1 | Medical indemnity claim state/territory identifier | 421974 | Number
[1]
| 1 | New South Wales | 2 | Victoria | 3 | Queensland | 4 | South Australia | 5 | Western Australia | 6 | Tasmania | 7 | Northern Territory | 8 | Australian Capital Territory | 9 | Other territories (Cocos (Keeling) Islands, Christmas Island and Jervis Bay Territory) |
| |
2 | Medical indemnity claim identifier | 329778 | String
[20]
| XXXXXX[X(14)]
A logical combination of valid alphanumeric characters that identify an entity. | |
3 | Type of compensatory payment to patient | 329796 | Number
[2]
| 1 | Care costs | 2 | Other economic loss | 3 | Pain and suffering (including nervous shock) | 7 | Medical costs | 8 | Other loss | 9 | No payment to patient | 97 | Not applicable—patient is not a claimant | 99 | Not stated/inadequately described |
| |
4 | Type of compensatory payment to other party | 329798 | Number
[2]
| 1 | Care costs | 2 | Other economic loss | 3 | Nervous shock | 4 | Other pain and suffering (excluding nervous shock) | 5 | Loss of consortium | 9 | Medical costs | 12 | No payment to an other party | 88 | Other loss | 97 | Not applicable—patient is the only claimant | 99 | Not stated/inadequately described |
| |
5 | Date of birth | 287007 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | DSS specific information: In this data set specification 'Person' refers to the patient. This data element should be used in conjunction with the data element: Date—accuracy indicator, code AAA to flag whether each component of the date of birth is accurate, estimated or unknown. No linking of client records is envisioned in the Medical Indemnity National Collection. Insurance Statistics Australia collects claimant/patient year of birth as part of its National Claims and Policies Database, which allows it to report private sector data to the Australian Institute of Health and Welfare in terms of the person's age at the time of the health-care incident. Information on date of birth allows a more accurate calculation of the patient's age at the time of the health-care incident, especially when babies are involved. |
6 | Sex | 287316 | Number
[1]
| 1 | Male | 2 | Female | 3 | Intersex or indeterminate | 9 | Not stated/inadequately described |
| DSS specific information: In this data set specification, 'Person' refers to the patient. The patient should be female when the clinical service context is 'Gynaecology' or when the patient is not a baby and the clinical service context is 'Obstetrics'. |
7 | Indigenous status | 291036 | Number
[1]
| 1 | Aboriginal but not Torres Strait Islander origin | 2 | Torres Strait Islander but not Aboriginal origin | 3 | Both Aboriginal and Torres Strait Islander origin | 4 | Neither Aboriginal nor Torres Strait Islander origin | 9 | Not stated/inadequately described |
| DSS specific information: In this data set specification 'Person' refers to the patient. |
8 | Primary incident or allegation type | 329724 | Number
[3]
| 10 | Diagnosis | 20 | Medication-related: type and dosage | 21 | Medication-related: method of administration | 22 | Medication-related: other or not further defined | 30 | Anaesthetic | 40 | Blood or blood product-related (includes blood transfusions) | 50 | Procedure—failure to perform | 51 | Procedure—wrong procedure | 52 | Procedure—wrong body site | 53 | Procedure—post-operative complications | 54 | Procedure—failure of procedure | 56 | Procedure—post-operative infection | 57 | Procedure—intra-operative complications | 59 | Procedure—other or not further defined | 60 | Treatment—delayed | 61 | Treatment—not provided | 62 | Treatment—complications | 63 | Treatment—failure of treatment | 64 | Treatment—other or not further defined | 70 | Consent (includes failure to warn) | 80 | Infection control (includes instrument sterilisation) | 90 | Device failure (includes problems with implanted devices) | 100 | Other general duty of care issues | 888 | Other | 999 | Not stated/inadequately described |
| |
9 | Additional incident or allegation type | 329728 | Number
[3]
| 10 | Diagnosis | 20 | Medication-related: type and dosage | 21 | Medication-related: method of administration | 22 | Medication-related: other or not further defined | 30 | Anaesthetic | 40 | Blood or blood product-related (includes blood transfusions) | 50 | Procedure—failure to perform | 51 | Procedure—wrong procedure | 52 | Procedure—wrong body site | 53 | Procedure—post-operative complications | 54 | Procedure—failure of procedure | 56 | Procedure—post-operative infection | 57 | Procedure—intra-operative complications | 59 | Procedure—other or not further defined | 60 | Treatment—delayed | 61 | Treatment—not provided | 62 | Treatment—complications | 63 | Treatment—failure of treatment | 64 | Treatment—other or not further defined | 70 | Consent (includes failure to warn) | 80 | Infection control (includes instrument sterilisation) | 90 | Device failure (includes problems with implanted devices) | 100 | Other general duty of care issues | 888 | Other | 999 | Not stated/inadequately described |
| Conditional obligation: Conditional on more than one health-care incident or allegation type being involved in a medical indemnity claim. |
10 | Clinical service context | 329822 | Number
[2]
| 1 | Emergency department | 2 | Cardiology | 3 | Dentistry | 4 | Cosmetic procedures (including elective plastic surgery) | 5 | Otolaryngology | 6 | General medicine (including internal medicine) | 7 | General practice | 8 | General surgery | 9 | Gynaecology | 10 | Hospital outpatient department | 11 | Neurology | 12 | Obstetrics | 13 | Oncology | 14 | Orthopaedics | 15 | Paediatrics | 16 | Perinatology (including neonatology) | 17 | Plastic surgery (non-elective) | 18 | Psychiatry | 19 | Radiology | 20 | Urology | 23 | Cardio-thoracic surgery | 24 | Community-based care | 25 | Intensive care | 26 | Neurosurgery | 27 | Ophthalmology | 28 | Oral and maxillofacial surgery | 29 | Pathology | 30 | Public health | 31 | Rehabilitation | 32 | Vascular surgery | 88 | Other | 97 | Not applicable | 99 | Not stated/inadequately described |
| |
11 | Clinical service context text | 441107 | String
[40]
| X[X(39)]
A combination of alphanumeric characters. | Conditional obligation: Conditional on recording Code 88 'Other' for the data element Health-care incident—clinical service context, code N[N].DSS specific information: This data element is only used to capture a description for those cases where the 'Other' code is used in the data element: Health-care incident—clinical service context, code N[N]. |
12 | Primary body function or structure of patient affected | 330176 | Number
[2]
| 1 | Mental functions or structures of the nervous system | 2 | Sensory functions and pain of the eye, ear and related structures | 3 | Voice and speech functions or structures involved in voice and speech | 4 | Functions or structures of the cardiovascular, haematological, immunological and respiratory systems | 5 | Functions or structures of the digestive, metabolic and endocrine systems | 6 | Genitourinary or reproductive functions and structures | 7 | Neuromusculoskeletal or movement-related functions and structures | 8 | Functions and structures of the skin and related structures | 9 | Death | 97 | Not applicable | 99 | Not stated/inadequately described |
| DSS specific information: This data element relates to the primary body function or structure of the patient alleged to have been affected as a result of a health-care incident. |
13 | Additional body function or structure of patient affected | 330183 | Number
[2]
| 1 | Mental functions or structures of the nervous system | 2 | Sensory functions and pain of the eye, ear and related structures | 3 | Voice and speech functions or structures involved in voice and speech | 4 | Functions or structures of the cardiovascular, haematological, immunological and respiratory systems | 5 | Functions or structures of the digestive, metabolic and endocrine systems | 6 | Genitourinary or reproductive functions and structures | 7 | Neuromusculoskeletal or movement-related functions and structures | 8 | Functions and structures of the skin and related structures | 9 | Death | 97 | Not applicable | 99 | Not stated/inadequately described |
| Conditional obligation: Conditional on more than one body function or structure being affected as a result of the health-care incident.
DSS specific information: This data element relates to additional body functions or structures of the patient alleged to have been affected as a result of a health-care incident.
|
14 | Extent of harm from a health-care incident | 421931 | Number
[2]
| 4 | Death | 7 | Mild injury | 8 | Moderate injury | 9 | Severe injury | 97 | Not applicable (no body function or structure affected) | 99 | Not stated/inadequately described |
| |
15 | Date health-care incident occurred | 329661 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | |
16 | Geographic remoteness | 466881 | String
[1]
| 1 | Major cities of Australia | 2 | Inner regional Australia | 3 | Outer regional Australia | 4 | Remote Australia | 5 | Very remote Australia | 6 | Migratory | 9 | Not stated/inadequately described |
| DSS specific information: When the health-care incident that gave rise to a medical indemnity claim involved a series of events that occurred in more than one location, the code recorded should reflect the location at which the primary incident or allegation type occurred. Where a missed diagnosis was the main, dominant or primary cause giving rise to a medical indemnity claim, the code recorded should be the remoteness category of the place at which the diagnosis should first have been made, but was not, for example the general practitioner's surgery. Code 6 'Migratory' is not a valid code for the Medical Indemnity National Collection. Code 9 'Not stated/inadequately described' should be used only when the information is not currently available, but is expected to become available as the medical indemnity claim progresses. |
17 | Health service setting | 329836 | Number
[2]
| 1 | Public hospital or day surgery centre (includes public psychiatric hospital) | 2 | Private hospital or day surgery centre (includes private psychiatric hospital) | 3 | Public community health centre | 4 | Private community health centre | 5 | Public residential aged care service | 6 | Private residential aged care service | 7 | Private medical practitioner rooms or surgery | 8 | Other public health service provider setting | 9 | Other private health service provider setting | 12 | Patient's home | 88 | Other (including 'Medihotels') | | | 99 | Not stated/inadequately described |
| |
18 | Patient relationship to health-care service provider | 330338 | Number
[1]
| 1 | Public admitted hospital patient | 2 | Private admitted hospital patient | 3 | Resident | 8 | Other | 9 | Not stated/inadequately described |
| |
19 | Principal clinician specialty involved in health-care incident | 330143 | Number
[2]
| 3 | Cardiology | 4 | Cardio-thoracic surgery | 5 | Chiropractics | 6 | Clinical genetics | 7 | Haematology (clinical) | 8 | Immunology and allergy (clinical) | 9 | Clinical pharmacology (excluding pharmacy) | 11 | Cosmetic surgery | 13 | Dentistry | 14 | Dermatology | 15 | Diagnostic radiology | 16 | Otolaryngology | 17 | Emergency medicine | 18 | Endocrinology | 21 | Gastroenterology and hepatology | 22 | General medicine | 23 | General practice–non-procedural | 24 | General practice–procedural | 25 | General surgery | 26 | Geriatric medicine | 27 | Gynaecology only | 28 | Infectious diseases | 29 | Intensive care medicine | 30 | Medical oncology | 31 | Midwifery | 32 | Neurology | 33 | Neurosurgery | 34 | Neonatal or perinatal medicine | 35 | Nuclear medicine | 36 | Nursing–general | 37 | Nursing–nurse practitioner | 38 | Nutrition or dietician | 39 | Obstetrics and gynaecology | 40 | Obstetrics only | 41 | Occupational and environmental medicine | 42 | Ophthalmology | 44 | Orthopaedic surgery | 45 | Osteopathy | 46 | Paediatrics | 47 | Paediatric surgery | 48 | Paramedical and ambulance staff | 49 | Pathology | 50 | Pharmacy (excluding clinical pharmacology) | 51 | Physiotherapy | 52 | Plastic and reconstructive surgery | 53 | Podiatry | 54 | Psychiatry | 55 | Psychology | 56 | Public health | 57 | Rehabilitation medicine | 58 | Nephrology | 59 | Respiratory and sleep medicine | 60 | Rheumatology | 62 | Sports and exercise medicine | 63 | Radiation oncology (therapeutic radiology) | 65 | Urology | 66 | Vascular surgery | 67 | Other allied health (including complementary medicine) | 68 | Other hospital-based medical practitioner | 71 | Anaesthesia | 72 | Maternal-fetal medicine | 73 | Medical administration | 75 | Oral and maxillofacial surgery | 76 | Palliative medicine | 77 | Urogynaecology | 78 | Reproductive endocrinology and infertility | 79 | Addiction medicine | 80 | Paediatric emergency medicine | 81 | Sexual health medicine | 82 | Pain medicine | 97 | Not applicable | 99 | Not stated/inadequately described |
| |
20 | Additional clinician specialty involved in health-care incident | 424965 | Number
[2]
| 3 | Cardiology | 4 | Cardio-thoracic surgery | 5 | Chiropractics | 6 | Clinical genetics | 7 | Haematology (clinical) | 8 | Immunology and allergy (clinical) | 9 | Clinical pharmacology (excluding pharmacy) | 11 | Cosmetic surgery | 13 | Dentistry | 14 | Dermatology | 15 | Diagnostic radiology | 16 | Otolaryngology | 17 | Emergency medicine | 18 | Endocrinology | 21 | Gastroenterology and hepatology | 22 | General medicine | 23 | General practice–non-procedural | 24 | General practice–procedural | 25 | General surgery | 26 | Geriatric medicine | 27 | Gynaecology only | 28 | Infectious diseases | 29 | Intensive care medicine | 30 | Medical oncology | 31 | Midwifery | 32 | Neurology | 33 | Neurosurgery | 34 | Neonatal or perinatal medicine | 35 | Nuclear medicine | 36 | Nursing–general | 37 | Nursing–nurse practitioner | 38 | Nutrition or dietician | 39 | Obstetrics and gynaecology | 40 | Obstetrics only | 41 | Occupational and environmental medicine | 42 | Ophthalmology | 44 | Orthopaedic surgery | 45 | Osteopathy | 46 | Paediatrics | 47 | Paediatric surgery | 48 | Paramedical and ambulance staff | 49 | Pathology | 50 | Pharmacy (excluding clinical pharmacology) | 51 | Physiotherapy | 52 | Plastic and reconstructive surgery | 53 | Podiatry | 54 | Psychiatry | 55 | Psychology | 56 | Public health | 57 | Rehabilitation medicine | 58 | Nephrology | 59 | Respiratory and sleep medicine | 60 | Rheumatology | 62 | Sports and exercise medicine | 63 | Radiation oncology (therapeutic radiology) | 65 | Urology | 66 | Vascular surgery | 67 | Other allied health (including complementary medicine) | 68 | Other hospital-based medical practitioner | 71 | Anaesthesia | 72 | Maternal-fetal medicine | 73 | Medical administration | 75 | Oral and maxillofacial surgery | 76 | Palliative medicine | 77 | Urogynaecology | 78 | Reproductive endocrinology and infertility | 79 | Addiction medicine | 80 | Paediatric emergency medicine | 81 | Sexual health medicine | 82 | Pain medicine | 97 | Not applicable | 99 | Not stated/inadequately described |
| Conditional obligation: Conditional on more than one clinician specialty being involved in the health-care incident that gave rise to a medical indemnity claim. |
21 | Reserve placement date | 329690 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | |
22 | Medical indemnity claim reserve size | 329868 | Number
[2]
| 1 | Less than $10,000 | 2 | $10,000 to less than $30,000 | 3 | $30,000 to less than $50,000 | 4 | $50,000 to less than $100,000 | 5 | $100,000 to less than $250,000 | 6 | $250,000 to less than $500,000 | 7 | $500,000 to less than $1 million | 8 | $1 million to less than $2 million | 9 | $2 million to less than $5 million | 10 | $5 million or more |
| |
23 | Medical indemnity claim commencement date | 329623 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | Conditional obligation: Conditional on the existence of a trigger for commencement of the medical indemnity claim. |
24 | Medical indemnity claim finalisation date | 329635 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | Conditional obligation: Conditional upon a medical indemnity claim being finalised.DSS specific information: The finalisation date should be reported if a medical indemnity claim has been settled, a final court decision was delivered or the claim file was closed. |
25 | Mode of medical indemnity claim finalisation | 330111 | Number
[2]
| 1 | Settled through state or territory-based complaints processes | 2 | Settled through court-based alternative dispute resolution processes | 3 | Settled through statutorily mandated compulsory conference process | 4 | Settled—other | 5 | Court decision | 8 | Discontinued commenced claim | 9 | Discontinued potential claim | 99 | Not stated/inadequately described |
| |
26 | Medical indemnity claim size | 330121 | Number | 0 | $0 | 1 | $1 to less than $10,000 | 2 | $10,000 to less than $30,000 | 3 | $30,000 to less than $50,000 | 4 | $50,000 to less than $100,000 | 5 | $100,000 to less than $250,000 | 6 | $250,000 to less than $500,000 | 7 | $500,000 to less than $1 million | 8 | $1 million to less than $2 million | 9 | $2 million to less than $5 million | 10 | $5 million or more | | | 99 | Not stated/inadequately described |
| |
27 | Medical indemnity claim status | 329644 | Number
[2]
| 10 | Not yet commenced, claim file open | 11 | Not yet commenced, claim file closed | 20 | Commenced, claim file open | 30 | Commenced, claim file closed | 32 | Structured settlement, claim file open | 33 | Structured settlement, claim file closed | 40 | Claim previously closed, now reopened | 50 | Claim record rescinded, not a medical indemnity claim |
| |
28 | Medical indemnity payment recipient | 421927 | Number
[1]
| 2 | Payment to patient only | 3 | Payment to other party/parties only | 4 | Payment to patient and other party/parties | 7 | Not applicable—no payment to claimant | 9 | Not stated/inadequately described |
| |
29 | Class action indicator | 466010 | Boolean
[1]
| | |
- | Date accuracy indicator | 294429 | String
[3]
| AAA | Day, month and year are accurate | AAE | Day and month are accurate, year is estimated | AAU | Day and month are accurate, year is unknown | AEA | Day is accurate, month is estimated, year is accurate | AEE | Day is accurate, month and year are estimated | AEU | Day is accurate, month is estimated, year is unknown | AUA | Day is accurate, month is unknown, year is accurate | AUE | Day is accurate, month is unknown, year is estimated | AUU | Day is accurate, month and year are unknown | EAA | Day is estimated, month and year are accurate | EAE | Day is estimated, month is accurate, year is estimated | EAU | Day is estimated, month is accurate, year is unknown | EEA | Day and month are estimated, year is accurate | EEE | Day, month and year are estimated | EEU | Day and month are estimated, year is unknown | EUA | Day is estimated, month is unknown, year is accurate | EUE | Day is estimated, month is unknown, year is estimated | EUU | Day is estimated, month and year are unknown | UAA | Day is unknown, month and year are accurate | UAE | Day is unknown, month is accurate, year is estimated | UAU | Day is unknown, month is accurate, year is unknown | UEA | Day is unknown, month is estimated, year is accurate | UEE | Day is unknown, month and year are estimated | UEU | Day is unknown, month is estimated, year is unknown | UUA | Day and month are unknown, year is accurate | UUE | Day and month are unknown, year is estimated | UUU | Day, month and year are unknown |
| DSS specific information: This data element is to be used in conjunction with the following data elements: Health-care incident—date incident occurred, date DDMMYYYY; Medical indemnity claim—medical indemnity claim commencement date, DDMMYYYY; Medical indemnity claim management episode—medical indemnity claim finalisation date, DDMMYYYY; Medical indemnity claim management episode—reserve placement date, DDMMYYYY; and Person—date of birth, DDMMYYYY. |