Provider Connect Australia (PCA) FHIR Implementation Guide 2.4.0

This is release 2.4.0 of Provider Connect Australia (PCA) FHIR Implementation Guide. It is based on FHIR version 4.0.1. See the Directory of published versions.

SD.30 StructureDefinition-pca-medicareprovidernumber [Draft]

PCA Medicare Provider Number

This profile of Identifier defines a Medicare provider number [1] in an Australian context and is used by the PCA service to additionally indicate if the Medicare provider number has been validated with the Medicare system of record. A Medicare provider number is assigned by Services Australia under the Medicare program to practitioners who provide services that are eligible for a Medicare benefit.

A practitioner may have more than one Medicare provider number if they deliver health services in different locations or are registered in multiple health professions.

Must support

The meaning of the presence or absence of the must support flag is described in Must support.

Extensions

Extensions introduced in this profile:


SD.30.1 Formal views of profile content

The official URL for this profile is: 

http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber

This identifier profile defines a Medicare provider number in an Australian context and is used by the PCA service to additionally indicate if the Medicare provider number has been validated with the Medicare system of record. A Medicare provider number is assigned by Services Australia under the Medicare program to practitioners who provide services that are eligible for a Medicare benefit. A practitioner may have more than one Medicare provider number if they deliver health services in different locations or are registered in multiple health professions.

This profile builds on AUMedicareProviderNumber.

This profile was published on 2023-09-15 10:45:26+1000 as a draft by Australian Digital Health Agency.

Description of profiles, differentials, snapshots, and how the XML and JSON presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*AUMedicareProviderNumberMedicare Provider Number
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... mpnStatus 0..1CodingMedicare Provider Number Status
URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber-status
Binding: PCA Medicare Provider Number Status (required)
... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

... type Σ1..1CodeableConceptDescription 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
.... id0..1idUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org.au/CodeSystem/v2-0203
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-provider-number
... value Σ1..1stringMedicare provider number
Example General: 123456
Example Medicare provider number: 2426621B
... period Σ0..1PeriodTime period when id is/was valid for use
... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)

doco Documentation for this format

Snapshot view

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*AUMedicareProviderNumberMedicare Provider Number
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... mpnStatus 0..1CodingMedicare Provider Number Status
URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber-status
Binding: PCA Medicare Provider Number Status (required)
... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

... type Σ1..1CodeableConceptDescription 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
.... id0..1idUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org.au/CodeSystem/v2-0203
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... system Σ1..1uriThe namespace for the identifier value
Fixed Value: http://ns.electronichealth.net.au/id/medicare-provider-number
... value Σ1..1stringMedicare provider number
Example General: 123456
Example Medicare provider number: 2426621B
... period Σ0..1PeriodTime period when id is/was valid for use
... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)

doco Documentation for this format

 

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

 

SD.30.2 - Search parameters

No additional search parameters defined for this resource profile.

 

SD.30.3 - Known issues

No known issues.