Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• XML
• JSON

Data Type Profile: Medical Record Number

Only use in FHIR Reference if the NHS Number is not known or unverified.

Usage:

• Use this DataType Constraint: Patient

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 Identifier

Name	Flags	Card.	Type	Description & Constraints
Identifier			Identifier
type
coding		0..*	Coding	Code defined by a terminology system Fixed Value: As shown (Medical record number)
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: MR
system		1..1	uri	Should indicate the assigning provider of the MRN. This is provider defined. Binding: Medical Record System (required)
value		1..1	string	The value that is unique
assigner		0..1	Reference(Organization)	Populate if the identifier.value is reused by multiple providers (as is the case with EMIS identifiers)
identifier		0..1	OrganisationCode	An identifier intended for computation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Identifier.system	required	MedicalRecordSystem (a valid code from Medical Record System) https://fhir.virtually.healthcare/ValueSet/MedicalRecordSystem from this IG

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	Identifier	An identifier intended for computation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Should indicate the assigning provider of the MRN. This is provider defined. Binding: Medical Record System (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	0..1	Reference(Organization)	Populate if the identifier.value is reused by multiple providers (as is the case with EMIS identifiers)
identifier		0..1	OrganisationCode	An identifier intended for computation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Identifier.system	required	MedicalRecordSystem (a valid code from Medical Record System) https://fhir.virtually.healthcare/ValueSet/MedicalRecordSystem from this IG

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	Identifier	An identifier intended for computation
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	0..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (Medical record number)
id		0..0	string	Unique id for inter-element referencing
extension		0..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..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	Should indicate the assigning provider of the MRN. This is provider defined. Binding: Medical Record System (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Populate if the identifier.value is reused by multiple providers (as is the case with EMIS identifiers)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	OrganisationCode	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Identifier.system	required	MedicalRecordSystem (a valid code from Medical Record System) https://fhir.virtually.healthcare/ValueSet/MedicalRecordSystem from this IG
Identifier.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

This structure is derived from Identifier

Summary

Mandatory: 2 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• Organisation Code (https://fhir.virtually.healthcare/StructureDefinition/organisation-code)

Differential View

This structure is derived from Identifier

Name	Flags	Card.	Type	Description & Constraints
Identifier			Identifier
type
coding		0..*	Coding	Code defined by a terminology system Fixed Value: As shown (Medical record number)
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: MR
system		1..1	uri	Should indicate the assigning provider of the MRN. This is provider defined. Binding: Medical Record System (required)
value		1..1	string	The value that is unique
assigner		0..1	Reference(Organization)	Populate if the identifier.value is reused by multiple providers (as is the case with EMIS identifiers)
identifier		0..1	OrganisationCode	An identifier intended for computation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Identifier.system	required	MedicalRecordSystem (a valid code from Medical Record System) https://fhir.virtually.healthcare/ValueSet/MedicalRecordSystem from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	Identifier	An identifier intended for computation
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Should indicate the assigning provider of the MRN. This is provider defined. Binding: Medical Record System (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
assigner	Σ	0..1	Reference(Organization)	Populate if the identifier.value is reused by multiple providers (as is the case with EMIS identifiers)
identifier		0..1	OrganisationCode	An identifier intended for computation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Identifier.system	required	MedicalRecordSystem (a valid code from Medical Record System) https://fhir.virtually.healthcare/ValueSet/MedicalRecordSystem from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Identifier		0..*	Identifier	An identifier intended for computation
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	0..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (Medical record number)
id		0..0	string	Unique id for inter-element referencing
extension		0..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..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	Should indicate the assigning provider of the MRN. This is provider defined. Binding: Medical Record System (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Populate if the identifier.value is reused by multiple providers (as is the case with EMIS identifiers)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	OrganisationCode	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Identifier.system	required	MedicalRecordSystem (a valid code from Medical Record System) https://fhir.virtually.healthcare/ValueSet/MedicalRecordSystem from this IG
Identifier.assigner.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

This structure is derived from Identifier

Summary

Mandatory: 2 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• Organisation Code (https://fhir.virtually.healthcare/StructureDefinition/organisation-code)

Other representations of profile: CSV, Excel, Schematron