A Medicare card is provided to individuals who are enrolled in Medicare^[1]. This definition supports sending either the 10 digit Medicare card number or the 11 digit number^[2] (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.

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

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
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
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
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
end	ΣC	0..1	dateTime	Medicare card expiry date
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Identifier.use	required	IdentifierUse
Identifier.type	extensible	Pattern: MC

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	id	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	id	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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Identifier.use	required	IdentifierUse
Identifier.type	extensible	Pattern: MC

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
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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
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
end	ΣC	0..1	dateTime	Medicare card expiry date
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Identifier.use	required	IdentifierUse
Identifier.type	extensible	Pattern: MC

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	id	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	id	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)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Identifier.use	required	IdentifierUse
Identifier.type	extensible	Pattern: MC

This structure is derived from Identifier

Summary

Mandatory: 3 elements
Fixed Value: 1 element

Maturity: 2

none defined