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

Profiles

Profiles for use by PMS vendors

An ICP "Episode of Care" represents the period during which a contracted Integrated Care Pathways (ICP) supplier is providing a patient with treatment for a specific injury.

"Integrated Care Pathways" is a new type of service that Accident Compensation Corporation (ACC) contracts suppliers for. It is a provider-managed pathway that commissions outcomes rather than specified treatments. It’s focused on moderate complexity client needs whereby healthcare providers are empowered with autonomy & agency to use their skill set to assist clients back to independence.

An ICP "Episode of Care" is also referred to as an "ICP Case". It runs from the point when the supplier has completed their triage assessment and decided to enter the patient into their ICP service, until the point at which the patient is exited from that service.

The ICP Observation/Measurement resource is used to provide clinical/functional measurement details to ACC. (AKA site-specific clinical measures and PROMs)

The ICP Referral Decline resource is used to provide ACC with the relevant details when an ICP supplier declines an ICP referral. This includes pre-triage declines as well as declines that occur aftertriage been complete.

There are various ICP profiles available:

Id	Canonical url	Description
Icp Case Create	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-case-create	ICP Case Create is to be used by the supplier to furnish ACC with the required information following the completion of the triage assessment and the decision to accept the patient into their ICP service.	example
Icp Case Modify	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-case-modify	This profile supports suppliers needing to inform ACC of a change to the selected Service Bundle and/or Exceptional Funding Required.	example
Icp Case Exit	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-case-finished	This profile supports suppliers needing to inform ACC of a patient being exited from their ICP service.	example
Icp Measurement Clinical	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement-clinical	This profile supports suppliers providing site-specific clinical measures to ACC.	example
Icp Measurement PROM	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement-prom	This profile supports suppliers providing site-specific patient reported outcome measures (PROMs) to ACC.	example
Icp Referral Decline	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-decline	This profile enables ICP suppliers to provide the relevant details to ACC when they decline an ICP referral.	example

Additional Profile resources

There are two additional profiles which are not intended to be used directly, but are required to support the three profiles listed above. Icp Case is the parent resource, and Icp Patient is a contained resource within each.

Id	Canonical url	Description
IcpCase	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-case	This is the base profile/structure that Case-Create, Case-Update, and Case-Exit build upon.
IcpPatient	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-patient	This is used as a contained resource within Case-Create, Case-Update, Case-Exit, Measurement-Clinical and Measurement-Patient. It represents the patient being treated.
IcpMeasurement	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement	This is the base profile/structure that Measurement-Clinical and Measurement-PROM build upon.