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

• 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:

Usage:

• Examples for this Resource Profile: Observation/icp-clinical-measurement-shoulder-strength

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
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions require-data-absent-or-value-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist.
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. clinical-quantity-invariant: The value must be a number between 0 and 100, with up to 2 decimal places
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)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	ICPClinicalMskMeasurementStandard (a valid code from clinical-msk-measurement-standard) http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-standard from this IG
Observation.value[x].code	required	ICPClinicalMskMeasurementQuantityType http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions 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-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist.
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, Closed by type:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
Slices for extension		2..2	Extension	Extension Slice: Unordered, Open by value:url
acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. acc-claim-number: The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether. Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: clinical-msk-measurement-standard (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$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'. 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.
value[x]	ΣC	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. clinical-quantity-invariant: The value must be a number between 0 and 100, with up to 2 decimal places
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	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	ICPClinicalMskMeasurementStandard (a valid code from clinical-msk-measurement-standard) http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-standard from this IG
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.value[x].code	required	ICPClinicalMskMeasurementQuantityType http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-type 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
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
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions 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-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist.
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
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
acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
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. 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)
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'. 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.
value[x]	ΣC	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. clinical-quantity-invariant: The value must be a number between 0 and 100, with up to 2 decimal places
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	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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	ICPClinicalMskMeasurementStandard (a valid code from clinical-msk-measurement-standard) http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-standard from this IG
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.value[x].code	required	ICPClinicalMskMeasurementQuantityType http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-type from this IG
Observation.dataAbsentReason	required	ACCDataAbsentReason (a valid code from ACC Data Absent Reason) http://hl7.org.nz/fhir/ValueSet/acc-icp-data-absent-reason 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
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)

This structure is derived from IcpMeasurement

Summary

Mandatory: 0 element(3 nested mandatory elements)

Differential View

This structure is derived from IcpMeasurement

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions require-data-absent-or-value-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist.
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. clinical-quantity-invariant: The value must be a number between 0 and 100, with up to 2 decimal places
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)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	ICPClinicalMskMeasurementStandard (a valid code from clinical-msk-measurement-standard) http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-standard from this IG
Observation.value[x].code	required	ICPClinicalMskMeasurementQuantityType http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions 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-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist.
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, Closed by type:$this
contained:patient		1..1	IcpPatient	Patient's date of birth.
Slices for extension		2..2	Extension	Extension Slice: Unordered, Open by value:url
acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
stage		1..1	code	The stage of the ICP case Observation. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-recorded-outcome-stage Binding: ICP Recorded Outcome Stage (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:system
identifier:icpclaimnumber	Σ	1..1	Identifier	The ACC 45 number to be used in combination with the contained patient's date of birth, as the ICP case idenfitier.
extension		0..0
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	ΣC	1..1	string	The ACC 45 number. acc-claim-number: The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether. Example General: 123456
status	?!Σ	1..1	code	final Binding: Observation Status (required)
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: clinical-msk-measurement-standard (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	This is the patient that the ICP case is associated with.
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$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'. 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.
value[x]	ΣC	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. clinical-quantity-invariant: The value must be a number between 0 and 100, with up to 2 decimal places
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	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	ICPClinicalMskMeasurementStandard (a valid code from clinical-msk-measurement-standard) http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-standard from this IG
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.value[x].code	required	ICPClinicalMskMeasurementQuantityType http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-type 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
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)

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	IcpMeasurement	Measurements and simple assertions 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-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist.
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
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
acc-providerid		1..1	string	The ACC provider ID associated with the ICP case URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
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. 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)
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'. 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.
value[x]	ΣC	0..1	Quantity	The strength measurement, expressed as a percentage from the calculation. See the definition for more information. clinical-quantity-invariant: The value must be a number between 0 and 100, with up to 2 decimal places
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	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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	ICPClinicalMskMeasurementStandard (a valid code from clinical-msk-measurement-standard) http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-standard from this IG
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.value[x].code	required	ICPClinicalMskMeasurementQuantityType http://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-type from this IG
Observation.dataAbsentReason	required	ACCDataAbsentReason (a valid code from ACC Data Absent Reason) http://hl7.org.nz/fhir/ValueSet/acc-icp-data-absent-reason 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
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)

This structure is derived from IcpMeasurement

Summary

Mandatory: 0 element(3 nested mandatory elements)

Other representations of profile: CSV, Excel, Schematron