HL7® FHIR® New Zealand Base Implementation Guide
3.1.0 - Draft

HL7® FHIR® New Zealand Base Implementation Guide, published by HL7 New Zealand. This guide is not an authorized publication; it is the continuous build for version 3.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7nz/nzbase/ and changes regularly. See the Directory of published versions

## Extension: AccPatientOccupation

Official URL: http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation | Version: 1.0.0
Active as of 2025-12-18 | Computable Name: AccPatientOccupation

Codes to describe a patient's occupation, using ACC's patient occupation codeset.

Note that the current ValueSet binding contains codes from NZSC099. ACC are planning to update this ValueSet to base the codes on ANZSCO at the request of Stats NZ (Timing TBC), so the binding strength has been left as 'example'.

Context of Use

This extension may be used on the following element(s)

- Element ID: `Patient`

Usage info

Usages:

- Use this Extension: NZ Patient

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

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

- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: ACC Patient Occupation (example)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: ACC Patient Occupation (example)
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: Codes to describe a patient's occupation, using ACC's patient occupation codeset.

Note that the current ValueSet binding contains codes from NZSC099. ACC are planning to update this ValueSet to base the codes on ANZSCO at the request of Stats NZ (Timing TBC), so the binding strength has been left as 'example'.

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: ACC Patient Occupation (example)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org.nz/fhir/StructureDefinition/acc-patient-occupation"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: ACC Patient Occupation (example)
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: Codes to describe a patient's occupation, using ACC's patient occupation codeset.

Note that the current ValueSet binding contains codes from NZSC099. ACC are planning to update this ValueSet to base the codes on ANZSCO at the request of Stats NZ (Timing TBC), so the binding strength has been left as 'example'.

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x] | Base | example | ACC Patient Occupation | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`