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 Medicare Card Number

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicarecardnumber Version: 4.2.2-ci-build
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..* 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
.... end 0..1 dateTime Medicare card expiry date

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..* Identifier Medicare Card 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: MC
... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
... period Σ 0..1 Period Time period when id is/was valid for use
.... end ΣC 0..1 dateTime Medicare card expiry date

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: MC
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 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 .

.... 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 ΣC 0..1 dateTime Starting time with inclusive boundary
.... end ΣC 0..1 dateTime Medicare card expiry date
... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)

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: MC
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())
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: 1 element

Maturity: 2

Differential View

This structure is derived from Identifier

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... end 0..1 dateTime Medicare card expiry date

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..* Identifier Medicare Card 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: MC
... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
... period Σ 0..1 Period Time period when id is/was valid for use
.... end ΣC 0..1 dateTime Medicare card expiry date

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: MC
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 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 .

.... 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 ΣC 0..1 dateTime Starting time with inclusive boundary
.... end ΣC 0..1 dateTime Medicare card expiry date
... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)

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: MC
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())
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: 1 element

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron