| # | | Name | Source | Ver | Description |
| 1 | | ACC Provider ID | hl7.org.nz.fhir.ig.icp#current | R4 | This represents the person submitting this form to ACC. It should take the form of their ACC Provider ID. |
| 2 | | Based on | hl7.fhir.uv.extensions.r4#1.0.0 | R4 | A plan, proposal or order that is fulfilled in whole or in part by this event. |
| 3 | | Category Co-morbidities | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 4 | | Category Co-morbidities | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 5 | | Category Co-morbidities | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 6 | | Category contextual | hl7.org.nz.fhir.ig.icp#current | R4 | The contextual category. |
| 7 | | Category contextual | hl7.org.nz.fhir.ig.icp#current | R4 | The contextual category. |
| 8 | | Category contextual | hl7.org.nz.fhir.ig.icp#current | R4 | The contextual category. |
| 9 | | Category disciplines | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 10 | | Category disciplines | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 11 | | Category disciplines | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 12 | | Category psychosocial | hl7.org.nz.fhir.ig.icp#current | R4 | The psychosocial category. |
| 13 | | Category psychosocial | hl7.org.nz.fhir.ig.icp#current | R4 | The psychosocial category. |
| 14 | | Category psychosocial | hl7.org.nz.fhir.ig.icp#current | R4 | The psychosocial category. |
| 15 | | Category vocational | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 16 | | Category vocational | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 17 | | Category vocational | hl7.org.nz.fhir.ig.icp#current | R4 | The complexity category. |
| 18 | | Client Authority | hl7.org.nz.fhir.ig.icp#current | R4 | Indicates that the Client has agreed to ACC being able to collect, store, use, & share their information. |
| 19 | | Client Participation Agreement | hl7.org.nz.fhir.ig.icp#current | R4 | Indicates that the Client has agreed to participating in ICP. |
| 20 | | Complexity Score | hl7.org.nz.fhir.ig.icp#current | R4 | The score (low, medium, high) for each category/sub-category obtained from the ICP complexity assessment/tool. |
| 21 | | Complexity Score | hl7.org.nz.fhir.ig.icp#current | R4 | The score (low, medium, high) for each category/sub-category obtained from the ICP complexity assessment/tool. |
| 22 | | Complexity Score | hl7.org.nz.fhir.ig.icp#current | R4 | The score (low, medium, high) for each category/sub-category obtained from the ICP complexity assessment/tool. |
| 23 | | Complexity Scores | hl7.org.nz.fhir.ig.icp#current | R4 | The scores obtained from the ICP complexity assessment/tool. |
| 24 | | Complexity Scores | hl7.org.nz.fhir.ig.icp#current | R4 | The scores obtained from the ICP complexity assessment/tool. |
| 25 | | CPG Enrolled In Extension | hl7.fhir.uv.cpg#current | R4 | Tracks the episode of care for a particular patient enrolled in a particular pathway. |
| 26 | | Diagnoses | hl7.org.nz.fhir.ig.icp#current | R4 | The diagnoses for the injury being treated. |
| 27 | | Diagnosis | hl7.org.nz.fhir.ig.icp#current | R4 | A diagnosis for the injury being treated. |
| 28 | | Diagnosis | hl7.org.nz.fhir.ig.icp#current | R4 | A diagnosis for the injury being treated. |
| 29 | | EpisodeOfCare-DateFirstEncounter | nictiz.fhir.nl.stu3.zib2017#2.2.15 | R3 | For episodes of care it can be relevant, and always is in general practitioner workflow, when the first encounter was that a problem/concern was discussed. You could try to get to that date by going through all encounters taking into account that the EpisodeOfCare might have evolved over time, but this extension provides a convenience method to avoid that. |
| 30 | | EpisodeOfCare-DateLastEncounter | nictiz.fhir.nl.stu3.zib2017#2.2.15 | R3 | For episodes of care it can be relevant, and always is in general practitioner workflow, when the last encounter was that a problem/concern was discussed. You could try to get to that date by going through all encounters taking into account that the EpisodeOfCare might have evolved over time, but this extension provides a convenience method to avoid that. |
| 31 | | EpisodeOfCare-Title | nictiz.fhir.nl.stu3.zib2017#2.2.15 | R3 | For episodes of care it can be relevant to carry the title that the episode of care is known as for the physisian. This is standard for general practitioner workflow. Usually it is the common name for the latest associated Condition |
| 32 | | Exceptional Funding | hl7.org.nz.fhir.ig.icp#current | R4 | Indicates if exceptional is required for this treatment. |
| 33 | | Exceptional Funding | hl7.org.nz.fhir.ig.icp#current | R4 | Indicates if exceptional is required for this treatment. |
| 34 | | Exit Reason | hl7.org.nz.fhir.ig.icp#current | R4 | Integrated Care Pathways Exit Reason |
| 35 | | Exit Reason | hl7.org.nz.fhir.ig.icp#current | R4 | Integrated Care Pathways Exit Reason |
| 36 | | ICP Service Bundle Change | hl7.org.nz.fhir.ig.icp#current | R4 | An extension to capture the reason for a change in the ICP Service Bundle. |
| 37 | | ICP Service Bundle Change | hl7.org.nz.fhir.ig.icp#current | R4 | An extension to capture the reason for a change in the ICP Service Bundle. |
| 38 | | Referral Source | hl7.org.nz.fhir.ig.icp#current | R4 | The source of the ICP referral, e.g. ACC referral, GP referral, rongoa referral, etc. |
| 39 | | Referral Source | hl7.org.nz.fhir.ig.icp#current | R4 | The source of the ICP referral, e.g. ACC referral, GP referral, rongoa referral, etc. |
| 40 | | Referral Source | hl7.org.nz.fhir.ig.icp#current | R4 | The source of the ICP referral, e.g. ACC referral, GP referral, rongoa referral, etc. |
| 41 | | Release date | hl7.fhir.uv.extensions.r4#1.0.0 | R4 | Indicates the date on which request or event resource that has a status of 'on-hold' or 'suspended' should be moved back to an active state. |
| 42 | | Service Bundle | hl7.org.nz.fhir.ig.icp#current | R4 | Indicates the ICP service bundle selected for the treatment. |
| 43 | | Service Bundle | hl7.org.nz.fhir.ig.icp#current | R4 | Indicates the ICP service bundle selected for the treatment. |
| 44 | | Triage Assessment Date | hl7.org.nz.fhir.ig.icp#current | R4 | The date the triage assessment was completed. |