New Zealand ICP Implementation Guide
1.0.0 - draft
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
| Official URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement-clinical | Version: 1.0.0 | |||
| Active as of 2022-11-20 | Computable Name: IcpMeasurementClinical | |||
Copyright/Legal: ACC New Zealand© 2023+; Licensed Under Creative Commons No Rights Reserved. |
||||
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:
| Measurement | Calculation |
|---|---|
| Shoulder | Kilogram of force measurement of the injured arm as a percentage of the measurement from the non-injured arm |
| Lower back | Kilogram of force measurement of the lower back as a percentage of the normative value of 20kg (195Nm) |
| Knee | Kilogram of force measurement of the injured knee as a percentage of the measurement from the non-injured knee |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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) | |
| derivedFrom |
0..0 | |||
| Documentation for this format | ||||
| 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-standardfrom this IG | |
| Observation.value[x].code | required | ICPClinicalMskMeasurementQuantityTypehttp://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-typefrom this IG |
| 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 $this.value.as(decimal).precision() <= 2 | |
| require-data-absent-or-value-quantity-invariant | error | Observation | Either DataAbsentReason or ValueQuantity must exist. : exists(dataAbsentReason) or exists(valueQuantity) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | IcpMeasurement | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present require-data-absent-or-value-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist. |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 Slices for contained |
1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this | |
  contained:patient |
1..1 | IcpPatient | Patient's date of birth. | |
 Slices for extension |
2..3 | Extension | Extension Slice: Unordered, Open by value:url | |
 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 | ||||
| Path | Conformance | ValueSet | URI |
| Observation.identifier:icpclaimnumber.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Observation.status | required | ICPObservationStatusVShttp://hl7.org.nz/fhir/ValueSet/acc-icp-observation-statusfrom 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-standardfrom this IG | |
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.value[x].code | required | ICPClinicalMskMeasurementQuantityTypehttp://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-typefrom this IG | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard |
| 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 $this.value.as(decimal).precision() <= 2 | |
| require-data-absent-or-value-quantity-invariant | error | Observation | Either DataAbsentReason or ValueQuantity must exist. : exists(dataAbsentReason) or exists(valueQuantity) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | IcpMeasurement | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present require-data-absent-or-value-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist. | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| Slices for contained |
1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this | |||||
| contained:patient |
1..1 | IcpPatient | Patient's date of birth. | |||||
| 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: 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.identifier:icpclaimnumber.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Observation.identifier:icpclaimnumber.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Observation.status | required | ICPObservationStatusVShttp://hl7.org.nz/fhir/ValueSet/acc-icp-observation-statusfrom 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-standardfrom this IG | ||||
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.value[x].code | required | ICPClinicalMskMeasurementQuantityTypehttp://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-typefrom this IG | ||||
| Observation.dataAbsentReason | required | ACCDataAbsentReason (a valid code from ACC Data Absent Reason)http://hl7.org.nz/fhir/ValueSet/acc-icp-data-absent-reasonfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| 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
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) | |
| derivedFrom |
0..0 | |||
| Documentation for this format | ||||
| 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-standardfrom this IG | |
| Observation.value[x].code | required | ICPClinicalMskMeasurementQuantityTypehttp://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-typefrom this IG |
| 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 $this.value.as(decimal).precision() <= 2 | |
| require-data-absent-or-value-quantity-invariant | error | Observation | Either DataAbsentReason or ValueQuantity must exist. : exists(dataAbsentReason) or exists(valueQuantity) |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | IcpMeasurement | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present require-data-absent-or-value-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist. |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for contained |
1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this | |
| contained:patient |
1..1 | IcpPatient | Patient's date of birth. | |
| Slices for extension |
2..3 | Extension | Extension Slice: Unordered, Open by value:url | |
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| Observation.identifier:icpclaimnumber.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Observation.status | required | ICPObservationStatusVShttp://hl7.org.nz/fhir/ValueSet/acc-icp-observation-statusfrom 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-standardfrom this IG | |
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.value[x].code | required | ICPClinicalMskMeasurementQuantityTypehttp://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-typefrom this IG | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard |
| 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 $this.value.as(decimal).precision() <= 2 | |
| require-data-absent-or-value-quantity-invariant | error | Observation | Either DataAbsentReason or ValueQuantity must exist. : exists(dataAbsentReason) or exists(valueQuantity) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | IcpMeasurement | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present require-data-absent-or-value-quantity-invariant: Either DataAbsentReason or ValueQuantity must exist. | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| Slices for contained |
1..* | Resource | Contained, inline Resources Slice: Unordered, Open by profile:$this | |||||
| contained:patient |
1..1 | IcpPatient | Patient's date of birth. | |||||
| 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: 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.identifier:icpclaimnumber.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| Observation.identifier:icpclaimnumber.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| Observation.status | required | ICPObservationStatusVShttp://hl7.org.nz/fhir/ValueSet/acc-icp-observation-statusfrom 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-standardfrom this IG | ||||
| Observation.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.value[x].code | required | ICPClinicalMskMeasurementQuantityTypehttp://hl7.org.nz/fhir/ValueSet/acc-icp-clinical-msk-measurement-quantity-typefrom this IG | ||||
| Observation.dataAbsentReason | required | ACCDataAbsentReason (a valid code from ACC Data Absent Reason)http://hl7.org.nz/fhir/ValueSet/acc-icp-data-absent-reasonfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| 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
Other representations of profile: CSV, Excel, Schematron