AU Base Implementation Guide
4.1.0 - Trial Use Australia flag

This page is part of the AU Base Implementation Guide 4.1.0. It is based on FHIR R4. For a full list of available versions, see the Directory of published versions

Data Type Profile: AU Insurance Member Number

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-insurancemembernumber Version: 4.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: AUInsuranceMemberNumber

Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

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.

Usage Notes

Usage:

Formal Views of Profile Content

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

This structure is derived from Identifier

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierInsurance Member Number
... 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: MB
... system 1..1uriSystem identifier namespace for the insurer that assigned the insurance member number
... value 1..1stringInsurance member number
.... display 1..1stringName of insurer

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierInsurance Member Number
... 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
.... 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: MB
... system Σ1..1uriSystem identifier namespace for the insurer that assigned the insurance member number
Example General: http://www.acme.com/identifiers/patient
... assigner Σ1..1Reference(Organization)Insurer
.... display Σ1..1stringName of insurer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: MB

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierInsurance Member Number
... 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 .

.... 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: MB
..... 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 insurer that assigned the insurance member number
Example General: http://www.acme.com/identifiers/patient
... value Σ1..1stringInsurance member number
Example General: 123456
... period Σ0..1PeriodTime period when id is/was valid for use
... assigner Σ1..1Reference(Organization)Insurer
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC0..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 insurer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: MB
Identifier.assigner.typeextensibleResourceType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Identifier

Summary

Mandatory: 5 elements

Maturity: 2

Differential View

This structure is derived from Identifier

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierInsurance Member Number
... 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: MB
... system 1..1uriSystem identifier namespace for the insurer that assigned the insurance member number
... value 1..1stringInsurance member number
.... display 1..1stringName of insurer

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierInsurance Member Number
... 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
.... 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: MB
... system Σ1..1uriSystem identifier namespace for the insurer that assigned the insurance member number
Example General: http://www.acme.com/identifiers/patient
... assigner Σ1..1Reference(Organization)Insurer
.... display Σ1..1stringName of insurer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: MB

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierInsurance Member Number
... 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 .

.... 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: MB
..... 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 insurer that assigned the insurance member number
Example General: http://www.acme.com/identifiers/patient
... value Σ1..1stringInsurance member number
Example General: 123456
... period Σ0..1PeriodTime period when id is/was valid for use
... assigner Σ1..1Reference(Organization)Insurer
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC0..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 insurer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: MB
Identifier.assigner.typeextensibleResourceType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Identifier

Summary

Mandatory: 5 elements

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron