Patient—hospital insurance status, code N

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Hospital insurance status
METeOR identifier:270253
Registration status:Health, Superseded 05/10/2016
Commonwealth Department of Health, Candidate 16/07/2015
Definition:

Hospital insurance as represented by a code under one of the following categories:

  • Registered insurance - hospital insurance with a health insurance fund registered under the National Health Act 1953 (Cwlth)
  • General insurance - hospital insurance with a general insurance company under a guaranteed renewable policy providing benefits similar to those available under registered insurance
  • No hospital insurance or benefits coverage under the above.

Data element concept attributes

Identifying and definitional attributes

Data element concept:Patient—hospital insurance status
METeOR identifier:269703
Registration status:Health, Standard 01/03/2005
Tasmanian Health, Endorsed 23/06/2020
ACT Health, Final 09/08/2018
Definition:

Hospital insurance under one of the following categories:

  • Registered insurance - hospital insurance with a health insurance fund registered under the National Health Act 1953 (Cwlth)
  • General insurance - hospital insurance with a general insurance company under a guaranteed renewable policy providing benefits similar to those available under registered insurance
  • No hospital insurance or benefits coverage under the above.
Context:To assist in analysis of utilisation and health care financing.
Object class:Patient
Property:Hospital insurance status

Value domain attributes

Identifying and definitional attributes

Value domain:Hospital insurance status code N
METeOR identifier:270799
Registration status:Health, Standard 01/03/2005
Tasmanian Health, Endorsed 23/06/2020
Commonwealth Department of Health, Candidate 16/07/2015
ACT Health, Final 09/08/2018
Definition:A code set representing hospital insurance status.

Representational attributes

Representation class:Code
Data type:Number
Format:N
Maximum character length:1
Permissible values:
ValueMeaning
1Hospital insurance
2No hospital insurance
Supplementary values:
9Unknown

Data element attributes

Collection and usage attributes

Guide for use:

Persons covered by insurance for benefits of ancillary services only are included in 2 - no hospital insurance.

The 'unknown' category should not be used in primary collections but can be used to record unknown insurance status in databases.

This metadata item is to determine whether the patient has hospital insurance, not their method of payment for the episode of care.

Comments:

Insurance status was reviewed and modified to reflect changes to new private health insurance arrangements under the Health Legislation (Private Health Insurance Reform) Amendment Act 1995.

Employee health benefits schemes became illegal with the implementation of Schedule 2 of the private health insurance reforms, effective on 1 October 1995.

Under Schedule 4 of the private health insurance reforms, on 1 July 1997, the definition of the 'basic private table' or 'basic table', and 'supplementary hospital table' and any references to these definitions was omitted from the National Health Act 1953. All hospital tables offered by registered private health insurers since 29 May 1995 have been referred to as 'Applicable Benefits Arrangements' and marketed under the insurer's own product name.

Source and reference attributes

Origin:National Health Data Committee

Relational attributes

Related metadata references:

Supersedes Hospital insurance status, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.6 KB)

Has been superseded by Patient—hospital insurance status, code N Health, Standard 05/10/2016, Tasmanian Health, Endorsed 23/06/2020, ACT Health, Final 09/08/2018

Implementation in Data Set Specifications:
All attributes +

Admitted patient care NMDS Health, Superseded 07/12/2005

DSS specific attributes +

Admitted patient care NMDS 2006-07 Health, Superseded 23/10/2006

DSS specific attributes +

Admitted patient care NMDS 2007-08 Health, Superseded 05/02/2008

DSS specific attributes +

Admitted patient care NMDS 2008-09 Health, Superseded 04/02/2009

DSS specific attributes +

Admitted patient care NMDS 2009-10 Health, Superseded 22/12/2009

DSS specific attributes +

Admitted patient care NMDS 2010-11 Health, Superseded 18/01/2011

DSS specific attributes +

Admitted patient care NMDS 2011-12 Health, Superseded 11/04/2012
Commonwealth Department of Health, Candidate 16/07/2015

DSS specific attributes +

Admitted patient care NMDS 2012-13 Health, Superseded 02/05/2013

DSS specific attributes +

Admitted patient care NMDS 2013-14 Health, Superseded 11/04/2014

DSS specific attributes +

Admitted patient care NMDS 2014-15 Health, Superseded 13/11/2014

DSS specific attributes +

Admitted patient care NMDS 2015-16 Health, Superseded 10/11/2015

DSS specific attributes +

Admitted patient care NMDS 2016-17 Health, Superseded 05/10/2016

DSS specific attributes +