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Patient—hospital insurance status, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termHospital insurance status
METeOR identifier:Help on this term647326
Registration status:Help on this termHealth, Standard 05/10/2016
ACT Health, Final 09/08/2018
Definition:Help on this term

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:Patient—hospital insurance status

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Hospital insurance
2No hospital insurance
Supplementary values:Help on this term
9Unknown

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

CODE 2   No hospital insurance

This code refers to persons covered by insurance for benefits of ancillary services.

  

CODE 9   Unknown

This code 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:Help on this term

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

Submitting organisation:Help on this term

 Independent Hospital Pricing Authority

Relational attributes

Related metadata references:Help on this term

Supersedes Patient—hospital insurance status, code N Health, Superseded 05/10/2016, Commonwealth Department of Health, Candidate 16/07/2015

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

Admitted patient care NMDS 2017-18 Health, Superseded 25/01/2018

DSS specific attributes +

Admitted patient care NMDS 2018-19 Health, Superseded 12/12/2018
ACT Health, Final 09/08/2018

DSS specific attributes +

Admitted patient care NMDS 2019-20 Health, Standard 12/12/2018

DSS specific attributes +

Admitted patient care NMDS 2020–21 Health, Standardisation pending 01/10/2019

DSS specific attributes +
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