New Zealand ICP Implementation Guide
1.0.0 - 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 1.0.0 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

Resource Profile: ACC Integrated Care Pathway TBI BIST

Official URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement-bist Version: 1.0.0
Active as of 2022-11-20 Computable Name: IcpMeasurementBIST

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

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

Usage:

Formal Views of Profile Content

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

This structure is derived from IcpMeasurement

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... derivedFrom 1..1 Reference(QuestionnaireResponse) BIST measurement this observation is based on.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.coderequiredICPBistMeasurementStandard
http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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
.... 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)
... 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: 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'.
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.
... derivedFrom Σ 1..1 Reference(QuestionnaireResponse) BIST measurement this observation is based on.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredICPObservationStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status
from this IG
Observation.coderequiredICPBistMeasurementStandard
http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard
from this IG
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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
... 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
.... 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: 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'.
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.
... derivedFrom Σ 1..1 Reference(QuestionnaireResponse) BIST measurement this observation is based on.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
​ AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier:icpclaimnumber.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.statusrequiredICPObservationStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status
from this IG
Observation.coderequiredICPBistMeasurementStandard
http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard
from this IG
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from IcpMeasurement

Summary

Mandatory: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from IcpMeasurement

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... derivedFrom 1..1 Reference(QuestionnaireResponse) BIST measurement this observation is based on.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.coderequiredICPBistMeasurementStandard
http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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
.... 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)
... 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: 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'.
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.
... derivedFrom Σ 1..1 Reference(QuestionnaireResponse) BIST measurement this observation is based on.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.statusrequiredICPObservationStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status
from this IG
Observation.coderequiredICPBistMeasurementStandard
http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard
from this IG
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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
... 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
.... 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: 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'.
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.
... derivedFrom Σ 1..1 Reference(QuestionnaireResponse) BIST measurement this observation is based on.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
​ AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Observation.identifier:icpclaimnumber.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Observation.statusrequiredICPObservationStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-observation-status
from this IG
Observation.coderequiredICPBistMeasurementStandard
http://hl7.org.nz/fhir/ValueSet/acc-icp-bist-measurement-standard
from this IG
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

This structure is derived from IcpMeasurement

Summary

Mandatory: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron