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 Medicare Card Number

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

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

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)).

Usage Notes

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.

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..*IdentifierMedicare Card 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: MC
... system 1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
... value 1..1stringMedicare card number
Example Medicare card number: 32788511952
Max Length: 11
.... end 0..1dateTimeMedicare card expiry date

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedicare Card 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: MC
... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
... period Σ0..1PeriodTime period when id is/was valid for use
.... end ΣC0..1dateTimeMedicare card expiry date

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: MC

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..*IdentifierMedicare Card 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: MC
..... 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..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
... value Σ1..1stringMedicare card number
Example General: 123456
Example Medicare card number: 32788511952
Max Length: 11
... period Σ0..1PeriodTime period when id is/was valid for use
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC0..1dateTimeStarting time with inclusive boundary
.... end ΣC0..1dateTimeMedicare card expiry date
... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: MC

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: 3 elements
Fixed Value: 1 element

Maturity: 2

Differential View

This structure is derived from Identifier

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedicare Card 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: MC
... system 1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
... value 1..1stringMedicare card number
Example Medicare card number: 32788511952
Max Length: 11
.... end 0..1dateTimeMedicare card expiry date

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedicare Card 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: MC
... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
... period Σ0..1PeriodTime period when id is/was valid for use
.... end ΣC0..1dateTimeMedicare card expiry date

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: MC

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..*IdentifierMedicare Card 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: MC
..... 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..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
... value Σ1..1stringMedicare card number
Example General: 123456
Example Medicare card number: 32788511952
Max Length: 11
... period Σ0..1PeriodTime period when id is/was valid for use
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC0..1dateTimeStarting time with inclusive boundary
.... end ΣC0..1dateTimeMedicare card expiry date
... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: MC

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: 3 elements
Fixed Value: 1 element

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron