Монгол Улсын үндэсний цөм FHIR удирдамж (Mongolian National Core IG)
0.1.0 - draft Mongolia

Монгол Улсын үндэсний цөм FHIR удирдамж (Mongolian National Core IG) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MNCoreRiskAssessment - Detailed Descriptions

Draft as of 2026-09-08

Definitions for the mn-core-risk-assessment resource profile.

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.status
Definition

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

ShortСтатус (registered | preliminary | final | amended | corrected | cancelled | entered-in-error | unknown)registered | 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()))
8. RiskAssessment.code
Definition

The type of the risk assessment performed.

ShortЯмар эрсдэлийн үнэлгээ (SNOMED/LOINC код)Type 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()))
10. RiskAssessment.subject
Definition

The patient or group the risk assessment applies to.

ShortӨвчтөнWho/what does assessment apply to?
Control1..1
TypeReference(Монгол улсын үндсэн Patient профайл, Patient, Group)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. RiskAssessment.encounter
Definition

The encounter where the assessment was performed.

ShortХолбоотой үзлэг (ANC visit эсвэл хяналтын Encounter)Where was assessment performed?
Control0..1
TypeReference(Монгол улсын үндсэн Encounter профайл, Encounter)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. RiskAssessment.occurrence[x]
Definition

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

ShortWhen 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
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()))
SlicingThis element introduces a set of slices on RiskAssessment.occurrence[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
  • 16. RiskAssessment.occurrence[x]:occurrenceDateTime
    Slice NameoccurrenceDateTime
    Definition

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

    ShortҮнэлгээ хийсэн огнооWhen was assessment made?
    Control0..1
    TypedateTime, 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
    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.performer
    Definition

    The provider or software application that performed the assessment.

    ShortҮнэлгээ хийсэн эмчWho did assessment?
    Control0..1
    TypeReference(Монгол улсын үндсэн Practitioner профайл, Монгол улсын үндсэн PractitionerRole профайл, Practitioner, PractitionerRole, Device)
    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()))
    20. RiskAssessment.reasonReference
    Definition

    Resources supporting the reason the risk assessment was performed.

    ShortЭрсдэлийн үндэслэл болсон Condition/ObservationWhy the assessment was necessary?
    Control0..*
    TypeReference(Монгол улсын үндсэн Condition профайл, Монгол улсын үндсэн Observation профайл, Condition, Observation, DiagnosticReport, DocumentReference)
    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()))
    22. RiskAssessment.basis
    Definition

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

    ShortҮнэлгээний үндэс болсон мэдээлэл (Observation, QuestionnaireResponse гэх мэт)Information 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()))
    24. RiskAssessment.prediction
    Definition

    Describes the expected outcome for the subject.

    ShortЭрсдэлийн таамаглалOutcome 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)
    26. 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())
    28. RiskAssessment.prediction.outcome
    Definition

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

    ShortТаамагласан үр дагаварPossible 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()))
    30. RiskAssessment.prediction.probability[x]
    Definition

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

    ShortLikelihood 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
    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))))
    SlicingThis element introduces a set of slices on RiskAssessment.prediction.probability[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • type @ $this
    • 32. RiskAssessment.prediction.probability[x]:probabilityDecimal
      Slice NameprobabilityDecimal
      Definition

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

      ShortМагадлал (0.0–1.0)Likelihood 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
      Typedecimal, 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
      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

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

      ShortЧанарын эрсдэл (өндөр / дунд / бага)Likelihood of specified outcome as a qualitative value
      Control0..1
      BindingThe codes SHALL be taken from For example codes, see RiskProbabilityhttp://hl7.org/fhir/ValueSet/risk-probability|4.0.1
      (required to http://hl7.org/fhir/ValueSet/risk-probability)
      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.mitigation
      Definition

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

      ShortЭрсдэлийг бууруулах арга хэмжээHow to reduce risk
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      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()))
      38. RiskAssessment.note
      Definition

      Additional comments about the risk assessment.

      ShortНэмэлт тэмдэглэлComments on the risk assessment
      Control0..*
      TypeAnnotation
      Is Modifierfalse
      Must Supporttrue
      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.status
      ShortСтатус (registered | preliminary | final | amended | corrected | cancelled | entered-in-error | unknown)
      Must Supporttrue
      4. RiskAssessment.code
      ShortЯмар эрсдэлийн үнэлгээ (SNOMED/LOINC код)
      Must Supporttrue
      6. RiskAssessment.subject
      ShortӨвчтөн
      TypeReference(Монгол улсын үндсэн Patient профайл)
      Must Supporttrue
      8. RiskAssessment.encounter
      ShortХолбоотой үзлэг (ANC visit эсвэл хяналтын Encounter)
      TypeReference(Монгол улсын үндсэн Encounter профайл)
      Must Supporttrue
      10. RiskAssessment.occurrence[x]
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      SlicingThis element introduces a set of slices on RiskAssessment.occurrence[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ $this
      • 12. RiskAssessment.occurrence[x]:occurrenceDateTime
        Slice NameoccurrenceDateTime
        ShortҮнэлгээ хийсэн огноо
        Control0..1
        TypedateTime
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        14. RiskAssessment.performer
        ShortҮнэлгээ хийсэн эмч
        TypeReference(Монгол улсын үндсэн Practitioner профайл, Монгол улсын үндсэн PractitionerRole профайл)
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        16. RiskAssessment.reasonReference
        ShortЭрсдэлийн үндэслэл болсон Condition/Observation
        TypeReference(Монгол улсын үндсэн Condition профайл, Монгол улсын үндсэн Observation профайл)
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        18. RiskAssessment.basis
        ShortҮнэлгээний үндэс болсон мэдээлэл (Observation, QuestionnaireResponse гэх мэт)
        Must Supporttrue
        20. RiskAssessment.prediction
        ShortЭрсдэлийн таамаглал
        Must Supporttrue
        22. RiskAssessment.prediction.outcome
        ShortТаамагласан үр дагавар
        Must Supporttrue
        24. RiskAssessment.prediction.probability[x]
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        SlicingThis element introduces a set of slices on RiskAssessment.prediction.probability[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • type @ $this
        • 26. RiskAssessment.prediction.probability[x]:probabilityDecimal
          Slice NameprobabilityDecimal
          ShortМагадлал (0.0–1.0)
          Control0..1
          Typedecimal
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          28. RiskAssessment.prediction.qualitativeRisk
          ShortЧанарын эрсдэл (өндөр / дунд / бага)
          BindingThe codes SHALL be taken from RiskProbability
          (required to http://hl7.org/fhir/ValueSet/risk-probability)
          Must Supporttrue
          30. RiskAssessment.mitigation
          ShortЭрсдэлийг бууруулах арга хэмжээ
          Must Supporttrue
          32. RiskAssessment.note
          ShortНэмэлт тэмдэглэл
          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

          Business identifier assigned to the risk assessment.

          ShortUnique identifier for the assessment
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          Is Modifierfalse
          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

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

          ShortСтатус (registered | preliminary | final | amended | corrected | cancelled | entered-in-error | unknown)
          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

          The type of the risk assessment performed.

          ShortЯмар эрсдэлийн үнэлгээ (SNOMED/LOINC код)
          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

          The patient or group the risk assessment applies to.

          ShortӨвчтөн
          Control1..1
          TypeReference(Монгол улсын үндсэн Patient профайл)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          32. RiskAssessment.encounter
          Definition

          The encounter where the assessment was performed.

          ShortХолбоотой үзлэг (ANC visit эсвэл хяналтын Encounter)
          Control0..1
          TypeReference(Монгол улсын үндсэн Encounter профайл)
          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

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

          ShortWhen 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
          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()))
          SlicingThis element introduces a set of slices on RiskAssessment.occurrence[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • type @ $this
          • 36. RiskAssessment.occurrence[x]:occurrenceDateTime
            Slice NameoccurrenceDateTime
            Definition

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

            ShortҮнэлгээ хийсэн огноо
            Control0..1
            TypedateTime
            [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
            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()))
            38. RiskAssessment.condition
            Definition

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

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

            The provider or software application that performed the assessment.

            ShortҮнэлгээ хийсэн эмч
            Control0..1
            TypeReference(Монгол улсын үндсэн Practitioner профайл, Монгол улсын үндсэн PractitionerRole профайл)
            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()))
            42. 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()))
            44. RiskAssessment.reasonReference
            Definition

            Resources supporting the reason the risk assessment was performed.

            ShortЭрсдэлийн үндэслэл болсон Condition/Observation
            Control0..*
            TypeReference(Монгол улсын үндсэн Condition профайл, Монгол улсын үндсэн Observation профайл)
            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()))
            46. RiskAssessment.basis
            Definition

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

            ShortҮнэлгээний үндэс болсон мэдээлэл (Observation, QuestionnaireResponse гэх мэт)
            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()))
            48. RiskAssessment.prediction
            Definition

            Describes the expected outcome for the subject.

            ShortЭрсдэлийн таамаглал
            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)
            50. 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
            52. RiskAssessment.prediction.extension
            Definition

            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.

            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())
            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

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

            ShortТаамагласан үр дагавар
            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

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

            ShortLikelihood 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
            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))))
            SlicingThis element introduces a set of slices on RiskAssessment.prediction.probability[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • type @ $this
            • 60. RiskAssessment.prediction.probability[x]:probabilityDecimal
              Slice NameprobabilityDecimal
              Definition

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

              ShortМагадлал (0.0–1.0)
              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
              Typedecimal
              [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
              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))))
              62. RiskAssessment.prediction.qualitativeRisk
              Definition

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

              ShortЧанарын эрсдэл (өндөр / дунд / бага)
              Control0..1
              BindingThe codes SHALL be taken from RiskProbability
              (required to http://hl7.org/fhir/ValueSet/risk-probability)
              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              64. RiskAssessment.prediction.relativeRisk
              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.).

              ShortRelative likelihood
              Control0..1
              Typedecimal
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              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()))
              66. RiskAssessment.prediction.when[x]
              Definition

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

              ShortTimeframe 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
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              68. 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()))
              70. RiskAssessment.mitigation
              Definition

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

              ShortЭрсдэлийг бууруулах арга хэмжээ
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              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()))
              72. RiskAssessment.note
              Definition

              Additional comments about the risk assessment.

              ShortНэмэлт тэмдэглэл
              Control0..*
              TypeAnnotation
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))