AU Base Implementation Guide
4.2.2-ci-build - CI Build Australia flag

This page is part of the Australian Base IG (v4.2.1-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. 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: 4.2.2-ci-build
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..* Identifier Insurance Member 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: MB
... system 1..1 uri System identifier namespace for the insurer that assigned the insurance member number
... value 1..1 string Insurance member number
.... display 1..1 string Name of insurer

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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Identifier.typeextensiblePattern: MB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard

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..* Identifier Insurance Member 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 .

.... 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: MB
..... 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 System identifier namespace for the insurer that assigned the insurance member number
Example General: http://www.acme.com/identifiers/patient
... value Σ 1..1 string Insurance member number
Example General: 123456
... period Σ 0..1 Period Time period when id is/was valid for use
... assigner Σ 1..1 Reference(Organization) Insurer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 1..1 string Name of insurer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Identifier.typeextensiblePattern: MB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Identifier.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

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..* Identifier Insurance Member 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: MB
... system 1..1 uri System identifier namespace for the insurer that assigned the insurance member number
... value 1..1 string Insurance member number
.... display 1..1 string Name of insurer

doco Documentation for this format

Key Elements View

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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Identifier.typeextensiblePattern: MB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard

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..* Identifier Insurance Member 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 .

.... 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: MB
..... 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 System identifier namespace for the insurer that assigned the insurance member number
Example General: http://www.acme.com/identifiers/patient
... value Σ 1..1 string Insurance member number
Example General: 123456
... period Σ 0..1 Period Time period when id is/was valid for use
... assigner Σ 1..1 Reference(Organization) Insurer
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 1..1 string Name of insurer

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Identifier.typeextensiblePattern: MB
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Identifier.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

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