Provider Connect Australia (PCA)
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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

Data Type Profile: PCA Medicare Provider Number

Official URL: http://pca.digitalhealth.gov.au/fhir/4.0/StructureDefinition/pca-medicareprovidernumber Version: 2.4.3
Active as of 2024-03-19 Computable Name: PcaMedicareProviderNumber

Copyright/Legal: Copyright © 2024 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

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.

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:

Usage:

Formal Views of Profile Content

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

This structure is derived from AUMedicareProviderNumber

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*AUMedicareProviderNumberMedicare Provider Number
... 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)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*AUMedicareProviderNumberMedicare Provider Number
... 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
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org.au/CodeSystem/v2-0203
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
... value Σ1..1stringMedicare provider number
Example General: 123456
Example Medicare provider number: 2426621B

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: UPIN
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
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)
... 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..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique 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

Terminology Bindings

PathConformanceValueSet / CodeURI
Identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Identifier.typeextensiblePattern: UPIN
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard

This structure is derived from AUMedicareProviderNumber

Differential View

This structure is derived from AUMedicareProviderNumber

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*AUMedicareProviderNumberMedicare Provider Number
... 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)

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..*AUMedicareProviderNumberMedicare Provider Number
... 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
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org.au/CodeSystem/v2-0203
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: UPIN
... value Σ1..1stringMedicare provider number
Example General: 123456
Example Medicare provider number: 2426621B

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: UPIN
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard

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)
... 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..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique 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

Terminology Bindings

PathConformanceValueSet / CodeURI
Identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Identifier.typeextensiblePattern: UPIN
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard

This structure is derived from AUMedicareProviderNumber

 

Other representations of profile: CSV, Excel, Schematron

Notes:

No additional search parameters defined for this resource profile.