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Pharmaceutical Benefits Scheme (PBS) prescription—patient entitlement status (derived), Commonwealth government assistance scheme code AX

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termPatient category (derived)
Synonymous names:Help on this termDerived patient category; Derived patient entitlement status; Patient entitlement status (derived); Derived beneficiary status; Beneficiary status (derived)
METeOR identifier:Help on this term604103
Registration status:Help on this termCommonwealth Department of Health, Standard 17/12/2015
Definition:Help on this term

The derived entitlement status of the patient at the time the Pharmaceutical Benefits Scheme (PBS) item is supplied, as represented by a code.

Context:Help on this term

The patient's derived entitlement status determines the maximum contribution payable by the patient.

Data Element Concept:Pharmaceutical Benefits Scheme (PBS) prescription—patient entitlement status (derived)

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this termAX
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
G1General Safety Net prescription
G2General non-Safety Net prescription
C0Concessional Safety Net prescription
C1Concessional non-Safety Net prescription
R0Repatriation (Department of Veterans' Affairs - DVA) Safety Net prescription
R1Repatriation (DVA) non-Safety Net prescription
DBPrescriber Bag orders
OCStoma products prescription
OPParaplegic or quadriplegic products prescription

Collection and usage attributes

Guide for use:Help on this term

CODE DB   Prescriber Bag orders

This code is used to describe a provision within the Pharmaceutical Benefits Scheme (PBS) whereby certain pharmaceutical benefits are provided without charge to prescribers who, in turn, can supply them free of charge to patients for emergency use.

Also known as Doctor's Bag orders, particularly in the context of historical data records.

CODE OC   Stoma products prescription

This code is used in instances where the payment of a benefit is related to the provision of stoma-related aids and appliances.

Assistance in relation to stoma-related products is provided via the Stoma Appliance Scheme (SAS). The SAS provides assistance to Medicare-eligible Australian residents who have a temporary or permanent artificial body opening, whether created surgically or otherwise, which facilitates the removal of urine and products of the gastrointestinal tract where the person does not have normal gastrointestinal tract or bladder functions.

To receive subsidised stoma-related products a patient must be a member of a stoma association in Australia and hold an SAS entitlement card issued by the Department of Human Services through one of the associations.

CODE OP   Paraplegic or quadriplegic products prescription

This code is used in instances where the payment of a benefit is related to the provision of paraplegic- or quadriplegic-related aids and appliances.

Assistance in relation to paraplegic- or quadriplegic-related products is provided via the provisions of the National Health (Paraplegic and Quadriplegic Program) Special Arrangement 2010. The program provides assistance to Medicare-eligible Australian residents who have paraplegia or quadriplegia.

To receive subsidised paraplegic- or quadriplegic-related products a patient must be a member of an authorised paraplegic or quadriplegic association in Australia and hold an entitlement card issued by the Department of Human Services through one of the associations.

Source and reference attributes

Submitting organisation:Help on this termDepartment of Health
Reference documents:Help on this term

Department of Health 2015. Stoma Appliance Scheme web page. Department of Health, Canberra. Viewed 17 September 2015,
http://www.health.gov.au/internet/main/publishing.nsf/
Content/Stoma+Appliance+Scheme-3

Office of Parliamentary Counsel, ComLaw website 2015. National Health (Paraplegic and Quadriplegic Program) Special Arrangement 2010 (PB 118 of 2010) (Cwth). Office of Parliamentary Counsel, Canberra. Viewed 17 September 2015,
https://www.comlaw.gov.au/Details/F2015C00562

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

In the context of Pharmaceutical Benefits Scheme (PBS) data, values for this data item are derived from a combination of values recorded for the related data items Payment category and Patient payment category.

Source and reference attributes

Submitting organisation:Help on this term

Department of Health

Relational attributes

Related metadata references:Help on this term

See also Pharmaceutical Benefits Scheme (PBS) prescription—patient category, entitlement code AA Commonwealth Department of Health, Standard 17/12/2015

See also Pharmaceutical Benefits Scheme (PBS) prescription—patient payment category, code X Commonwealth Department of Health, Standard 17/12/2015

Implementation in Data Set Specifications:Help on this term

Pharmaceutical Benefits Scheme (PBS) state/territory data extract 2013-14 Commonwealth Department of Health, Standard 17/12/2015

DSS specific attributes +
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