Resumen Digital de Atención en Salud (RDA)
0.7.2 - STU1 Colombia

Resumen Digital de Atención en Salud (RDA) - Local Development build (v0.7.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Factor de riesgo (RiskAssessment) RDA

Canonical URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/RiskFactorRDA Version: 0.7.2
Active as of 2025-12-29 Computable Name: RiskFactorRDA

Copyright/Legal: Ministerio de Salud y Protección Social, CC BY-NC-SA 4.0, 2025+

Perfil FHIR de un factor de riesgo identificado a un paciente durante un encuentro de atención en salud, para su intercambio en un documento RDA en Colombia.

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso NombreDelRecursoFHIR, con el objetivo de estandarizar y representar [describir brevemente qué tipo de información se representa, por ejemplo: "los diagnósticos clínicos registrados durante una atención ambulatoria"], dentro del contexto del resumen digital de atención en salud (RDA).

Ha sido diseñado a partir de los lineamientos normativos definidos por el Ministerio de Salud y Protección Social, y está armonizado con la Guía de Implementación FHIR Core Colombia.

Uso previsto

Este perfil está diseñado para ser implementado por:

  • Plataforma de interoperabilidad del Ministerio de Salud y Protección Social.
  • Instituciones Prestadoras de Servicios de Salud.
  • Sistemas de información en salud (HIS, HCE, LIS, RIS, etc.).
  • Repositorios de datos clínicos (CDR).
  • Proveedores y consumidores de servicios interoperables de salud.

Se espera que sea utilizado principalmente en el escenario de intercambio del Resumen Digital de Atención (RDA).

Restricciones y extensiones clave

  • Se requiere el uso de terminologías controladas nacionales.
  • Se aplican restricciones sobre elementos obligatorios y cardinalidad.
  • Utiliza extensiones para representar información adicional relevante para el contexto colombiano.

Relación con otras guías o perfiles

Este perfil se basa en:

Consideraciones adicionales

  • Este perfil no sustituye las obligaciones legales sobre el registro clínico.
  • Se recomienda verificar la conformidad de su implementación.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
Fixed Value: registered
.... coding Σ 1..1 Coding Code defined by a terminology system
Binding: ValueSet: Tipo de factor de riesgo (required)
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/FactorRiesgo
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
.... text Σ 1..1 string Nombre del factor de riesgo
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Quién presenta el factor de riesgo
... encounter Σ 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuntro dee atención durante la cual se evaluó el factor de riesgo

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
RiskAssessment.statusrequiredFixed Value: registered
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
RiskAssessment.code.codingrequiredFactorRiesgoCodigos(a valid code from CodeSystem: Tipo de factor de riesgo)
https://fhir.minsalud.gov.co/rda/ValueSet/FactorRiesgoCodigos
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorRiskAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorRiskAssessmentIf 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-4errorRiskAssessmentIf 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-5errorRiskAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceRiskAssessmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from RiskAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment RiskAssessment
... meta
.... profile 1.. Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/RiskFactorRDA
... identifier ..0
... basedOn ..0
... status Fixed Value: registered
... method ..0
... code 1.. Tipo de factor de riesgo
.... coding 1..1 Binding: ValueSet: Tipo de factor de riesgo (required)
..... system 1.. Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/FactorRiesgo
..... code S 1..
..... display S 1..
.... text 1.. Nombre del factor de riesgo
... subject S Reference(Paciente (Patient) RDA) Quién presenta el factor de riesgo
... encounter 1.. Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuntro dee atención durante la cual se evaluó el factor de riesgo
... occurrence[x] ..0
... condition ..0
... performer ..0
... reasonCode ..0
... reasonReference ..0
... basis ..0
... prediction ..0
... mitigation ..0
... note ..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
RiskAssessment.code.codingrequiredFactorRiesgoCodigos(a valid code from CodeSystem: Tipo de factor de riesgo)
https://fhir.minsalud.gov.co/rda/ValueSet/FactorRiesgoCodigos
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... id Σ 0..1 string Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/RiskFactorRDA
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
Fixed Value: registered
... code Σ 1..1 CodeableConcept Tipo de factor de riesgo
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
Binding: ValueSet: Tipo de factor de riesgo (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/FactorRiesgo
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 1..1 string Nombre del factor de riesgo
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Quién presenta el factor de riesgo
... encounter Σ 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuntro dee atención durante la cual se evaluó el factor de riesgo

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
RiskAssessment.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
RiskAssessment.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
RiskAssessment.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
RiskAssessment.statusrequiredFixed Value: registered
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
RiskAssessment.code.codingrequiredFactorRiesgoCodigos(a valid code from CodeSystem: Tipo de factor de riesgo)
https://fhir.minsalud.gov.co/rda/ValueSet/FactorRiesgoCodigos
From this IG
RiskAssessment.prediction.outcomeexample
RiskAssessment.prediction.qualitativeRiskexampleRiskProbability
http://hl7.org/fhir/ValueSet/risk-probability
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorRiskAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorRiskAssessmentIf 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-4errorRiskAssessmentIf 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-5errorRiskAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceRiskAssessmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ras-1errorRiskAssessment.prediction.probability[x]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)))

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
Fixed Value: registered
.... coding Σ 1..1 Coding Code defined by a terminology system
Binding: ValueSet: Tipo de factor de riesgo (required)
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/FactorRiesgo
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
.... text Σ 1..1 string Nombre del factor de riesgo
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Quién presenta el factor de riesgo
... encounter Σ 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuntro dee atención durante la cual se evaluó el factor de riesgo

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
RiskAssessment.statusrequiredFixed Value: registered
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
RiskAssessment.code.codingrequiredFactorRiesgoCodigos(a valid code from CodeSystem: Tipo de factor de riesgo)
https://fhir.minsalud.gov.co/rda/ValueSet/FactorRiesgoCodigos
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorRiskAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorRiskAssessmentIf 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-4errorRiskAssessmentIf 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-5errorRiskAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceRiskAssessmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from RiskAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment RiskAssessment
... meta
.... profile 1.. Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/RiskFactorRDA
... identifier ..0
... basedOn ..0
... status Fixed Value: registered
... method ..0
... code 1.. Tipo de factor de riesgo
.... coding 1..1 Binding: ValueSet: Tipo de factor de riesgo (required)
..... system 1.. Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/FactorRiesgo
..... code S 1..
..... display S 1..
.... text 1.. Nombre del factor de riesgo
... subject S Reference(Paciente (Patient) RDA) Quién presenta el factor de riesgo
... encounter 1.. Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuntro dee atención durante la cual se evaluó el factor de riesgo
... occurrence[x] ..0
... condition ..0
... performer ..0
... reasonCode ..0
... reasonReference ..0
... basis ..0
... prediction ..0
... mitigation ..0
... note ..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
RiskAssessment.code.codingrequiredFactorRiesgoCodigos(a valid code from CodeSystem: Tipo de factor de riesgo)
https://fhir.minsalud.gov.co/rda/ValueSet/FactorRiesgoCodigos
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RiskAssessment 0..* RiskAssessment Potential outcomes for a subject with likelihood
... id Σ 0..1 string Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/RiskFactorRDA
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): The status of the risk assessment; e.g. preliminary, final, amended, etc.
Fixed Value: registered
... code Σ 1..1 CodeableConcept Tipo de factor de riesgo
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
Binding: ValueSet: Tipo de factor de riesgo (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/FactorRiesgo
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 1..1 string Nombre del factor de riesgo
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Quién presenta el factor de riesgo
... encounter Σ 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuntro dee atención durante la cual se evaluó el factor de riesgo

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
RiskAssessment.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
RiskAssessment.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
RiskAssessment.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
RiskAssessment.statusrequiredFixed Value: registered
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
RiskAssessment.code.codingrequiredFactorRiesgoCodigos(a valid code from CodeSystem: Tipo de factor de riesgo)
https://fhir.minsalud.gov.co/rda/ValueSet/FactorRiesgoCodigos
From this IG
RiskAssessment.prediction.outcomeexample
RiskAssessment.prediction.qualitativeRiskexampleRiskProbability
http://hl7.org/fhir/ValueSet/risk-probability
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorRiskAssessmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorRiskAssessmentIf 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-4errorRiskAssessmentIf 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-5errorRiskAssessmentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceRiskAssessmentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ras-1errorRiskAssessment.prediction.probability[x]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)))

 

Other representations of profile: CSV, Excel, Schematron