Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Non-admitted patient service event—principal source of funding, code NN

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termPrincipal source of funding
METeOR identifier:Help on this term400680
Registration status:Help on this termHealth, Superseded 11/04/2012
Independent Hospital Pricing Authority, Standard 01/11/2012
Definition:Help on this termThe principal source of funds for a non-admitted patient service event, as represented by a code.
Data Element Concept:Non-admitted patient service event—principal source of funding

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this termNN
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
01Health service budget (not covered elsewhere)
02Health service budget (due to eligibility for Reciprocal Health Care Agreement)
03Health service budget (no charge raised due to hospital decision)
04Department of Veterans' Affairs
05Department of Defence
06Correctional facility
07Medicare Benefits Scheme
08Other hospital or public authority (contracted care)
09Private health insurance
10Worker's compensation
11Motor vehicle third party personal claim
12Other compensation (e.g. public liability, common law, medical negligence)
13Self-funded
14Other funding source
Supplementary values:Help on this term
99Not known

Collection and usage attributes

Guide for use:Help on this term

CODE 01     Health service budget (not covered elsewhere)

Health service budget (not covered elsewhere) should be recorded as the funding source for Medicare eligible patients presenting at a public hospital outpatient department for whom there is no other funding arrangement.

CODE 02     Health service budget (due to eligibility for Reciprocal Health Care Agreement) 

Patients who are overseas visitors from countries covered by Reciprocal Health Care Agreements.

CODE 03     Health service budget (no charge raised due to hospital decision) 

Patients who are Medicare ineligible and receive public hospital services free of charge at the discretion of the hospital or the state/territory. Also includes patients for whom a charge is raised but is subsequently waived.

CODE 07     Medicare Benefits Scheme 

Medicare eligible non-admitted patients presenting at a public hospital outpatient department for whom services are billed to Medicare. Includes both bulk-billed and patients with out-of-pocket expenses. 

CODE 08     Other hospital or public authority (contracted care)

Patients receiving treatment under contracted care arrangements (inter-hospital contracted patient).

CODE 09     Private health insurance

Patients who are funded by private health insurance, including travel insurance for Medicare eligible patients.  

Excludes: Overseas visitors for whom travel insurance is the major funding source.

CODE 13     Self-funded

This code includes funded by the patient, by the patient's family or friends, or by other benefactors.

CODE 14     Other funding source

This code includes overseas visitors for whom travel insurance is the major funding source.

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

The principal source of funding should be assigned based on a best estimate of where the majority of funds come from. This data element is not designed to capture information on out-of-pocket expenses to patients (e.g. fees only partly covered by the Medicare Benefits Schedule). 

Source and reference attributes

Submitting organisation:Help on this termNAP NMDS (Phase 1) Working Group

Relational attributes

Related metadata references:Help on this term

See also Appointment—principal source of funding, patient funding source code AAA WA Health, Endorsed 19/03/2015

See also Episode of care—principal source of funding, hospital code NN Health, Superseded 11/04/2012, Commonwealth Department of Health, Candidate 16/07/2015

Has been superseded by Episode of care—source of funding, patient funding source code NN Health, Superseded 07/03/2014

Implementation in Data Set Specifications:Help on this term
All attributes +

Activity based funding: Non-admitted patient care aggregate DSS 2013-2014 Independent Hospital Pricing Authority, Superseded 01/03/2013

DSS specific attributes +

Activity based funding: Non-admitted patient care DSS 2013-2014 Independent Hospital Pricing Authority, Superseded 01/03/2013

DSS specific attributes +

Non-admitted patient activity based funding DSS 2012-2013 Independent Hospital Pricing Authority, Superseded 30/10/2012

DSS specific attributes +

Non-admitted patient care aggregate NMDS 2013-14 Health, Superseded 11/04/2014

DSS specific attributes +

Non-admitted patient DSS 2011-12 Health, Superseded 07/12/2011

DSS specific attributes +

Non-admitted patient DSS 2012-13 Health, Superseded 02/05/2013

DSS specific attributes +
My items Help on this term
Download Help on this term