AU Base Implementation Guide
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## Data Type Profile: AU Medicare Card Number

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicarecardnumber | Version: 5.1.0-preview
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:

- Use this DataType Constraint: AU Base Coverage, AU Base Patient and AU Base Related Person

Changes since version 5.0.0:

- No changes

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Identifier |  | 0..* | Identifier | Medicare Card Number ele-1: All FHIR elements must have a @value or children
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
value | Σ | 1..1 | string | Medicare card number ele-1: All FHIR elements must have a @value or children Example General: 123456 Example Medicare card number: 32788511952 Max Length:11 Min Length:10
period | Σ | 0..1 | Period | Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
end | Σ C | 0..1 | dateTime | Medicare card expiry date ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Identifier.type | extensible | Pattern: MC `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |

This structure is derived from Identifier

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 Min Length:10
period |  | 0..1 | Period | Time period when id is/was valid for use
end |  | 0..1 | dateTime | Medicare card expiry date
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 .
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
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 Min Length:10
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 | Σ C | 0..1 | dateTime | Starting time with inclusive boundary
end | Σ C | 0..1 | dateTime | Medicare card expiry date
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Identifier.type | extensible | Pattern: MC `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must 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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Identifier |  | 0..* | Identifier | Medicare Card Number ele-1: All FHIR elements must have a @value or children
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children Fixed Value: http://ns.electronichealth.net.au/id/medicare-number
value | Σ | 1..1 | string | Medicare card number ele-1: All FHIR elements must have a @value or children Example General: 123456 Example Medicare card number: 32788511952 Max Length:11 Min Length:10
period | Σ | 0..1 | Period | Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
end | Σ C | 0..1 | dateTime | Medicare card expiry date ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Identifier.type | extensible | Pattern: MC `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |

Differential View

This structure is derived from Identifier

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 Min Length:10
period |  | 0..1 | Period | Time period when id is/was valid for use
end |  | 0..1 | dateTime | Medicare card expiry date
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 .
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
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 Min Length:10
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 | Σ C | 0..1 | dateTime | Starting time with inclusive boundary
end | Σ C | 0..1 | dateTime | Medicare card expiry date
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Identifier.use | required | IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` from the FHIR Standard
Identifier.type | extensible | Pattern: MC `http://hl7.org/fhir/ValueSet/identifier-type` from the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must 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