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 Medicare Card Number [FMM 2]
This identifier profile defines a Medicare card[1] number in an Australian context. This definition supports sending either the 10 digit Medicare card number or the 11 digit number[2] (includes the individual reference number (IRN)).
A Medicare card is provided to individuals who are enrolled in Medicare[1].
No extensions are used in this profile.
The 10 digit format is supported as some systems do not support the 11 digit Medicare card number.
The 10 digit Medicare card number is not sufficient to uniquely identify the number associated with an individual on a Medicare card as a card may include up to 9 individuals. If required, profiles can constrain this profile further to restrict usage to 11 digits only as desired.
Medicare card numbers are not used for uniquely identifying patients, they are identifying information that can be used in conjunction with other elements such as name and date of birth appropriately to confirm identity.
Patient with IHI, Medicare card, and Health Care Card
Patient with no birth date, and eligible for Closing the Gap registration
Patient Sarah Simmons linked to related person Sarah Simmons, with mother’s maiden name
Sarah Simmons as the mother of Suzanne Simmons
Bill Simmons as a father of Suzanne Simmons
The official URL for this profile is:
http://hl7.org.au/fhir/StructureDefinition/au-medicarecardnumber
This identifier profile defines a Medicare card number in an Australian context. A Medicare card is provided to individuals who are enrolled in Medicare. This definition supports sending either the 10 digit Medicare card number or the 11 digit number (includes the individual reference number (IRN)).
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.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Identifier | 0..* | Identifier | Medicare Card 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: MC | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://ns.electronichealth.net.au/id/medicare-number | |
| value | 1..1 | string | Medicare card number Example Medicare card number: 32788511952 Max Length: 11 | |
| period | 0..1 | Period | Time period when id is/was valid for use | |
| end | 0..1 | dateTime | Medicare card expiry date | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Identifier | 0..* | Identifier | Medicare Card 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: MC | |
| 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 | The namespace for the identifier value Fixed Value: http://ns.electronichealth.net.au/id/medicare-number |
| value | Σ | 1..1 | string | Medicare card number Example General: 123456 Example Medicare card number: 32788511952 Max Length: 11 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| start | ΣI | 0..1 | dateTime | Starting time with inclusive boundary |
| end | ΣI | 0..1 | dateTime | Medicare card expiry date |
 assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| Documentation for this format | ||||
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Identifier | 0..* | Identifier | Medicare Card 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: MC | |
| system | 1..1 | uri | The namespace for the identifier value Fixed Value: http://ns.electronichealth.net.au/id/medicare-number | |
| value | 1..1 | string | Medicare card number Example Medicare card number: 32788511952 Max Length: 11 | |
| period | 0..1 | Period | Time period when id is/was valid for use | |
| end | 0..1 | dateTime | Medicare card expiry date | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Identifier | 0..* | Identifier | Medicare Card 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: MC | |
| 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 | The namespace for the identifier value Fixed Value: http://ns.electronichealth.net.au/id/medicare-number |
| value | Σ | 1..1 | string | Medicare card number Example General: 123456 Example Medicare card number: 32788511952 Max Length: 11 |
| period | Σ | 0..1 | Period | Time period when id is/was valid for use |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| start | ΣI | 0..1 | dateTime | Starting time with inclusive boundary |
| end | ΣI | 0..1 | dateTime | Medicare card expiry date |
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) |
| 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-medicarecardnumber
none defined
© AU Base on FHIR R4
(IG Publisher v4.0.1-a53ec6ee1b) generated on Mon, May 30, 2022 21:52+1000. |
