AU Base Implementation Guide
4.2.2-ballot - Ballot Australia flag

This page is part of the Australian Base IG (v4.2.2-ballot: AU Base R4.2 Ballot 5) 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 Medical Record Number

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-medicalrecordnumber Version: 4.2.2-ballot
Standards status: Trial-use Maturity Level: 2 Computable Name: AUMedicalRecordNumber

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

This identifier profile defines a (MRN) (sometimes referred to as unit record number (URN) or (UR)) in an Australian context. An MRN is an institution’s identifier for a patient’s record at that institution. A patient may have more than one MRN for a single institution due to organisational restructures.

Usage Notes

Profile specific implementation guidance:

  • An organisation should use their own local system identifier namespace but if that is not available then see the guidance on Business Identifiers on using an HPI-O or ABN to construct a legal globally unique identifier system for local identifiers.

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 Medical Record Number (MRN)
... 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: MR
... system 1..1 uri System identifier namespace for the institution that assigned the MRN
... value 1..1 string MRN
.... display 1..1 string Name of the assigning institution

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..* Identifier Medical Record Number (MRN)
... 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: MR
... system Σ 1..1 uri System identifier namespace for the institution that assigned the MRN
Example General: http://www.acme.com/identifiers/patient
... assigner Σ 1..1 Reference(Organization) Institution that assigned the MRN
.... display Σ 1..1 string Name of the assigning institution

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: MR
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 Medical Record Number (MRN)
... 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: MR
..... 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 institution that assigned the MRN
Example General: http://www.acme.com/identifiers/patient
... value Σ 1..1 string MRN
Example General: 123456
... period Σ 0..1 Period Time period when id is/was valid for use
... assigner Σ 1..1 Reference(Organization) Institution that assigned the MRN
.... 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 the assigning institution

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: MR
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 Medical Record Number (MRN)
... 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: MR
... system 1..1 uri System identifier namespace for the institution that assigned the MRN
... value 1..1 string MRN
.... display 1..1 string Name of the assigning institution

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..* Identifier Medical Record Number (MRN)
... 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: MR
... system Σ 1..1 uri System identifier namespace for the institution that assigned the MRN
Example General: http://www.acme.com/identifiers/patient
... assigner Σ 1..1 Reference(Organization) Institution that assigned the MRN
.... display Σ 1..1 string Name of the assigning institution

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: MR
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 Medical Record Number (MRN)
... 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: MR
..... 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 institution that assigned the MRN
Example General: http://www.acme.com/identifiers/patient
... value Σ 1..1 string MRN
Example General: 123456
... period Σ 0..1 Period Time period when id is/was valid for use
... assigner Σ 1..1 Reference(Organization) Institution that assigned the MRN
.... 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 the assigning institution

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: MR
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