Provider Connect Australia (PCA) - Local Development build (v2.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Data Type Profile: PCA Medicare Provider Number

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.

Usage:

• Use this DataType Constraint: PCA Practitioner Role

Formal Views of Profile Content

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

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

This structure is derived from AUMedicareProviderNumber

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	AUMedicareProviderNumber	Medicare Provider Number
mpnStatus		0..1	Coding	Medicare Provider Number Status URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber-status Binding: PCA Medicare Provider Number Status (required)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	AUMedicareProviderNumber	Medicare Provider Number
mpnStatus		0..1	Coding	Medicare Provider Number Status URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber-status Binding: PCA Medicare Provider Number Status (required)
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.au/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UPIN
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://ns.electronichealth.net.au/id/medicare-provider-number
value	Σ	1..1	string	Medicare provider number Example General: 123456 Example Medicare provider number: 2426621B
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: UPIN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	AUMedicareProviderNumber	Medicare Provider Number
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
mpnStatus		0..1	Coding	Medicare Provider Number Status URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber-status Binding: PCA Medicare Provider Number Status (required)
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.au/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: UPIN
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-provider-number
value	Σ	1..1	string	Medicare provider number Example General: 123456 Example Medicare provider number: 2426621B
period	Σ	0..1	Period	Time period when id is/was valid for use
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: UPIN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard

This structure is derived from AUMedicareProviderNumber

Summary

Extensions

This structure refers to these extensions:

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

Differential View

This structure is derived from AUMedicareProviderNumber

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	AUMedicareProviderNumber	Medicare Provider Number
mpnStatus		0..1	Coding	Medicare Provider Number Status URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber-status Binding: PCA Medicare Provider Number Status (required)
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	AUMedicareProviderNumber	Medicare Provider Number
mpnStatus		0..1	Coding	Medicare Provider Number Status URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber-status Binding: PCA Medicare Provider Number Status (required)
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.au/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UPIN
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://ns.electronichealth.net.au/id/medicare-provider-number
value	Σ	1..1	string	Medicare provider number Example General: 123456 Example Medicare provider number: 2426621B
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: UPIN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	AUMedicareProviderNumber	Medicare Provider Number
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
mpnStatus		0..1	Coding	Medicare Provider Number Status URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber-status Binding: PCA Medicare Provider Number Status (required)
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.au/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: UPIN
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-provider-number
value	Σ	1..1	string	Medicare provider number Example General: 123456 Example Medicare provider number: 2426621B
period	Σ	0..1	Period	Time period when id is/was valid for use
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: UPIN http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard

This structure is derived from AUMedicareProviderNumber

Summary

Extensions

This structure refers to these extensions:

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

Other representations of profile: CSV, Excel, Schematron

Notes: