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 ICP Referral Decline Resource
| Official URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-decline | Version: 1.0.0 | |||
| Active as of 2022-11-20 | Computable Name: IcpReferralDecline | |||
Copyright/Legal: ACC New Zealand© 2023+; Licensed Under Creative Commons No Rights Reserved. |
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The ICP Referral Decline profile is to be used by ICP suppliers to furnish ACC with the required information following them declining an ICP referral.
Usage:
- Examples for this Resource Profile: Encounter/icp-referral-decline
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Encounter |
0..* | Encounter | An interaction during which services are provided to the patient 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 | |
  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 |
3..4 | Extension | Extension Slice: Unordered, Closed 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 of the practioner providing this information 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 | |
| referral-source |
1..1 | (Complex) | (gp | physio | specialist | allied | employer | rongoa | other | acc | patient) URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| referral-declined |
C | 1..1 | (Complex) | The declined reason and details for declining the referral URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both other-reason-invariant: if reason code is 'other', other-reason is required. not-other-reason-invariant: if reason code is not 'other', other-reason must not be populated. |
 triage |
0..1 | (Complex) | The triage assessment of the patient must be present when a triage has been performed URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
   Slices for extension |
3..4 | 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 | |
 triage-assessment-date |
1..1 | date | The date the triage assessment was completed. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage-assessment-date ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| acc-client-authority |
1..1 | boolean | Indicates that the Client has agreed to ACC being able to collect, store, use, & share their information. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-authority ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| complexityScores |
1..1 | (Complex) | The scores obtained from the ICP complexity assessment/tool. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-complexity-scores ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| client-participation-agreement |
0..1 | (Complex) | Client Participation Agreement URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 extension |
0..0 | |||
 url |
1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement" | |
| url |
1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage" | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored 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 | Identifier(s) by which this encounter is known 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 | finished Binding: Encounter Status (required) ele-1: All FHIR elements must have a @value or children |
 class |
Σ | 1..1 | Coding | PRENC Binding: Encounter Class (required) ele-1: All FHIR elements must have a @value or children |
| serviceType |
Σ | 1..1 | CodeableConcept | The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. Binding: ServiceType (example): Broad categorization of the service that is to be provided. ele-1: All FHIR elements must have a @value or children |
 coding |
Σ | 1..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://hl7.org.nz/fhir/CodeSystem/acc-icp-service-type |
 code |
Σ | 1..1 | code | msk Binding: Service Type (required) ele-1: All FHIR elements must have a @value or children |
 subject |
Σ | 1..1 | Reference(ACC ICP Patient) | The patient or group present at the encounter ele-1: All FHIR elements must have a @value or children |
| serviceProvider |
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 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Encounter.identifier:icpclaimnumber.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Encounter.status | required | ICPEncounterStatusVShttp://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-statusfrom this IG | |
| Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1from the FHIR Standard | |
| Encounter.class | required | ICPEncounterClassVShttp://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-classfrom this IG | |
| Encounter.classHistory.class | extensible | ActEncounterCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode | |
| Encounter.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typefrom the FHIR Standard | |
| Encounter.serviceType.coding.code | required | ICPServiceType (a valid code from Service Type)http://hl7.org.nz/fhir/ValueSet/acc-icp-service-typefrom this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| acc-claim-number | error | Encounter.identifier:icpclaimnumber.value | 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. : $this.toString().matches('^[A-Z][0-9]{6}$|^[A-Z]{2}[0-9]{5}$|^[0-9]{4}[A-Z]{3}$|^[0-9]{5}[A-Z]{2}$') |
Other representations of profile: CSV, Excel, Schematron