Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build United Kingdom flag

Patient Care Coordination (PCC) Implementation Guide - Local Development build (v0.1.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Data Type Profile: Medical Record Number

Official URL: https://fhir.virtually.healthcare/StructureDefinition/MedicalRecordNumber Version: 0.1.1-current
Draft as of 2025-08-14 Computable Name: MedicalRecordNumber

  • NHS Data Model and Dictionary nil, see also LOCAL PATIENT IDENTIFIER
  • HL7 v2 Patient Identifier List (PID-3)
  • IHE XDS sourcePatientId and patientId

Field HL7 FHIR Identifier OID / URI HL7 v2 CX HL7 FHIR Example HL7 v2 Example
Value value   CX.1 ABC1234 ABC1234
Type type   CX.5 http://terminology.hl7.org/CodeSystem/v2-0203#MR MR
ODS Code assigner.identifier   CX.6 https://fhir.nhs.uk/Id/ods-organization-code#RBS RBS
System system FHIR prefers a URI. OID are also permitted, these are likely to be defined by PAS/EPR or within XDS. N/a https://fhir.alderhey.nhs.uk/Id/medical-record-number N/a

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Identifier 0..* CorrelationIdentifier 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 .
... type SΣ 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.
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
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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 0..0 string Plain text representation of the concept
... system Σ 0..1 uri Generic system to represent MRN in NHS Trusts. Can be replaced with a system specified by NHS Trust. For trusts with a PAS/EPR with a FHIR API (e.g. EPIC, Meditech, Cerner, etc), this value will be defined in that API.
Example General: http://www.acme.com/identifiers/patient
Example EPIC EPI OID: 1.2.840.114350.1.13.0.1.7.5.737384.0
... value SΣ 1..1 string The value that is unique
Example General: 123456
... assigner SΣ 1..1 Reference(Organization) Assigning Facility
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code
..... value SΣ 1..1 string The value that is unique
Example General: 123456
Example THE BEAUMONT PRACTICE: F83671
Example Manchester University NHS Foundation Trust: R0A

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.typeextensibleFixed Value: MR
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
Identifier.assigner.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from CorrelationIdentifier

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Identifier CorrelationIdentifier
... type 0..1 CodeableConcept Description of identifier
Fixed Value: As shown (Medical record number)
.... coding 1..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/CodeSystem/v2-0203
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
... system 0..1 uri Generic system to represent MRN in NHS Trusts. Can be replaced with a system specified by NHS Trust. For trusts with a PAS/EPR with a FHIR API (e.g. EPIC, Meditech, Cerner, etc), this value will be defined in that API.
Example EPIC EPI OID: 1.2.840.114350.1.13.0.1.7.5.737384.0
... assigner 1..1 Reference(Organization) Assigning Facility
.... identifier
..... value 1..1 string The value that is unique
Example Manchester University NHS Foundation Trust: R0A

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Identifier 0..* CorrelationIdentifier 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 SΣ 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.
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
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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 0..0 string Plain text representation of the concept
... system Σ 0..1 uri Generic system to represent MRN in NHS Trusts. Can be replaced with a system specified by NHS Trust. For trusts with a PAS/EPR with a FHIR API (e.g. EPIC, Meditech, Cerner, etc), this value will be defined in that API.
Example General: http://www.acme.com/identifiers/patient
Example EPIC EPI OID: 1.2.840.114350.1.13.0.1.7.5.737384.0
... value SΣ 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 SΣ 1..1 Reference(Organization) Assigning Facility
.... 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 SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... 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.
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code
..... value SΣ 1..1 string The value that is unique
Example General: 123456
Example THE BEAUMONT PRACTICE: F83671
Example Manchester University NHS Foundation Trust: R0A
..... 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)
.... display Σ 0..1 string Text alternative for the resource

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.typeextensibleFixed Value: MR
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
Identifier.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Identifier.assigner.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
Identifier.assigner.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CorrelationIdentifier

Summary

Fixed: 1 element

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Identifier 0..* CorrelationIdentifier 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 .
... type SΣ 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.
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
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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 0..0 string Plain text representation of the concept
... system Σ 0..1 uri Generic system to represent MRN in NHS Trusts. Can be replaced with a system specified by NHS Trust. For trusts with a PAS/EPR with a FHIR API (e.g. EPIC, Meditech, Cerner, etc), this value will be defined in that API.
Example General: http://www.acme.com/identifiers/patient
Example EPIC EPI OID: 1.2.840.114350.1.13.0.1.7.5.737384.0
... value SΣ 1..1 string The value that is unique
Example General: 123456
... assigner SΣ 1..1 Reference(Organization) Assigning Facility
.... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code
..... value SΣ 1..1 string The value that is unique
Example General: 123456
Example THE BEAUMONT PRACTICE: F83671
Example Manchester University NHS Foundation Trust: R0A

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.typeextensibleFixed Value: MR
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
Identifier.assigner.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Differential View

This structure is derived from CorrelationIdentifier

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Identifier CorrelationIdentifier
... type 0..1 CodeableConcept Description of identifier
Fixed Value: As shown (Medical record number)
.... coding 1..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/CodeSystem/v2-0203
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MR
... system 0..1 uri Generic system to represent MRN in NHS Trusts. Can be replaced with a system specified by NHS Trust. For trusts with a PAS/EPR with a FHIR API (e.g. EPIC, Meditech, Cerner, etc), this value will be defined in that API.
Example EPIC EPI OID: 1.2.840.114350.1.13.0.1.7.5.737384.0
... assigner 1..1 Reference(Organization) Assigning Facility
.... identifier
..... value 1..1 string The value that is unique
Example Manchester University NHS Foundation Trust: R0A

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Identifier 0..* CorrelationIdentifier 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 SΣ 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.
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
.... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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 0..0 string Plain text representation of the concept
... system Σ 0..1 uri Generic system to represent MRN in NHS Trusts. Can be replaced with a system specified by NHS Trust. For trusts with a PAS/EPR with a FHIR API (e.g. EPIC, Meditech, Cerner, etc), this value will be defined in that API.
Example General: http://www.acme.com/identifiers/patient
Example EPIC EPI OID: 1.2.840.114350.1.13.0.1.7.5.737384.0
... value SΣ 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 SΣ 1..1 Reference(Organization) Assigning Facility
.... 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 SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... 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.
..... system SΣ 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code
..... value SΣ 1..1 string The value that is unique
Example General: 123456
Example THE BEAUMONT PRACTICE: F83671
Example Manchester University NHS Foundation Trust: R0A
..... 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)
.... display Σ 0..1 string Text alternative for the resource

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.typeextensibleFixed Value: MR
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
Identifier.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Identifier.assigner.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
Identifier.assigner.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from CorrelationIdentifier

Summary

Fixed: 1 element

 

Other representations of profile: CSV, Excel, Schematron