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 ICP Referral Decline Resource

Official URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-tbi-referral-decline Version: 1.0.0
Active as of 2022-11-20 Computable Name: IcpTbiReferralDecline

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

The ICP Referral Decline profile is to be used by ICP suppliers to furnish ACC with the required information following them declining an ICP referral.

Usage:

Formal Views of Profile Content

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

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for contained 2..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:patient 1..1 IcpPatient Patient's date of birth.
.... contained:acc-provider 1..1 ACCProvider A person with a formal responsibility in the provisioning of healthcare or related services
.... contained:cover-and-causation 0..1 IcpTBICoverAndCausation A structured set of questions and their answers
.... contained:start-c 0..1 IcpTBIStartC A structured set of questions and their answers
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
..... Slices for extension Content/Rules for all slices
...... extension:referral-source-type 1..1 Extension Extension
....... value[x] 1..1 code Value of extension
Binding: TBI Referral Source Type (required)
.... 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 TBI Decline Reason (required)
.... referral-assessment 0..1 (Complex) The IDT-assessment assessment of the patient must be present when an IDT-assessment has been performed.
URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-idt-assessment
... 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
... 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 tbi
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 1..1 BackboneElement List of participants involved in the encounter
.... type 0..* CodeableConcept PPRF
Binding: Encounter Participant (required)
.... individual 0..1 Reference(ACC Provider) Persons involved in the encounter other than the patient
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.extension:referral-source.extension:referral-source-type.value[x]requiredICPTBIReferralSourceType
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-referral-source-type
from this IG
Encounter.extension:referral-declined.extension:reason.value[x]requiredICPTBIDeclinedReason
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-declined-reason
from this IG
Encounter.statusrequiredICPEncounterStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status
from this IG
Encounter.classrequiredICPEncounterClassVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class
from this IG
Encounter.serviceType.coding.coderequiredICPServiceType (a valid code from Service Type)
http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type
from this IG
Encounter.participant.typerequiredICPEncounterParticipateVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-participant-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
acc-claim-numbererrorEncounter.identifier:icpclaimnumber.valueThe 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}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for contained 2..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:patient 1..1 IcpPatient Patient's date of birth.
.... contained:acc-provider 1..1 ACCProvider A person with a formal responsibility in the provisioning of healthcare or related services
.... contained:cover-and-causation 0..1 IcpTBICoverAndCausation A structured set of questions and their answers
.... contained:start-c 0..1 IcpTBIStartC A structured set of questions and their answers
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
..... Slices for extension 1..2 Extension Extension
Slice: Unordered, Open by value:url
...... extension:referral-source-type 1..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "referral-source-type"
....... value[x] 1..1 code Value of extension
Binding: TBI Referral Source Type (required)
...... extension:received-date 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "received-date"
..... url 1..1 uri "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 TBI 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"
.... referral-assessment 0..1 (Complex) The IDT-assessment assessment of the patient must be present when an IDT-assessment has been performed.
URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-idt-assessment
... 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 tbi
Binding: Service Type (required)
... subject Σ 1..1 Reference(ACC ICP Patient) The patient or group present at the encounter
... participant Σ 1..1 BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept PPRF
Binding: Encounter Participant (required)
.... individual Σ 0..1 Reference(ACC Provider) Persons involved in the encounter other than the patient
... serviceProvider 1..1 Reference(Organization) This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.extension:referral-source.extension:referral-source-type.value[x]requiredICPTBIReferralSourceType
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-referral-source-type
from this IG
Encounter.extension:referral-declined.extension:reason.value[x]requiredICPTBIDeclinedReason
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-declined-reason
from this IG
Encounter.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredICPEncounterStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status
from this IG
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredICPEncounterClassVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.serviceType.coding.coderequiredICPServiceType (a valid code from Service Type)
http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type
from this IG
Encounter.participant.typerequiredICPEncounterParticipateVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-participant-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
acc-claim-numbererrorEncounter.identifier:icpclaimnumber.valueThe 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}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for contained 2..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:patient 1..1 IcpPatient Patient's date of birth.
.... contained:acc-provider 1..1 ACCProvider A person with a formal responsibility in the provisioning of healthcare or related services
.... contained:cover-and-causation 0..1 IcpTBICoverAndCausation A structured set of questions and their answers
.... contained:start-c 0..1 IcpTBIStartC A structured set of questions and their answers
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..2 Extension Extension
Slice: Unordered, Open by value:url
...... extension:referral-source-type 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "referral-source-type"
....... value[x] 1..1 code Value of extension
Binding: TBI Referral Source Type (required)
...... extension:received-date 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "received-date"
....... value[x] C 0..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
..... url 1..1 uri "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 TBI 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"
.... referral-assessment 0..1 (Complex) The IDT-assessment assessment of the patient must be present when an IDT-assessment has been performed.
URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-idt-assessment
... 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 tbi
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
... participant Σ 1..1 BackboneElement List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept PPRF
Binding: Encounter Participant (required)
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(ACC Provider) Persons involved in the encounter other than the patient
... serviceProvider 1..1 Reference(Organization) This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.extension:referral-source.extension:referral-source-type.value[x]requiredICPTBIReferralSourceType
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-referral-source-type
from this IG
Encounter.extension:referral-declined.extension:reason.value[x]requiredICPTBIDeclinedReason
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-declined-reason
from this IG
Encounter.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:icpclaimnumber.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredICPEncounterStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status
from this IG
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredICPEncounterClassVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.serviceType.coding.coderequiredICPServiceType (a valid code from Service Type)
http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type
from this IG
Encounter.participant.typerequiredICPEncounterParticipateVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-participant-type
from this IG
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
acc-claim-numbererrorEncounter.identifier:icpclaimnumber.valueThe 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}$')

This structure is derived from Encounter

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... Slices for contained 2..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:patient 1..1 IcpPatient Patient's date of birth.
.... contained:acc-provider 1..1 ACCProvider A person with a formal responsibility in the provisioning of healthcare or related services
.... contained:cover-and-causation 0..1 IcpTBICoverAndCausation A structured set of questions and their answers
.... contained:start-c 0..1 IcpTBIStartC A structured set of questions and their answers
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
..... Slices for extension Content/Rules for all slices
...... extension:referral-source-type 1..1 Extension Extension
....... value[x] 1..1 code Value of extension
Binding: TBI Referral Source Type (required)
.... 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 TBI Decline Reason (required)
.... referral-assessment 0..1 (Complex) The IDT-assessment assessment of the patient must be present when an IDT-assessment has been performed.
URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-idt-assessment
... 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
... 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 tbi
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 1..1 BackboneElement List of participants involved in the encounter
.... type 0..* CodeableConcept PPRF
Binding: Encounter Participant (required)
.... individual 0..1 Reference(ACC Provider) Persons involved in the encounter other than the patient
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.extension:referral-source.extension:referral-source-type.value[x]requiredICPTBIReferralSourceType
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-referral-source-type
from this IG
Encounter.extension:referral-declined.extension:reason.value[x]requiredICPTBIDeclinedReason
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-declined-reason
from this IG
Encounter.statusrequiredICPEncounterStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status
from this IG
Encounter.classrequiredICPEncounterClassVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class
from this IG
Encounter.serviceType.coding.coderequiredICPServiceType (a valid code from Service Type)
http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type
from this IG
Encounter.participant.typerequiredICPEncounterParticipateVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-participant-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
acc-claim-numbererrorEncounter.identifier:icpclaimnumber.valueThe 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}$')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 2..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:patient 1..1 IcpPatient Patient's date of birth.
.... contained:acc-provider 1..1 ACCProvider A person with a formal responsibility in the provisioning of healthcare or related services
.... contained:cover-and-causation 0..1 IcpTBICoverAndCausation A structured set of questions and their answers
.... contained:start-c 0..1 IcpTBIStartC A structured set of questions and their answers
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
..... Slices for extension 1..2 Extension Extension
Slice: Unordered, Open by value:url
...... extension:referral-source-type 1..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "referral-source-type"
....... value[x] 1..1 code Value of extension
Binding: TBI Referral Source Type (required)
...... extension:received-date 0..1 Extension Extension
....... extension 0..0
....... url 1..1 uri "received-date"
..... url 1..1 uri "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 TBI 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"
.... referral-assessment 0..1 (Complex) The IDT-assessment assessment of the patient must be present when an IDT-assessment has been performed.
URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-idt-assessment
... 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 tbi
Binding: Service Type (required)
... subject Σ 1..1 Reference(ACC ICP Patient) The patient or group present at the encounter
... participant Σ 1..1 BackboneElement List of participants involved in the encounter
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept PPRF
Binding: Encounter Participant (required)
.... individual Σ 0..1 Reference(ACC Provider) Persons involved in the encounter other than the patient
... serviceProvider 1..1 Reference(Organization) This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.extension:referral-source.extension:referral-source-type.value[x]requiredICPTBIReferralSourceType
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-referral-source-type
from this IG
Encounter.extension:referral-declined.extension:reason.value[x]requiredICPTBIDeclinedReason
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-declined-reason
from this IG
Encounter.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredICPEncounterStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status
from this IG
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredICPEncounterClassVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.serviceType.coding.coderequiredICPServiceType (a valid code from Service Type)
http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type
from this IG
Encounter.participant.typerequiredICPEncounterParticipateVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-participant-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
acc-claim-numbererrorEncounter.identifier:icpclaimnumber.valueThe 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}$')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for contained 2..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:patient 1..1 IcpPatient Patient's date of birth.
.... contained:acc-provider 1..1 ACCProvider A person with a formal responsibility in the provisioning of healthcare or related services
.... contained:cover-and-causation 0..1 IcpTBICoverAndCausation A structured set of questions and their answers
.... contained:start-c 0..1 IcpTBIStartC A structured set of questions and their answers
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... 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
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..2 Extension Extension
Slice: Unordered, Open by value:url
...... extension:referral-source-type 1..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "referral-source-type"
....... value[x] 1..1 code Value of extension
Binding: TBI Referral Source Type (required)
...... extension:received-date 0..1 Extension Extension
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "received-date"
....... value[x] C 0..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
..... url 1..1 uri "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 TBI 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"
.... referral-assessment 0..1 (Complex) The IDT-assessment assessment of the patient must be present when an IDT-assessment has been performed.
URL: http://hl7.org.nz/fhir/StructureDefinition/acc-icp-idt-assessment
... 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 tbi
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
... participant Σ 1..1 BackboneElement List of participants involved in the encounter
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept PPRF
Binding: Encounter Participant (required)
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual Σ 0..1 Reference(ACC Provider) Persons involved in the encounter other than the patient
... serviceProvider 1..1 Reference(Organization) This is the ACC Vendor ID, in most cases this is the organisation's HPI ID.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.extension:referral-source.extension:referral-source-type.value[x]requiredICPTBIReferralSourceType
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-referral-source-type
from this IG
Encounter.extension:referral-declined.extension:reason.value[x]requiredICPTBIDeclinedReason
http://hl7.org.nz/fhir/ValueSet/acc-icp-tbi-declined-reason
from this IG
Encounter.identifier:icpclaimnumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:icpclaimnumber.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredICPEncounterStatusVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-status
from this IG
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredICPEncounterClassVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-class
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.serviceType.coding.coderequiredICPServiceType (a valid code from Service Type)
http://hl7.org.nz/fhir/ValueSet/acc-icp-service-type
from this IG
Encounter.participant.typerequiredICPEncounterParticipateVS
http://hl7.org.nz/fhir/ValueSet/acc-icp-encounter-participant-type
from this IG
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
acc-claim-numbererrorEncounter.identifier:icpclaimnumber.valueThe 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}$')

This structure is derived from Encounter

 

Other representations of profile: CSV, Excel, Schematron