AU Base Implementation Guide
4.1.2-preview - Preview Australia flag

This page is part of the Australian Base IG (v4.1.2-preview: AU Base) based on FHIR R4. For a full list of available versions, see the Directory of published versions

Data Type Profile: AU Medicare Provider Number

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicareprovidernumber Version: 4.1.2-preview
Standards status: Trial-use Maturity Level: 2 Computable Name: AUMedicareProviderNumber

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

This identifier profile defines a Medicare provider number assigned by Services Australia to practitioners who provide services covered by the Medicare Benefits Schedule (MBS) at a specific location. A practitioner may have more than one Medicare provider number if they deliver health services in different locations or are registered in multiple health professions.

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..*IdentifierMedicare Provider 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.au/CodeSystem/v2-0203
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
... system 1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-provider-number
... value 1..1stringMedicare provider number
Example Medicare provider number: 2426621B

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedicare Provider 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.au/CodeSystem/v2-0203
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-provider-number

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: UPIN

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 Provider 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.au/CodeSystem/v2-0203
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
..... 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-provider-number
... value Σ1..1stringMedicare provider number
Example General: 123456
Example Medicare provider number: 2426621B
... period Σ0..1PeriodTime period when id is/was valid for use
... 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: UPIN

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 Provider 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.au/CodeSystem/v2-0203
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
... system 1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-provider-number
... value 1..1stringMedicare provider number
Example Medicare provider number: 2426621B

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*IdentifierMedicare Provider 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.au/CodeSystem/v2-0203
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-provider-number

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Identifier.userequiredIdentifierUse
Identifier.typeextensiblePattern: UPIN

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 Provider 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.au/CodeSystem/v2-0203
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
..... 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-provider-number
... value Σ1..1stringMedicare provider number
Example General: 123456
Example Medicare provider number: 2426621B
... period Σ0..1PeriodTime period when id is/was valid for use
... 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: UPIN

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