New Zealand ICP Implementation Guide, published by Accident Compensation Corporation. This guide is not an authorized publication; it is the continuous build for version 1.1.0 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

• Content
• Detailed Descriptions
• Mappings
• JSON

Resource Profile: ACC Integrated Care Pathway TBI BIST

This resource profile supports suppliers providing a BIST document to ACC.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from IcpMeasurement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	IcpMeasurement	Measurements and simple assertions
Slices for contained				Content/Rules for all slices
contained:patient-referral		0..1	IcpBistPatientReferral	A request for a service to be performed
code		1..1	CodeableConcept	Type of observation (code / type) Binding: Traumatic Brain Injury and Concussion Snomed Codes (required)
value[x]		0..0
dataAbsentReason		0..0
derivedFrom		1..1	Reference(QuestionnaireResponse)	BIST measurement this observation is based on.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	ICPBistMeasurementStandard http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
contained:patient-referral		0..1	IcpBistPatientReferral	A request for a service to be performed
Slices for extension		2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
extension:stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. Constraints: acc-claim-number Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: Traumatic Brain Injury and Concussion Snomed Codes (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
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'. Constraints: dateTime-not-in-future-invariant
performer	Σ	1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
derivedFrom	Σ	1..1	Reference(QuestionnaireResponse)	BIST measurement this observation is based on.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:icpclaimnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.status	required	ICPObservationStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status From this IG
Observation.code	required	ICPBistMeasurementStandard http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard From this IG
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Observation.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}$')
dateTime-not-in-future-invariant	error	Observation.effective[x]:effectiveDateTime	The date value cannot be in the future : $this <= now()
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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 : 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-4	error	Observation	If 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-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
contained:patient-referral		0..1	IcpBistPatientReferral	A request for a service to be performed
Slices for extension		2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
extension:stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. Constraints: acc-claim-number Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: Traumatic Brain Injury and Concussion Snomed Codes (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
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'. Constraints: dateTime-not-in-future-invariant
performer	Σ	1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
derivedFrom	Σ	1..1	Reference(QuestionnaireResponse)	BIST measurement this observation is based on.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:icpclaimnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:icpclaimnumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.status	required	ICPObservationStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status From this IG
Observation.code	required	ICPBistMeasurementStandard http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard From this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Observation.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}$')
dateTime-not-in-future-invariant	error	Observation.effective[x]:effectiveDateTime	The date value cannot be in the future : $this <= now()
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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 : 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-4	error	Observation	If 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-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from IcpMeasurement

Summary

Mandatory: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• ACC ICP Patient Referral for BIST (http://hl7.org.nz/fhir/StructureDefinition/acc-icp-bist-patient-referral)

Differential View

This structure is derived from IcpMeasurement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	IcpMeasurement	Measurements and simple assertions
Slices for contained				Content/Rules for all slices
contained:patient-referral		0..1	IcpBistPatientReferral	A request for a service to be performed
code		1..1	CodeableConcept	Type of observation (code / type) Binding: Traumatic Brain Injury and Concussion Snomed Codes (required)
value[x]		0..0
dataAbsentReason		0..0
derivedFrom		1..1	Reference(QuestionnaireResponse)	BIST measurement this observation is based on.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	ICPBistMeasurementStandard http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard From this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
contained:patient-referral		0..1	IcpBistPatientReferral	A request for a service to be performed
Slices for extension		2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
extension:stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. Constraints: acc-claim-number Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: Traumatic Brain Injury and Concussion Snomed Codes (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
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'. Constraints: dateTime-not-in-future-invariant
performer	Σ	1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
derivedFrom	Σ	1..1	Reference(QuestionnaireResponse)	BIST measurement this observation is based on.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.identifier:icpclaimnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.status	required	ICPObservationStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status From this IG
Observation.code	required	ICPBistMeasurementStandard http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard From this IG
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Observation.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}$')
dateTime-not-in-future-invariant	error	Observation.effective[x]:effectiveDateTime	The date value cannot be in the future : $this <= now()
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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 : 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-4	error	Observation	If 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-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by profile:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
contained:patient-referral		0..1	IcpBistPatientReferral	A request for a service to be performed
Slices for extension		2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
extension:stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. Constraints: acc-claim-number Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: Traumatic Brain Injury and Concussion Snomed Codes (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
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'. Constraints: dateTime-not-in-future-invariant
performer	Σ	1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
derivedFrom	Σ	1..1	Reference(QuestionnaireResponse)	BIST measurement this observation is based on.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.identifier:icpclaimnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.identifier:icpclaimnumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Observation.status	required	ICPObservationStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status From this IG
Observation.code	required	ICPBistMeasurementStandard http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard From this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Observation.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}$')
dateTime-not-in-future-invariant	error	Observation.effective[x]:effectiveDateTime	The date value cannot be in the future : $this <= now()
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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 : 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-4	error	Observation	If 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-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from IcpMeasurement

Summary

Mandatory: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• ACC ICP Patient Referral for BIST (http://hl7.org.nz/fhir/StructureDefinition/acc-icp-bist-patient-referral)

Other representations of profile: CSV, Excel, Schematron