Provider Connect Australia (PCA)
24.2.0.0 - active Australia flag

Provider Connect Australia (PCA) - Local Development build (v24.2.0.0) 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: 24.2.0.0
Active as of 2024-09-23 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.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..* AUMedicareProviderNumber Medicare Provider Number
... Slices for extension Content/Rules for all slices
.... 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
... value Σ 1..1 string Medicare 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..* 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 .

.... 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)

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

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Identifier 0..* AUMedicareProviderNumber Medicare Provider Number
... Slices for extension Content/Rules for all slices
.... 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
... value Σ 1..1 string Medicare 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..* 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 .

.... 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)

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.