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

Profiles

Profiles for use by PMS vendors

An ICP "Episode of Care" represents the period during which a contracted Integrated Care Pathways (ICP) supplier is providing a patient with treatment for a specific injury.

"Integrated Care Pathways" is a new type of service that Accident Compensation Corporation (ACC) contracts suppliers for. It is a provider-managed pathway that commissions outcomes rather than specified treatments. It’s focused on moderate complexity client needs whereby healthcare providers are empowered with autonomy & agency to use their skill set to assist clients back to independence.

An ICP "Episode of Care" is also referred to as an "ICP Case". It runs from the point when the supplier has completed their triage assessment and decided to enter the patient into their ICP service, until the point at which the patient is exited from that service.

The ICP Observation/Measurement resource is used to provide clinical/functional measurement details to ACC. (AKA site-specific clinical measures and PROMs)

The ICP Referral Decline resource is used to provide ACC with the relevant details when an ICP supplier declines an ICP referral. This includes pre-triage declines as well as declines that occur after triage has been completed.

There are a number of ICP profiles available:

Musculoskeletal (MSK) Profiles

Name	Canonical url	Description
Patient Referral Accept into ICP MSK	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-case-create	ICP Case Create is to be used by the supplier to furnish ACC with the required information following the completion of the triage assessment and the decision to accept the patient into their ICP service.	example
Service Bundle Update to ICP MSK	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-case-modify	This profile supports suppliers needing to inform ACC of a change to the selected Service Bundle and/or Exceptional Funding Required.	example
Patient Exit from ICP MSK	​http://hl7.org.nz/fhir/StructureDefinition/acc-icp-case-finished	This profile supports suppliers needing to inform ACC of a patient being exited from their ICP service.	example
Clinical Measurement	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement-clinical	This profile supports suppliers providing site-specific clinical measures to ACC.	example
PROM Measurement	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement-prom	This profile supports suppliers providing site-specific patient reported outcome measures (PROMs) to ACC.	example
Referral Decline to ICP MSK	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-referral-decline	This profile enables ICP suppliers to provide the relevant details to ACC when they decline an ICP referral.	example

Traumatic Brain Injury (TBI) Profiles

Community Care

Name	Canonical url	Description
Patient Referral for initial BIST submission	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-bist-patient-referral	This profile represents the Community Care patient referral for an IDT assessment has occurred.	​example
Patient Encounter for subsequent BIST submissions	​http://hl7.org.nz/fhir/StructureDefinition/acc-icp-bist-patient-encounter	This profile represents the Community Care patient encounter has occurred, with an associated BIST captured and submitted.	​example

Secondary Care

Name	Canonical url	Description
Patient Referral Accept into ICP TBI	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-tbi-case-create	This profile enables ICP TBI suppliers to provide the relevant details to ACC when they accept an ICP referral.	​example
​Patient Encounter for subsequent BIST	​http://hl7.org.nz/fhir/StructureDefinition/acc-icp-bist-patient-encounter	This profile represents the Community Care patient encounter has occurred, with an associated BIST captured and submitting.	​example
Patient Exit from TBI Service	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-tbi-case-exit	This profile represents the Community Care patient encounter has occurred, with an associated BIST captured and submitting.	​example
​Patient Referral Declined to ICP TBI	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-tbi-referral-decline	This profile represents the Community Care patient encounter has occurred, with an associated BIST captured and submitting.	​example

Additional Profile resources

There are additional profiles which are not intended to be used directly, and are required to support the product profiles listed above. There are also profiles which are only intended to be used as contained resources, such as ACC ICP Patient, and ACC Provider.

Name	Canonical url	Description
ACC Provider	http://hl7.org.nz/fhir/StructureDefinition/acc-provider	This profile is based on the NzPractitioner resource and extends it with an ACC Provider ID.
ACC ICP Patient	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-patient	This is used as a contained resource within Case-Create, Case-Update, Case-Exit, Measurement-Clinical and Measurement-Patient. It represents the patient being treated.
ACC Patient Referral	http://hl7.org.nz/fhir/StructureDefinition/acc-patient-referral	This profile represents the acc patient referral to any ICP Service has occurred.
ACC ICP Case	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-case	This is the base profile/structure that Case-Create, Case-Update, and Case-Exit build upon.
ACC ICP Measurement	http://hl7.org.nz/fhir/StructureDefinition/acc-icp-measurement	This is the base profile/structure that Measurement-based profiles build upon.
ACC ICP Encounter	​http://hl7.org.nz/fhir/StructureDefinition/acc-icp-encounter	This is the base profile/structure that Encounter-based profiles build upon.