Identifying and definitional attributes
|Metadata item type:||Data Element|
|Short name:||Hospital insurance status|
|Registration status:||Health, Superseded 05/10/2016|
Commonwealth Department of Health, Candidate 16/07/2015
Hospital insurance as represented by a code under one of the following categories:
|Data Element Concept:||Patient—hospital insurance status|
Value domain attributes
|Maximum character length:||1|
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.
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|
|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Supersedes Hospital insurance status, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.6 KB)
Has been superseded by Patient—hospital insurance status, code N Health, Standard 05/10/2016, Tasmanian Health, Endorsed 23/06/2020, ACT Health, Final 09/08/2018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Admitted patient care NMDS Health, Superseded 07/12/2005
Admitted patient care NMDS 2006-07 Health, Superseded 23/10/2006
Admitted patient care NMDS 2007-08 Health, Superseded 05/02/2008
Admitted patient care NMDS 2008-09 Health, Superseded 04/02/2009
Admitted patient care NMDS 2009-10 Health, Superseded 22/12/2009
Admitted patient care NMDS 2010-11 Health, Superseded 18/01/2011
Admitted patient care NMDS 2011-12 Health, Superseded 11/04/2012
Admitted patient care NMDS 2012-13 Health, Superseded 02/05/2013
Admitted patient care NMDS 2013-14 Health, Superseded 11/04/2014
Admitted patient care NMDS 2014-15 Health, Superseded 13/11/2014
Admitted patient care NMDS 2015-16 Health, Superseded 10/11/2015
Admitted patient care NMDS 2016-17 Health, Superseded 05/10/2016