Seq No. Metadata item Obligation Max occurs 1 Service/care provider—Medicare service provider identifier, NNNNNN DSS specific information:
Variable name = SPR
Mandatory 1 2 Service/care provider—Medicare service provider practice location identifier, text X DSS specific information:
Variable name = SPRPRAC
Mandatory 1 3 Address—Australian postcode, Australian postcode code (Postcode datafile) {NNNN} DSS specific information:
Variable name = SPRPC
This item represents the Medicare servicing provider postcode.
Mandatory 1 3 Address—Australian postcode, Australian postcode code (Postcode datafile) {NNNN} DSS specific information:
Variable name = SPRPC
This item represents the Medicare servicing provider postcode.
Mandatory 1 3 Address—Australian postcode, Australian postcode code (Postcode datafile) {NNNN} DSS specific information:
Variable name = SPRPC
This item represents the Medicare servicing provider postcode.
Mandatory 1 4 Service/care provider—Australian state/territory identifier, ACT-prioritised Australian state/territory code N DSS specific information:
Variable name = SPRST
In the context of MBS data, this data element describes the location (physical address) of the servicing provider.
Mandatory 1 4 Service/care provider—Australian state/territory identifier, ACT-prioritised Australian state/territory code N DSS specific information:
Variable name = SPRST
In the context of MBS data, this data element describes the location (physical address) of the servicing provider.
Mandatory 1 6 Service/care provider—Medicare referring provider identifier, NNNNNN DSS specific information:
Variable name = RPR_DMSLVL1
Mandatory 1 7 Service/care provider—Medicare referring provider practice location identifier, X DSS specific information:
Variable name = RPRPRAC
Mandatory 1 9 Service/care provider—specialty of requesting provider, health professional specialty group code NN DSS specific information:
Variable name = RPR
Mandatory 1 10 Person—Medicare personal identifier number, N(9) DSS specific information:
Variable name = PIN
Mandatory 1 11 Person—date of birth, DDMMYYYY DSS specific information:
Variable name = PINDOB
This item represents the Medicare patient date of birth.
Mandatory 1 12 Person—sex, code A DSS specific information:
Variable name = PINSEX
Mandatory 1 14 Person—Australian state/territory identifier, ACT-prioritised code N DSS specific information:
Variable name = PINST
In the context of MBS data, this data element describes the Medicare patient's enrolment state, and not the location of an establishment, e.g. the practice or postal address of the servicing or referring provider.
It is based on the most recent patient address reported to the Department of Human Services (DHS).
Mandatory 1 15 Service event—Medicare Benefits Schedule (MBS) item identifier, NN[NNN] DSS specific information:
Variable name = ITEM
Mandatory 1 16 Service event—Medicare Benefits Schedule (MBS) category, code N[N] DSS specific information:
Variable name = MBSCAT
Mandatory 1 17 Service event—Medicare Benefits Schedule (MBS) group, code ANN DSS specific information:
Variable name = MBSGROUP
Mandatory 1 18 Service event—Medicare Benefits Schedule (MBS) subgroup, code ANNNN DSS specific information:
Variable name = MBSSUBGROUP
Mandatory 1 19 Service event—date of Medicare service, DDMMYYYY DSS specific information:
Variable name = DOS
Mandatory 1 20 Service event—Medicare Benefits Schedule (MBS) processing date, DDMMYYYY DSS specific information:
Variable name = DOP
Mandatory 1 21 Record—Department of Health Broad Type of Service (BTOS) hierarchy, code NNNN DSS specific information:
Variable name = BTOS
Mandatory 1 22 Service event—type of Medicare billing, code A DSS specific information:
Variable name = BILLTYPECD
Mandatory 1 23 Service event—Medicare in-hospital treatment indicator, yes/no code A DSS specific information:
Variable name = INHOSPITAL
Mandatory 1 24 Service/care provider—number of Medicare services provided, total number N DSS specific information:
Variable name = NUMSERV
Mandatory 1 25 Service event—number of Medicare services claimed, total number N DSS specific information:
Variable name = MDV_NUMSERV
Mandatory 1 26 Service event—amount of Medicare Benefit Schedule (MBS) benefit paid, Australian currency N[NNN].NN DSS specific information:
Variable name = BENPAID
Mandatory 1 27 Service event—Medicare fee charged, total Australian currency N[NNN].NN DSS specific information:
Variable name = FEECHARGED
Mandatory 1 28 Service event—Medicare Benefits Schedule (MBS) schedule fee, total Australian currency N[NNN].NN DSS specific information:
Variable name = SCHEDFEE
Mandatory 1 29 Service event—number of radiotherapy fields for radiotherapy items, total number N Conditional obligation:
This item will be reported if Medicare Benefits Schedule (MBS) item identifier is:
Group T02 (Radiation oncology). DSS specific information:
Variable name = RTFIELDS
Conditional 1 30 Service event—number of time periods for epidural anaesthetic items, total number N Conditional obligation:
This item will be reported if Medicare Benefits Schedule (MBS) item identifier is:
MBS Group T07 (Regional or field nerve blocks)
MBS item numbers 18219 and 18227 DSS specific information:
Variable name = EATIMPER
Conditional 1 31 Service event—Number of patients seen for non-referred attendance items, total number N Conditional obligation:
This item will be reported if Medicare Australia Broad Type of Service (BTOS) hierarchy is:
Broad type of service (BTOS)
Category A (Non-referred attendances GP/VR GP) Category B (Non-referred attendances - Other) DSS specific information:
Variable name = PATSEEN
Conditional 1 32 Service event—number of foetal tests done for foetal intervention items, total number N Conditional obligation:
This item will be reported if Medicare Benefits Schedule (MBS) item identifier is:
MBS Group T04 (Obstetrics)
MBS item numbers 16600, 16603, 16606, 16609, 16612, 16615, 16618, 16621, 16624, 16627, 16633 and 16636 DSS specific information:
Variable name = FITESTS
Conditional 1 33 Service/care provider—geographic remoteness, Medicare remoteness classification (ASGS-RA) N DSS specific information:
Variable name = SPRRA
This item represents the Medicare servicing provider's geographic remoteness.
Mandatory 1 33 Service/care provider—geographic remoteness, Medicare remoteness classification (ASGS-RA) N DSS specific information:
Variable name = SPRRA
This item represents the Medicare servicing provider's geographic remoteness.
Mandatory 1 35 Service event—Medicare diagnostic imaging multiple services rule, code A DSS specific information:
Variable name = DIMSR
Mandatory 1 36 Service event—Medicare multiple procedure type, code A DSS specific information:
Variable name = MULTPROC
Mandatory 1 37 Service event—Medicare referral reason, code N DSS specific information:
Variable name = REQREF
Mandatory 1 38 Service/care provider—specialty of servicing provider, health professional specialty group code NN DSS specific information:
Variable name = SPR_DMSLVL1
Mandatory 1 
