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
• Examples
• JSON

Resource Profile: ACC Integrated Care Pathway Clinical Observation

This resource profile supports suppliers providing site-specific clinical measures to ACC for ICP purposes.

When the valueQuantity is provided, the value is expressed as a percentage from the following calculation:

Usages:

• Examples for this Profile: Observation/icp-clinical-measurement-shoulder-strength
• CapabilityStatements using this Profile: Capability Statement describing ICP FHIR API

You can also check for usages in the FHIR IG Statistics

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	C	0..*	IcpMeasurement	Measurements and simple assertions Constraints: require-data-absent-or-value-quantity-invariant
code		1..1	CodeableConcept	Type of observation (code / type) Binding: clinical-msk-measurement-standard (required)
value[x]	C	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. Constraints: clinical-quantity-invariant
value		1..1	decimal	Numerical value (with implicit precision)
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Binding: clinical-msk-measurement-quantity-type (required)
derivedFrom		0..0		Related measurements the observation is made from
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	required	clinical-msk-measurement-standard	📦1.1.0	This IG
Observation.value[x].​code	Base	required	clinical-msk-measurement-quantity-type	📦1.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
clinical-quantity-invariant	error	Observation.value[x]	The value must be a number between 0 and 100, with up to 2 decimal places	$this.value.as(decimal) >= 0 and $this.value.as(decimal) <= 100 and $this.value.as(decimal).precision() <= 2
require-data-absent-or-value-quantity-invariant	error	Observation	Either DataAbsentReason or ValueQuantity must exist.	exists(dataAbsentReason) or exists(valueQuantity)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions Constraints: obs-6, obs-7, require-data-absent-or-value-quantity-invariant
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:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
Slices for extension		2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
extension:stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0		Extension Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. Constraints: acc-claim-number Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: clinical-msk-measurement-standard (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$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.
value[x]	ΣC	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. Constraints: clinical-quantity-invariant
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: clinical-msk-measurement-quantity-type (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.identifier:icpclaimnumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.status	Base	required	Observation Status	📦1.1.0	This IG
Observation.code	Base	required	clinical-msk-measurement-standard	📦1.1.0	This IG
Observation.value[x].​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x].​code	Base	required	clinical-msk-measurement-quantity-type	📦1.1.0	This IG
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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}$')
clinical-quantity-invariant	error	Observation.value[x]	The value must be a number between 0 and 100, with up to 2 decimal places	$this.value.as(decimal) >= 0 and $this.value.as(decimal) <= 100 and $this.value.as(decimal).precision() <= 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()
require-data-absent-or-value-quantity-invariant	error	Observation	Either DataAbsentReason or ValueQuantity must exist.	exists(dataAbsentReason) or exists(valueQuantity)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions Constraints: obs-6, obs-7, require-data-absent-or-value-quantity-invariant
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:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
Slices for extension		2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
extension:stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0		Extension Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. Constraints: acc-claim-number Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: clinical-msk-measurement-standard (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$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.
value[x]	ΣC	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. Constraints: clinical-quantity-invariant
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: clinical-msk-measurement-quantity-type (required)
dataAbsentReason	C	0..1	CodeableConcept	The reason why the ICP case Observation value is not present. Binding: data-absent-reason (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.identifier:icpclaimnumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.identifier:icpclaimnumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.status	Base	required	Observation Status	📦1.1.0	This IG
Observation.code	Base	required	clinical-msk-measurement-standard	📦1.1.0	This IG
Observation.value[x].​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x].​code	Base	required	clinical-msk-measurement-quantity-type	📦1.1.0	This IG
Observation.dataAbsentReason	Base	required	data-absent-reason	📦1.1.0	This IG
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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}$')
clinical-quantity-invariant	error	Observation.value[x]	The value must be a number between 0 and 100, with up to 2 decimal places	$this.value.as(decimal) >= 0 and $this.value.as(decimal) <= 100 and $this.value.as(decimal).precision() <= 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()
require-data-absent-or-value-quantity-invariant	error	Observation	Either DataAbsentReason or ValueQuantity must exist.	exists(dataAbsentReason) or exists(valueQuantity)

This structure is derived from IcpMeasurement

Summary

Mandatory: 0 element(3 nested mandatory elements)
Prohibited: 1 element

Differential View

This structure is derived from IcpMeasurement

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions Constraints: require-data-absent-or-value-quantity-invariant
code		1..1	CodeableConcept	Type of observation (code / type) Binding: clinical-msk-measurement-standard (required)
value[x]	C	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. Constraints: clinical-quantity-invariant
value		1..1	decimal	Numerical value (with implicit precision)
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Binding: clinical-msk-measurement-quantity-type (required)
derivedFrom		0..0		Related measurements the observation is made from
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.code	Base	required	clinical-msk-measurement-standard	📦1.1.0	This IG
Observation.value[x].​code	Base	required	clinical-msk-measurement-quantity-type	📦1.1.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
clinical-quantity-invariant	error	Observation.value[x]	The value must be a number between 0 and 100, with up to 2 decimal places	$this.value.as(decimal) >= 0 and $this.value.as(decimal) <= 100 and $this.value.as(decimal).precision() <= 2
require-data-absent-or-value-quantity-invariant	error	Observation	Either DataAbsentReason or ValueQuantity must exist.	exists(dataAbsentReason) or exists(valueQuantity)

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, require-data-absent-or-value-quantity-invariant
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:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
Slices for extension		2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
extension:stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0		Extension Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. Constraints: acc-claim-number Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: clinical-msk-measurement-standard (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$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.
value[x]	ΣC	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. Constraints: clinical-quantity-invariant
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: clinical-msk-measurement-quantity-type (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.identifier:icpclaimnumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.status	Base	required	Observation Status	📦1.1.0	This IG
Observation.code	Base	required	clinical-msk-measurement-standard	📦1.1.0	This IG
Observation.value[x].​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x].​code	Base	required	clinical-msk-measurement-quantity-type	📦1.1.0	This IG
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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}$')
clinical-quantity-invariant	error	Observation.value[x]	The value must be a number between 0 and 100, with up to 2 decimal places	$this.value.as(decimal) >= 0 and $this.value.as(decimal) <= 100 and $this.value.as(decimal).precision() <= 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()
require-data-absent-or-value-quantity-invariant	error	Observation	Either DataAbsentReason or ValueQuantity must exist.	exists(dataAbsentReason) or exists(valueQuantity)

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, require-data-absent-or-value-quantity-invariant
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:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
Slices for extension		2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
extension:stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0		Extension Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. Constraints: acc-claim-number Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: clinical-msk-measurement-standard (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$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.
value[x]	ΣC	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. Constraints: clinical-quantity-invariant
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: clinical-msk-measurement-quantity-type (required)
dataAbsentReason	C	0..1	CodeableConcept	The reason why the ICP case Observation value is not present. Binding: data-absent-reason (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.identifier:icpclaimnumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.identifier:icpclaimnumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.status	Base	required	Observation Status	📦1.1.0	This IG
Observation.code	Base	required	clinical-msk-measurement-standard	📦1.1.0	This IG
Observation.value[x].​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x].​code	Base	required	clinical-msk-measurement-quantity-type	📦1.1.0	This IG
Observation.dataAbsentReason	Base	required	data-absent-reason	📦1.1.0	This IG
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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}$')
clinical-quantity-invariant	error	Observation.value[x]	The value must be a number between 0 and 100, with up to 2 decimal places	$this.value.as(decimal) >= 0 and $this.value.as(decimal) <= 100 and $this.value.as(decimal).precision() <= 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()
require-data-absent-or-value-quantity-invariant	error	Observation	Either DataAbsentReason or ValueQuantity must exist.	exists(dataAbsentReason) or exists(valueQuantity)

This structure is derived from IcpMeasurement

Summary

Mandatory: 0 element(3 nested mandatory elements)
Prohibited: 1 element

Other representations of profile: CSV, Excel, Schematron