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

1.0 StructureDefinition-au-medicalrecordnumber

AU Medical Record Number [FMM 2]

This identifier profile defines a medical record number (MRN) (sometimes referred to as unit record number (URN) or (UR)) in an Australian context. An MRN is an institution’s identifier for a patient’s record at that institution. A patient may have more than one MRN for a single institution due to organisational restructures.

Extensions

No extensions are used in this profile.

Usage Notes

It is preferable that an organisation uses their own local system identifier namespace but if that is not available then an organisation can use their ABN or HPI-O to construct a legal globally unique identifier system for their local identifiers.

See the Australian Digital Health Agency’s R4 FAQ for guidance on constructing an ABN-scoped[1] MRN or an HPI-O scoped[2] MRN.

Examples

Patient born in 2008, with ethnicity

Patient with interpreter required in particular language

Patient with interpreter required and language unknown

1.0.1 Formal Views of Profile Content

The official URL for this profile is:

http://hl7.org.au/fhir/StructureDefinition/au-medicalrecordnumber

This identifier profile defines a (MRN) (sometimes referred to as unit record number (URN) or (UR)) in an Australian context.

This profile builds on Identifier.

This profile was published on 2022-04-03 as a active by Health Level Seven Australia (Patient Administration WG).

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedical Record Number (MRN)
... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
... system 1..1uriSystem identifier namespace for the institution that assigned the MRN
... value 1..1stringMRN
... assigner 1..1Reference(Organization)Institution that assigned the MRN
.... display 1..1stringName of the assigning institution

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedical Record Number (MRN)
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

... type Σ1..1CodeableConceptDescription 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
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... system Σ1..1uriSystem identifier namespace for the institution that assigned the MRN
Example General: http://www.acme.com/identifiers/patient
... value Σ1..1stringMRN
Example General: 123456
... period Σ0..1PeriodTime period when id is/was valid for use
... assigner Σ1..1Reference(Organization)Institution that assigned the MRN
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ1..1stringName of the assigning institution

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedical Record Number (MRN)
... type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
... system 1..1uriSystem identifier namespace for the institution that assigned the MRN
... value 1..1stringMRN
... assigner 1..1Reference(Organization)Institution that assigned the MRN
.... display 1..1stringName of the assigning institution

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedical Record Number (MRN)
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

... type Σ1..1CodeableConceptDescription 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
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: MR
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... system Σ1..1uriSystem identifier namespace for the institution that assigned the MRN
Example General: http://www.acme.com/identifiers/patient
... value Σ1..1stringMRN
Example General: 123456
... period Σ0..1PeriodTime period when id is/was valid for use
... assigner Σ1..1Reference(Organization)Institution that assigned the MRN
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ1..1stringName of the assigning institution

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

 

1.0.2 Quick Start

Below is an overview of the required search and read operations.

Summary of Search Criteria for StructureDefinition-au-medicalrecordnumber

none defined

Issues & Feedback