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Person—government funding identifier, Medicare card number N(11)

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Medicare card number
METeOR identifier:270101
Registration status:Community Services, Recorded 27/03/2007
Health, Standard 01/03/2005
Tasmanian Health, Draft 23/07/2012
Definition:Person identifier, allocated by the Health Insurance Commission to eligible persons under the Medicare scheme, that appears on a Medicare card.
Context:

Medicare utilisation statistics.

Persons eligible for Medicare services.

Data Element Concept:Person—government funding identifier

Value domain attributes

Representational attributes

Representation class:Identifier
Data type:Number
Format:N(11)
Maximum character length:11

Collection and usage attributes

Guide for use:Full Medicare number for an individual (i.e. family number plus person (individual reference) number).
Comments:

The Medicare card number is printed on a Medicare card and is used to access Medicare records for an eligible person.

Up to 9 persons can be included under the one Medicare card number with up to five persons appearing on one physical card.

Persons grouped under one Medicare card number are often a family, however, there is no requirement for persons under the same Medicare card number to be related.

A person may be shown under separate Medicare card numbers where, for example, a child needs to be included on separate Medicare cards held by their parents. As a person can be identified on more than one Medicare card this is not a unique identifier for a person.

Data element attributes

Collection and usage attributes

Guide for use:The Medicare card number should only be collected from persons eligible to receive health services that are to be funded by the Commonwealth government. The number should be reported to the appropriate government agency to reconcile payment for the service provided. The data should not be used by private sector organisations for any other purpose unless specifically authorised by law. For example, data linkage should not be carried out unless specifically authorised by law.
Comments:Note: Veterans may have a Medicare card number and a Department of Veterans' Affairs (DVA) number or only a DVA number.

Source and reference attributes

Submitting organisation:Standards Australia
Origin:AS5017 Health care client identification

Relational attributes

Related metadata references:

Supersedes Medicare card number, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.6 KB)

Implementation in Data Set Specifications:

Cancer (clinical) DSS Health, Superseded 07/12/2005

Cancer (clinical) DSS Health, Superseded 06/03/2009

Cancer (clinical) DSS Health, Superseded 22/12/2009

Cancer (clinical) DSS Health, Superseded 07/12/2011

Cancer (clinical) DSS Health, Standard 07/12/2011

Health care client identification Health, Superseded 04/05/2005

Health care client identification DSS Health, Superseded 03/12/2008

Health care client identification DSS Health, Retired 20/03/2013

Implementation in Indicators:Used as numerator
National Healthcare Agreement: P21-Treatment rates for mental illness, 2010 Health, Superseded 08/06/2011
National Healthcare Agreement: P24-GP-type services, 2010 Health, Superseded 08/06/2011
National Healthcare Agreement: PI 17-Treatment rates for mental illness, 2013 Health, Candidate 24/04/2013
National Healthcare Agreement: PI 21-Treatment rates for mental illness, 2011 Health, Superseded 31/10/2011
National Healthcare Agreement: PI 21-Treatment rates for mental illness, 2012 Health, Standard 31/10/2011
National Healthcare Agreement: PI 24-GP-type services, 2011 Health, Superseded 31/10/2011
National Healthcare Agreement: PI 24-GP-type services, 2012 Health, Standard 31/10/2011
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