New Zealand ICP Implementation Guide
1.0.0 - release

New Zealand ICP Implementation Guide, published by Accident Compensation Corporation. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/acc-fhir-publisher/icp/ and changes regularly. See the Directory of published versions

Resource Profile: ACC Integrated Care Pathway Site-Specific PROM

Official URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement-prom Version: 1.0.0
Active as of 2022-11-20 Computable Name: IcpMeasurementPROM

Copyright/Legal: ACC New Zealand© 2023+; Licensed Under Creative Commons No Rights Reserved.

This resource profile supports suppliers providing a site-specific patient reported outcome measure (PROM) to ACC.

These PROMS must be submitted through the PROM and Clinical measures API via the supplier's PMS at these time-points:

  • Baseline (at entry to the pathway following triage assessment)
  • Mid-point
  • Exit
  • Ad-hoc measures may be taken at any time (for example, at the beginning of using exceptional funding if this has been required).
Body site Measurement standard Measurement
Shoulder QuickDASH QuickDASH values range from 0 to 100
Lower back Oswestry Disability Index Oswestry values 0 to 100
Knee Knee Injury and Osteoarthritis Outcome Score (KOOS) KOOS values 0 to 100

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* IcpMeasurement Measurements and simple assertions
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
require-data-absent-or-value-integer-invariant: Either DataAbsentReason or ValueInteger must exist.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for contained 1..* Resource Contained, inline Resources
Slice: Unordered, Closed by type:$this
.... contained:patient 1..1 IcpPatient Patient's date of birth.
... Slices for extension 2..2 Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... acc-providerid 1..1 string The ACC provider ID associated with the ICP case
URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... stage 1..1 code The stage of the ICP case Observation.
URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage
Binding: ICP Recorded Outcome Stage (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... Slices for identifier Σ 1..1 Identifier Business Identifier for observation
Slice: Unordered, Closed by value:system
ele-1: All FHIR elements must have a @value or children
.... identifier:icpclaimnumber Σ 1..1 Identifier The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
ele-1: All FHIR elements must have a @value or children
..... extension 0..0
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
..... system Σ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
..... value ΣC 1..1 string The ACC 45 number.
ele-1: All FHIR elements must have a @value or children
acc-claim-number: The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether.
Example General: 123456
... status ?!Σ 1..1 code final
Binding: Observation Status (required)
ele-1: All FHIR elements must have a @value or children
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: prom-msk-measurement-standard (required)
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(ACC ICP Patient) This is the patient that the ICP case is associated with.
ele-1: All FHIR elements must have a @value or children
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... effective[x]:effectiveDateTime ΣC 1..1 dateTime The date and time that the ICP case Observation was created. This must be in UTC yyyy-MM-dd'T'HH:mm:ss'Z'.
ele-1: All FHIR elements must have a @value or children
dateTime-not-in-future-invariant: The date value cannot be in the future
... performer Σ 1..1 Reference(Organization) This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
ele-1: All FHIR elements must have a @value or children
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Open by type:$this
ele-1: All FHIR elements must have a @value or children
.... valueQuantity Quantity
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueInteger ΣC 0..1 integer The PROM assessment score.
ele-1: All FHIR elements must have a @value or children
prom-quantity-invariant: The value must be between 0 and 100.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredICPObservationStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status
from this IG
Observation.coderequiredICPPromMskMeasurementStandard (a valid code from prom-msk-measurement-standard)
http://hl7.org.nz/fhir/ValueSet/acc-icp-prom-msk-measurement-standard
from this IG
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
prom-quantity-invarianterrorObservation.value[x]:valueIntegerThe value must be between 0 and 100.
: $this.value.toString().matches('^(?:0*|[1-9][0-9]?|100)$')
require-data-absent-or-value-integer-invarianterrorObservationEither DataAbsentReason or ValueInteger must exist.
: exists(dataAbsentReason) or exists(valueInteger)

 

Other representations of profile: CSV, Excel, Schematron