AU Medicare Card Number - AU Base Implementation Guide v5.0.0

AU Base Implementation Guide
5.0.0 - Working Standard Australia flag

This page is part of the Australian Base IG (v5.0.0: R4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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: 5.0.0
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)).

Breaking Change in 5.0.0 (see all)

Implementers should note that the minimum length of AU Medicare Card Number values is now set to 10 characters. Previous use of forms of Medicare Number with fewer than 10 digits are now invalid and cannot be exchanged using this profile.

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 Patient and AU Base Related Person

Formal Views of Profile Content

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

This structure is derived from Identifier

Name	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 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	ΣC	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())

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	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	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()

Differential View

This structure is derived from Identifier

Name	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

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	ΣC	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())

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	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	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

IG © 2017+ HL7 Australia. Package hl7.fhir.au.base#5.0.0 based on FHIR 4.0.1. Generated 2025-01-15
Links: Table of Contents | QA Report | Version History | | Propose a change