Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
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		3..4	Extension	Extension Slice: Unordered, Closed by value:url
acc-providerid		1..1	string	The ACC provider Id of the practioner providing this information URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
referral-source		1..1	(Complex)	(gp | physio | specialist | allied | employer | rongoa | other | acc | patient) URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source
referral-declined		1..1	(Complex)	The declined reason and details for declining the referral URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined
Slices for extension				Content/Rules for all slices
extension:reason		1..1	Extension	Extension
value[x]		1..1	code	Value of extension Binding: Referral Decline Reason (required)
triage		0..1	(Complex)	The triage assessment of the patient must be present when a triage has been performed URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage
extension		3..4	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:complexityScores		1..1	Icp_complexityScores	Complexity Scores
extension:client-participation-agreement		0..1	ClientPatricitionAgreement	Client Participation Agreement
value[x]		0..0
Slices for identifier		1..1	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Closed by value:system
identifier:icpclaimnumber		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.
id		0..0
extension		0..0
system		1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	C	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.
period		0..0
assigner		0..0
status		1..1	code	finished Binding: Encounter Status (required)
statusHistory		0..0
class		1..1	Coding	PRENC Binding: Encounter Class (required)
classHistory		0..0
type		0..0
serviceType		1..1	CodeableConcept	The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion.
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org.nz/fhir/CodeSystem/acc-icp-service-type
code		1..1	code	msk Binding: Service Type (required)
priority		0..0
subject		1..1	Reference(ACC ICP Patient)	The patient or group present at the encounter
episodeOfCare		0..0
basedOn		0..0
participant		0..0
appointment		0..0
period		0..0
length		0..0
reasonCode		0..0
reasonReference		0..0
diagnosis		0..0
account		0..0
hospitalization		0..0
location		0..0
serviceProvider		1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
partOf		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.extension:referral-declined.extension:reason.value[x]	required	ICPDeclinedReason http://hl7.org.nz/fhir/ValueSet/acc-icp-declined-reason from this IG
Encounter.status	required	ICPEncounterStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status from this IG
Encounter.class	required	ICPEncounterClassVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class from this IG
Encounter.serviceType.coding.code	required	ICPServiceType (a valid code from Service Type) http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Encounter.identifier:icpclaimnumber.value	The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether. : $this.toString().matches('^[A-Z][0-9]{6}$|^[A-Z]{2}[0-9]{5}$|^[0-9]{4}[A-Z]{3}$|^[0-9]{5}[A-Z]{2}$')

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
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		3..4	Extension	Extension Slice: Unordered, Closed by value:url
acc-providerid		1..1	string	The ACC provider Id of the practioner providing this information URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
referral-source		1..1	(Complex)	(gp | physio | specialist | allied | employer | rongoa | other | acc | patient) URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source
referral-declined	C	1..1	(Complex)	The declined reason and details for declining the referral URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined other-reason-invariant: if reason code is 'other', other-reason is required. not-other-reason-invariant: if reason code is not 'other', other-reason must not be populated.
Slices for extension		3..4	Extension	Extension Slice: Unordered, Open by value:url
extension:date-declined		1..1	Extension	Date referral declined.
extension		0..0
url		1..1	uri	"date-declined"
value[x]	C	1..1	date	Value of extension date-invariant: All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). date-not-in-future-invariant: The date value cannot be in the future
extension:reason		1..1	Extension	Extension
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	code	Value of extension Binding: Referral Decline Reason (required)
extension:other-reason		0..1	Extension	Descriptor for 'other' exit reason. Mandatory when the exit reason is 'other'.
extension		0..0
url		1..1	uri	"other-reason"
extension:recommended-next-steps		1..1	Extension	Extension
extension		0..0
url		1..1	uri	"recommended-next-steps"
value[x]	C	1..1	string	Value of extension recommended-next-steps-999-length-invariant: 'recommended-next-steps' must be less than 1000 characters.
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined"
triage		0..1	(Complex)	The triage assessment of the patient must be present when a triage has been performed URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage
Slices for extension		3..4	Extension	Extension Slice: Unordered, Open by value:url
triage-assessment-date		1..1	date	The date the triage assessment was completed. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage-assessment-date
acc-client-authority		1..1	boolean	Indicates that the Client has agreed to ACC being able to collect, store, use, & share their information. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-authority
complexityScores		1..1	(Complex)	Complexity Scores URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-complexity-scores
client-participation-agreement		0..1	(Complex)	Client Participation Agreement URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement
extension		0..0
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement"
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Identifier(s) by which this encounter is known 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	finished Binding: Encounter Status (required)
class	Σ	1..1	Coding	PRENC Binding: Encounter Class (required)
serviceType	Σ	1..1	CodeableConcept	The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. Binding: ServiceType (example): Broad categorization of the service that is to be provided.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org.nz/fhir/CodeSystem/acc-icp-service-type
code	Σ	1..1	code	msk Binding: Service Type (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	The patient or group present at the encounter
serviceProvider		1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.extension:referral-declined.extension:reason.value[x]	required	ICPDeclinedReason http://hl7.org.nz/fhir/ValueSet/acc-icp-declined-reason from this IG
Encounter.identifier:icpclaimnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	ICPEncounterStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status from this IG
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	ICPEncounterClassVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.serviceType.coding.code	required	ICPServiceType (a valid code from Service Type) http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Encounter.identifier:icpclaimnumber.value	The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether. : $this.toString().matches('^[A-Z][0-9]{6}$|^[A-Z]{2}[0-9]{5}$|^[0-9]{4}[A-Z]{3}$|^[0-9]{5}[A-Z]{2}$')

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
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		3..4	Extension	Extension Slice: Unordered, Closed by value:url
acc-providerid		1..1	string	The ACC provider Id of the practioner providing this information URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
referral-source		1..1	(Complex)	(gp | physio | specialist | allied | employer | rongoa | other | acc | patient) URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source
referral-declined	C	1..1	(Complex)	The declined reason and details for declining the referral URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined other-reason-invariant: if reason code is 'other', other-reason is required. not-other-reason-invariant: if reason code is not 'other', other-reason must not be populated.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..4	Extension	Extension Slice: Unordered, Open by value:url
extension:date-declined		1..1	Extension	Date referral declined.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"date-declined"
value[x]	C	1..1	date	Value of extension date-invariant: All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). date-not-in-future-invariant: The date value cannot be in the future
extension:reason		1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	code	Value of extension Binding: Referral Decline Reason (required)
extension:other-reason		0..1	Extension	Descriptor for 'other' exit reason. Mandatory when the exit reason is 'other'.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"other-reason"
value[x]	C	0..1	string	Value of extension other-reason-max110-length-invariant: 'other-reason' must be no more than 110 characters.
extension:recommended-next-steps		1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"recommended-next-steps"
value[x]	C	1..1	string	Value of extension recommended-next-steps-999-length-invariant: 'recommended-next-steps' must be less than 1000 characters.
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined"
triage		0..1	(Complex)	The triage assessment of the patient must be present when a triage has been performed URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..4	Extension	Extension Slice: Unordered, Open by value:url
triage-assessment-date		1..1	date	The date the triage assessment was completed. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage-assessment-date
acc-client-authority		1..1	boolean	Indicates that the Client has agreed to ACC being able to collect, store, use, & share their information. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-authority
complexityScores		1..1	(Complex)	Complexity Scores URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-complexity-scores
client-participation-agreement		0..1	(Complex)	Client Participation Agreement URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement"
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Identifier(s) by which this encounter is known 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	finished Binding: Encounter Status (required)
class	Σ	1..1	Coding	PRENC Binding: Encounter Class (required)
serviceType	Σ	1..1	CodeableConcept	The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. Binding: ServiceType (example): Broad categorization of the service that is to be provided.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org.nz/fhir/CodeSystem/acc-icp-service-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	msk Binding: Service Type (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(ACC ICP Patient)	The patient or group present at the encounter
serviceProvider		1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose ​ AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.extension:referral-declined.extension:reason.value[x]	required	ICPDeclinedReason http://hl7.org.nz/fhir/ValueSet/acc-icp-declined-reason from this IG
Encounter.identifier:icpclaimnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:icpclaimnumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	ICPEncounterStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status from this IG
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	ICPEncounterClassVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.serviceType.coding.code	required	ICPServiceType (a valid code from Service Type) http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type from this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Encounter.identifier:icpclaimnumber.value	The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether. : $this.toString().matches('^[A-Z][0-9]{6}$|^[A-Z]{2}[0-9]{5}$|^[0-9]{4}[A-Z]{3}$|^[0-9]{5}[A-Z]{2}$')

Summary

Mandatory: 15 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 22 elements

Structures

This structure refers to these other structures:

• ACC ICP Patient (http://hl7.org.nz/fhir/StructureDefinition/acc-icp-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
• http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source
• http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined
• http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.contained (Closed)
• The element 1 is sliced based on the value of Encounter.identifier (Closed)

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
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		3..4	Extension	Extension Slice: Unordered, Closed by value:url
acc-providerid		1..1	string	The ACC provider Id of the practioner providing this information URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
referral-source		1..1	(Complex)	(gp | physio | specialist | allied | employer | rongoa | other | acc | patient) URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source
referral-declined		1..1	(Complex)	The declined reason and details for declining the referral URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined
Slices for extension				Content/Rules for all slices
extension:reason		1..1	Extension	Extension
value[x]		1..1	code	Value of extension Binding: Referral Decline Reason (required)
triage		0..1	(Complex)	The triage assessment of the patient must be present when a triage has been performed URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage
extension		3..4	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:complexityScores		1..1	Icp_complexityScores	Complexity Scores
extension:client-participation-agreement		0..1	ClientPatricitionAgreement	Client Participation Agreement
value[x]		0..0
Slices for identifier		1..1	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Closed by value:system
identifier:icpclaimnumber		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.
id		0..0
extension		0..0
system		1..1	uri	The namespace for the identifier value Fixed Value: https://standards.digital.health.nz/ns/acc-45-number
value	C	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.
period		0..0
assigner		0..0
status		1..1	code	finished Binding: Encounter Status (required)
statusHistory		0..0
class		1..1	Coding	PRENC Binding: Encounter Class (required)
classHistory		0..0
type		0..0
serviceType		1..1	CodeableConcept	The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion.
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org.nz/fhir/CodeSystem/acc-icp-service-type
code		1..1	code	msk Binding: Service Type (required)
priority		0..0
subject		1..1	Reference(ACC ICP Patient)	The patient or group present at the encounter
episodeOfCare		0..0
basedOn		0..0
participant		0..0
appointment		0..0
period		0..0
length		0..0
reasonCode		0..0
reasonReference		0..0
diagnosis		0..0
account		0..0
hospitalization		0..0
location		0..0
serviceProvider		1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
partOf		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.extension:referral-declined.extension:reason.value[x]	required	ICPDeclinedReason http://hl7.org.nz/fhir/ValueSet/acc-icp-declined-reason from this IG
Encounter.status	required	ICPEncounterStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status from this IG
Encounter.class	required	ICPEncounterClassVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class from this IG
Encounter.serviceType.coding.code	required	ICPServiceType (a valid code from Service Type) http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Encounter.identifier:icpclaimnumber.value	The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether. : $this.toString().matches('^[A-Z][0-9]{6}$|^[A-Z]{2}[0-9]{5}$|^[0-9]{4}[A-Z]{3}$|^[0-9]{5}[A-Z]{2}$')

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
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		3..4	Extension	Extension Slice: Unordered, Closed by value:url
acc-providerid		1..1	string	The ACC provider Id of the practioner providing this information URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
referral-source		1..1	(Complex)	(gp | physio | specialist | allied | employer | rongoa | other | acc | patient) URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source
referral-declined	C	1..1	(Complex)	The declined reason and details for declining the referral URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined other-reason-invariant: if reason code is 'other', other-reason is required. not-other-reason-invariant: if reason code is not 'other', other-reason must not be populated.
Slices for extension		3..4	Extension	Extension Slice: Unordered, Open by value:url
extension:date-declined		1..1	Extension	Date referral declined.
extension		0..0
url		1..1	uri	"date-declined"
value[x]	C	1..1	date	Value of extension date-invariant: All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). date-not-in-future-invariant: The date value cannot be in the future
extension:reason		1..1	Extension	Extension
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	code	Value of extension Binding: Referral Decline Reason (required)
extension:other-reason		0..1	Extension	Descriptor for 'other' exit reason. Mandatory when the exit reason is 'other'.
extension		0..0
url		1..1	uri	"other-reason"
extension:recommended-next-steps		1..1	Extension	Extension
extension		0..0
url		1..1	uri	"recommended-next-steps"
value[x]	C	1..1	string	Value of extension recommended-next-steps-999-length-invariant: 'recommended-next-steps' must be less than 1000 characters.
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined"
triage		0..1	(Complex)	The triage assessment of the patient must be present when a triage has been performed URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage
Slices for extension		3..4	Extension	Extension Slice: Unordered, Open by value:url
triage-assessment-date		1..1	date	The date the triage assessment was completed. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage-assessment-date
acc-client-authority		1..1	boolean	Indicates that the Client has agreed to ACC being able to collect, store, use, & share their information. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-authority
complexityScores		1..1	(Complex)	Complexity Scores URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-complexity-scores
client-participation-agreement		0..1	(Complex)	Client Participation Agreement URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement
extension		0..0
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement"
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Identifier(s) by which this encounter is known 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	finished Binding: Encounter Status (required)
class	Σ	1..1	Coding	PRENC Binding: Encounter Class (required)
serviceType	Σ	1..1	CodeableConcept	The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. Binding: ServiceType (example): Broad categorization of the service that is to be provided.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org.nz/fhir/CodeSystem/acc-icp-service-type
code	Σ	1..1	code	msk Binding: Service Type (required)
subject	Σ	1..1	Reference(ACC ICP Patient)	The patient or group present at the encounter
serviceProvider		1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.extension:referral-declined.extension:reason.value[x]	required	ICPDeclinedReason http://hl7.org.nz/fhir/ValueSet/acc-icp-declined-reason from this IG
Encounter.identifier:icpclaimnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	ICPEncounterStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status from this IG
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	ICPEncounterClassVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.serviceType.coding.code	required	ICPServiceType (a valid code from Service Type) http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Encounter.identifier:icpclaimnumber.value	The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether. : $this.toString().matches('^[A-Z][0-9]{6}$|^[A-Z]{2}[0-9]{5}$|^[0-9]{4}[A-Z]{3}$|^[0-9]{5}[A-Z]{2}$')

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
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		3..4	Extension	Extension Slice: Unordered, Closed by value:url
acc-providerid		1..1	string	The ACC provider Id of the practioner providing this information URL: http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
referral-source		1..1	(Complex)	(gp | physio | specialist | allied | employer | rongoa | other | acc | patient) URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source
referral-declined	C	1..1	(Complex)	The declined reason and details for declining the referral URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined other-reason-invariant: if reason code is 'other', other-reason is required. not-other-reason-invariant: if reason code is not 'other', other-reason must not be populated.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..4	Extension	Extension Slice: Unordered, Open by value:url
extension:date-declined		1..1	Extension	Date referral declined.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"date-declined"
value[x]	C	1..1	date	Value of extension date-invariant: All timestamps SHOULD be represented as Dates (YYYY-MM-DD only). date-not-in-future-invariant: The date value cannot be in the future
extension:reason		1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		1..1	code	Value of extension Binding: Referral Decline Reason (required)
extension:other-reason		0..1	Extension	Descriptor for 'other' exit reason. Mandatory when the exit reason is 'other'.
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"other-reason"
value[x]	C	0..1	string	Value of extension other-reason-max110-length-invariant: 'other-reason' must be no more than 110 characters.
extension:recommended-next-steps		1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"recommended-next-steps"
value[x]	C	1..1	string	Value of extension recommended-next-steps-999-length-invariant: 'recommended-next-steps' must be less than 1000 characters.
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined"
triage		0..1	(Complex)	The triage assessment of the patient must be present when a triage has been performed URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..4	Extension	Extension Slice: Unordered, Open by value:url
triage-assessment-date		1..1	date	The date the triage assessment was completed. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage-assessment-date
acc-client-authority		1..1	boolean	Indicates that the Client has agreed to ACC being able to collect, store, use, & share their information. URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-authority
complexityScores		1..1	(Complex)	Complexity Scores URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-complexity-scores
client-participation-agreement		0..1	(Complex)	Client Participation Agreement URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-client-participation-agreement"
url		1..1	uri	"http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	Identifier(s) by which this encounter is known 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	finished Binding: Encounter Status (required)
class	Σ	1..1	Coding	PRENC Binding: Encounter Class (required)
serviceType	Σ	1..1	CodeableConcept	The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. Binding: ServiceType (example): Broad categorization of the service that is to be provided.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://hl7.org.nz/fhir/CodeSystem/acc-icp-service-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	msk Binding: Service Type (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(ACC ICP Patient)	The patient or group present at the encounter
serviceProvider		1..1	Reference(Organization)	This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose ​ AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.extension:referral-declined.extension:reason.value[x]	required	ICPDeclinedReason http://hl7.org.nz/fhir/ValueSet/acc-icp-declined-reason from this IG
Encounter.identifier:icpclaimnumber.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:icpclaimnumber.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	ICPEncounterStatusVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status from this IG
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	ICPEncounterClassVS http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Encounter.serviceType.coding.code	required	ICPServiceType (a valid code from Service Type) http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type from this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
acc-claim-number	error	Encounter.identifier:icpclaimnumber.value	The claim number format is invalid; it must be in the form A999999, AA99999, 9999AAA or 99999AA, where A is any capital letter, 9 is any single digit, and there are 7 characters altogether. : $this.toString().matches('^[A-Z][0-9]{6}$|^[A-Z]{2}[0-9]{5}$|^[0-9]{4}[A-Z]{3}$|^[0-9]{5}[A-Z]{2}$')

Summary

Mandatory: 15 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 22 elements

Structures

This structure refers to these other structures:

• ACC ICP Patient (http://hl7.org.nz/fhir/StructureDefinition/acc-icp-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org.nz/fhir/StructureDefinition/acc-providerid
• http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-source
• http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-declined
• http://hl7.org.nz/fhir/StructureDefinition/acc-icp-triage

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.contained (Closed)
• The element 1 is sliced based on the value of Encounter.identifier (Closed)