Patient—hospital insurance status, code N
Identifying and definitional attributes
|Metadata item type:||Data Element|
|Short name:||Hospital insurance status|
|Registration status:||Health, Standard 05/10/2016|
ACT Health, Final 09/08/2018
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:|
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.
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
Independent Hospital Pricing Authority
|Related metadata references:|
Supersedes Patient—hospital insurance status, code N Health, Superseded 05/10/2016, Commonwealth Department of Health, Candidate 16/07/2015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:|
All attributes +
Admitted patient care NMDS 2017-18 Health, Superseded 25/01/2018
Admitted patient care NMDS 2018-19 Health, Superseded 12/12/2018
Admitted patient care NMDS 2019-20 Health, Standard 12/12/2018
Admitted patient care NMDS 2020–21 Health, Standardisation pending 01/10/2019