" : {
          "value" : 58,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 62,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    },
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.000838,
      "whenRange" : {
        "low" : {
          "value" : 63,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 67,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    },
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.001089,
      "whenRange" : {
        "low" : {
          "value" : 68,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 72,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    },
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.001327,
      "whenRange" : {
        "low" : {
          "value" : 73,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 77,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    },
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.001530,
      "whenRange" : {
        "low" : {
          "value" : 78,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 82,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    },
    {
      "outcome" : {
        "text" : "Breast Cancer"
      },
      "probabilityDecimal" : 0.001663,
      "whenRange" : {
        "low" : {
          "value" : 83,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 88,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    }
  ],
  "note" : [
    {
      "text" : "High degree of certainty"
    }
  ]
}

RiskAssessment "cardiac" Version "1"

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Updated: by

Information about your risk score:

Age: 39
Gender: male
Total Cholesterol: 244 mg/dL
HDL Cholesterol: 50 mg/dL
Smoker: No
Systolic Blood Pressure: 107 mm/Hg
On medication for HBP: No
Risk Score* 2%
Means 2 of 100 people with this level of risk will have a heart attack in the next 10 years.
* Your risk score was calculated using an equation. Other NCEP products, such as printed ATP III materials, use a point system to determine a risk score that is close to the equation score.
To find out what your risk score means and how to lower your risk for a heart attack, go to
"High Blood Cholesterol—What You Need to Know".
Your Guide to Lowering Cholesterol with Therapeutic Lifestyle Changes (TLC)
The Healthy Heart Handbook for Women

{
  "resourceType" : "RiskAssessment",
  "id" : "cardiac",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:46.968Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td colspan=\"2\">\n <h1>Information about your risk score:</h1>\n </td>\n </tr>\n <tr>\n <td>\n <strong>Age:</strong>\n </td>\n <td>39</td>\n </tr>\n <tr>\n <td>\n <strong>Gender:</strong>\n </td>\n <td>male</td>\n </tr>\n <tr>\n <td>\n <strong>Total Cholesterol:</strong>\n </td>\n <td>244 mg/dL</td>\n </tr>\n <tr>\n <td>\n <strong>HDL Cholesterol:</strong>\n </td>\n <td>50 mg/dL\n </td>\n </tr>\n <tr>\n <td>\n <strong>Smoker:</strong>\n </td>\n <td>No</td>\n </tr>\n <tr>\n <td>\n <strong>Systolic Blood Pressure:</strong>\n </td>\n <td>107 mm/Hg</td>\n </tr>\n <tr>\n <td>\n <strong>On medication for HBP:</strong>\n </td>\n <td>No</td>\n </tr>\n <tr>\n <td valign=\"top\">\n <b>Risk Score*</b>\n </td>\n <td>2%<br/>Means 2 of 100 people with this level of risk will have a heart attack in the next 10 years.</td>\n </tr>\n <tr>\n <td colspan=\"2\">* Your risk score was calculated using an equation. Other NCEP products, such as printed ATP III materials, use a point system to determine a risk score that is close to the equation score.</td>\n </tr>\n <tr>\n <td colspan=\"2\">To find out what your risk score means and how to lower your risk for a heart attack, go to<br/>\n <a href=\"http://www.nhlbi.nih.gov/health/public/heart/chol/hbc_what.htm\">\"High Blood Cholesterol&#8212;What You Need to Know\"</a>.<br/>\n <a href=\"http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.htm\">Your Guide to Lowering Cholesterol with Therapeutic Lifestyle Changes (TLC)</a><br/>\n <a href=\"http://www.nhlbi.nih.gov/health/public/heart/other/hhw/index.htm\">The Healthy Heart Handbook for Women</a>\n </td>\n </tr>\n </table>\n </div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://example.org",
      "value" : "risk-assessment-cardiac"
    }
  ],
  "status" : "final",
  "subject" : {
    "reference" : "Patient/pat2"
  },
  "encounter" : {
    "reference" : "Encounter/example"
  },
  "occurrenceDateTime" : "2014-07-19T16:04:00Z",
  "performer" : {
    "display" : "http://cvdrisk.nhlbi.nih.gov/#cholesterol"
  },
  "basis" : [
    {
      "reference" : "Patient/pat2"
    },
    {
      "reference" : "DiagnosticReport/lipids"
    },
    {
      "reference" : "Observation/blood-pressure"
    }
  ],
  "prediction" : [
    {
      "outcome" : {
        "text" : "Heart Attack"
      },
      "probabilityDecimal" : 0.02,
      "whenRange" : {
        "low" : {
          "value" : 39,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        },
        "high" : {
          "value" : 49,
          "unit" : "years",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    }
  ]
}

RiskAssessment "breastcancer-risk" Version "1"

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Information about your risk score:

Birthdate: 1981-01-01
Gender: female
Ethnicity: Unknown / Not Reported

{
  "resourceType" : "RiskAssessment",
  "id" : "breastcancer-risk",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2019-01-13T15:33:46.921Z"
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td colspan=\"2\">\n <h1>Information about your risk score:</h1>\n </td>\n </tr>\n <tr>\n <td>\n <strong>Birthdate:</strong>\n </td>\n <td>1981-01-01</td>\n </tr>\n <tr>\n <td>\n <strong>Gender:</strong>\n </td>\n <td>female</td>\n </tr>\n <tr>\n <td>\n <strong>Ethnicity:</strong>\n </td>\n <td>Unknown / Not Reported</td>\n </tr>\n </table>\n </div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "http://example.org",
      "value" : "risk-assessment-breastcancer1"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "http://browser.ihtsdotools.org/",
        "code" : "709510001",
        "display" : "Assessment of risk for disease (procedure)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "performer" : {
    "reference" : "Practitioner/example"
  },
  "basis" : [
    {
      "reference" : "Observation/example-genetics-brcapat"
    }
  ],
  "prediction" : [
    {
      "outcome" : {
        "text" : "Unknown risk of developing breast cancer"
      }
    }
  ],
  "note" : [
    {
      "text" : "This risk assessment is based on BRCA1 and BRCA2 genetic mutation test"
    }
  ]
}