New Zealand ICP Implementation Guide
1.1.0 - draft

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

Resource Profile: ACC ICP Patient

Official URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-patient Version: 1.1.0
Active as of 2022-11-20 Computable Name: IcpPatient

Copyright/Legal: ACC New Zealand© 2023+; Licensed Under Creative Commons No Rights Reserved.

The ACC ICP Patient resource based on NzPatient. Used to verify that an ICP Case has a valid claim.

An ICP Patient resource is used within an Icp Case, as a data point to verify weither an Icp case has a valid claim

Usages:

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.

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient Patient
... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... identifier
.... period 0..0 Time period when id is/was valid for use
... active 0..0 Whether this patient's record is in active use
.... text 0..0 Text representation of the full name
.... period 0..0 Time period when name was/is in use
... birthDate C 1..1 date The date of birth for the individual
Constraints: date-invariant, date-not-in-future-invariant
... maritalStatus 0..0 Marital (civil) status of a patient
... multipleBirth[x] 0..0 Whether patient is part of a multiple birth
... photo 0..0 Image of the patient
... contact 0..0 A contact party (e.g. guardian, partner, friend) for the patient
... communication 0..0 A language which may be used to communicate with the patient about his or her health
... managingOrganization 0..0 Organization that is the custodian of the patient record
... link 0..0 Link to another patient resource that concerns the same actual person

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
date-invariant error Patient.birthDate All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). $this.toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
date-not-in-future-invariant error Patient.birthDate The date value cannot be in the future $this <= today()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient Information about an individual or animal receiving health care services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
date-invariant error Patient.birthDate All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). $this.toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
date-not-in-future-invariant error Patient.birthDate The date value cannot be in the future $this <= today()
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient 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 Patient 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 Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient 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()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient Information about an individual or animal receiving health care services
... 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
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier An identifier for this patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
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 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string The value that is unique
Example General: 123456
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... name Σ 0..* HumanName A name associated with the patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
.... family Σ 0..1 string Family name (often called 'Surname')
.... given Σ 0..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
... telecom Σ 0..* ContactPoint A contact detail for the individual
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate ΣC 1..1 date The date of birth for the individual
Constraints: date-invariant, date-not-in-future-invariant
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address Σ 0..* Address An address for the individual
... generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.name.use Base required NameUse 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 FHIR Std.
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
date-invariant error Patient.birthDate All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). $this.toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
date-not-in-future-invariant error Patient.birthDate The date value cannot be in the future $this <= today()
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient 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 Patient 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 Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient 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()

This structure is derived from Patient

Summary

Mandatory: 1 element
Prohibited: 11 elements

Differential View

This structure is derived from Patient

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient Patient
... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... identifier
.... period 0..0 Time period when id is/was valid for use
... active 0..0 Whether this patient's record is in active use
.... text 0..0 Text representation of the full name
.... period 0..0 Time period when name was/is in use
... birthDate C 1..1 date The date of birth for the individual
Constraints: date-invariant, date-not-in-future-invariant
... maritalStatus 0..0 Marital (civil) status of a patient
... multipleBirth[x] 0..0 Whether patient is part of a multiple birth
... photo 0..0 Image of the patient
... contact 0..0 A contact party (e.g. guardian, partner, friend) for the patient
... communication 0..0 A language which may be used to communicate with the patient about his or her health
... managingOrganization 0..0 Organization that is the custodian of the patient record
... link 0..0 Link to another patient resource that concerns the same actual person

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
date-invariant error Patient.birthDate All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). $this.toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
date-not-in-future-invariant error Patient.birthDate The date value cannot be in the future $this <= today()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient Information about an individual or animal receiving health care services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
date-invariant error Patient.birthDate All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). $this.toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
date-not-in-future-invariant error Patient.birthDate The date value cannot be in the future $this <= today()
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient 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 Patient 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 Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient 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()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* Patient Information about an individual or animal receiving health care services
... 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
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Extension
Slice: Unordered, Open by value:url
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier An identifier for this patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
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 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string The value that is unique
Example General: 123456
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... name Σ 0..* HumanName A name associated with the patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
.... family Σ 0..1 string Family name (often called 'Surname')
.... given Σ 0..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
.... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
.... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
... telecom Σ 0..* ContactPoint A contact detail for the individual
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate ΣC 1..1 date The date of birth for the individual
Constraints: date-invariant, date-not-in-future-invariant
... deceased[x] ?!Σ 0..1 Indicates if the individual is deceased or not
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address Σ 0..* Address An address for the individual
... generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Patient.name.use Base required NameUse 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.contact.relationship Base extensible Patient Contact Relationship 📍4.0.1 FHIR Std.
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
date-invariant error Patient.birthDate All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). $this.toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
date-not-in-future-invariant error Patient.birthDate The date value cannot be in the future $this <= today()
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient 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 Patient 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 Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient 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()

This structure is derived from Patient

Summary

Mandatory: 1 element
Prohibited: 11 elements

 

Other representations of profile: CSV, Excel, Schematron