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  1. FHIR Specification Feedback
  2. FHIR-9932

Add support for the coefficients of the drivers for a risk score

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • DSTU2
    • Clinical Decision Support
    • STU
    • RiskAssessment
    • Hide

      The elements described are more a part of the definition of a risk assessment, which we do not support with this resource. Suggest an extension to capture the information, or provide more details about how it is used to make clear the need for adding it to the risk assessment resource.

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      The elements described are more a part of the definition of a risk assessment, which we do not support with this resource. Suggest an extension to capture the information, or provide more details about how it is used to make clear the need for adding it to the risk assessment resource.
    • Howard Strasberg/Bryn Rhodes: 6-0-0
    • Enhancement

    Description

      The RiskAssessment.basis is the input used within the risk assessment. The resource lacks support for the resulting coefficients, weights, impact, or % contribution assigned by the algorithm.

      In some cases, the basis is more specific (e.g. condition code) than what the risk score algorithm outputs. The method/algorithm can be proprietary, such that the top drivers are often assigned a coefficient, weight, or % contribution to help explain why the risk score is what it is when the details of the method/algorithm are proprietary.

      Examples:

      Milliman MARA outputs the clinical risk drivers (http://www.millimanriskadjustment.com/clinical-risk-drivers/), which are used to see "how various disease and medical condition impact the clinical portion of risk scores"

      Verisk's top risk drivers are output as a ranked list of condition categories (e.g. diabetes, cancer, etc.) influencing the risk score.

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            Unassigned Unassigned
            michelle.m.miller Michelle Miller
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              Updated:
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