Pharmaceutical Benefits Scheme (PBS) prescription—PBS claim type, code A
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | PBS claim type |
Synonymous names: | Claim level |
METEOR identifier: | 603902 |
Registration status: | Commonwealth Department of Health, Retired 19/10/2023 |
Definition: | The type of benefit claim made under the Pharmaceutical Benefits Scheme (PBS) for the prescription medicinal product, as represented by a code. |
Data Element Concept: | Pharmaceutical Benefits Scheme (PBS) prescription—PBS claim type |
Value Domain: | Pharmaceutical Benefits Scheme (PBS) claim type code A |
Source and reference attributes | |
Submitting organisation: | Department of Health |
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Data element attributes | |
Collection and usage attributes | |
Guide for use: | Care should be taken when interpreting this data element. The 'Under co-payment claim' category (Code U) is known to include some claims where the patient co-payment is less than the dispensed price due to the patient being eligible for Closing the Gap co-payment relief, i.e. the category includes a number of claims classified as under co-payment claims as a result of application of the Closing the Gap entitlement provisions. Users are advised to exclude prescriptions for Closing the Gap co-payment eligible patients when attempting to ascertain the true number of under co-payment claims. |
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Source and reference attributes | |
Submitting organisation: | Department of Health |
Relational attributes | |
Related metadata references: | See also Patient—Closing the Gap co-payment eligibility indicator, code AAA[NNA] Commonwealth Department of Health, Retired 19/10/2023 |
Implementation in Data Set Specifications: | Pharmaceutical Benefits Scheme (PBS) state/territory data extract 2013-14 Commonwealth Department of Health, Retired 19/10/2023 Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 DSS specific information: Variable name = PBS_CLM_LVL_CD |