Australian Base Implementation Guide
This page is part of AU Base v4.0.0 based on FHIR R4. For a full list of available versions, see the Directory of published versions 
AU Insurance Member Number [FMM 2]
This identifier profile defines an insurance member number in an Australian context. An insurance member number is the unique member number assigned to an individual by an insurer and is typically displayed on their insurance card. An individual will not have more than one member number per insurer.
This definition supports the sending of an insurance member number that is relevant in a healthcare context and may be used to capture Australian and International health insurer issued member numbers. In Australia this will typically be a private health insurance member number.
This identifier should not be confused with an insurance policy number.
No extensions are used in this profile.
Patient with interpreter required, language unknown and date of arrival
The official URL for this profile is:
http://hl7.org.au/fhir/StructureDefinition/au-insurancemembernumber
This identifier profile defines an insurance member number in an Australian context. An insurance member number is the unique member number assigned to an individual by an insurer and is typically displayed on their insurance card. An individual will not have more than one member number per insurer.
This profile builds on Identifier.
This profile was published on 2022-04-04 as a active by Health Level Seven Australia (Patient Administration WG).
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Identifier | 0..* | Identifier | Insurance Member Number | |
 type | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MB | |
| system | 1..1 | uri | System identifier namespace for the insurer that assigned the insurance member number | |
| value | 1..1 | string | Insurance member number | |
| assigner | 1..1 | Reference(Organization) | Insurer | |
| display | 1..1 | string | Name of insurer | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Identifier | 0..* | Identifier | Insurance Member Number | |
 id | 0..1 | string | Unique id for inter-element referencing | |
 extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| 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 | 1..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. Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MB | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| system | Σ | 1..1 | uri | System identifier namespace for the insurer that assigned the insurance member number Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 1..1 | string | Insurance member number Example General: 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
 assigner | Σ | 1..1 | Reference(Organization) | Insurer |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 1..1 | string | Name of insurer |
| Documentation for this format | ||||
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Identifier | 0..* | Identifier | Insurance Member Number | |
| type | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MB | |
| system | 1..1 | uri | System identifier namespace for the insurer that assigned the insurance member number | |
| value | 1..1 | string | Insurance member number | |
| assigner | 1..1 | Reference(Organization) | Insurer | |
| display | 1..1 | string | Name of insurer | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Identifier | 0..* | Identifier | Insurance Member Number | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| 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 | 1..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. Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: MB | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| system | Σ | 1..1 | uri | System identifier namespace for the insurer that assigned the insurance member number Example General: http://www.acme.com/identifiers/patient |
| value | Σ | 1..1 | string | Insurance member number Example General: 123456 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
| assigner | Σ | 1..1 | Reference(Organization) | Insurer |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| reference | ΣI | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| display | Σ | 1..1 | string | Name of insurer |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Below is an overview of the required search and read operations.
Summary of Search Criteria for StructureDefinition-au-insurancemembernumber
none defined
© AU Base on FHIR R4
(IG Publisher v4.0.1-a53ec6ee1b) generated on Mon, May 30, 2022 21:52+1000. |
