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Data Element Detail

Episode of care-payment class
Identifying and Definitional Attributes
QH 041742 v4
Data Element
Data Element
Draft
11-Jun-2018		Current
16-Jul-2019
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Oct-2018
Specifies the expected type of funding for an episode of care.
Payment class (HBCIS)
Representational Attributes
Alphabetic
Code
A2[A(2)]
2
4
Permissible Values

Permissible_values

CodeDescription
CSCorrectional Services
CUUnsighted Medicare Card
DDDepartment of Defence
DVADepartment of Veterans Affairs
MCMedicare
MVOMotor Vehicle Other
MVOIMotor Vehicle Other Ineligible
MVQMotor Vehicle Queensland
MVQIMotor Vehicle Queensland Ineligible
NENot Eligible
NIIONational Injury Insurance Other
NIIOINational Injury Insurance Other Ineligible
NIIQNational Injury Insurance Scheme Queensland Eligible
NIIQINational Injury Insurance Scheme Queensland Ineligible
RCReciprocal Country
TPEThird Party Eligible
TPIThird Party Ineligible
TSTTorres Strait Treaty
WCOWorkers Compensation Other
WCOIWorkers Compensation Other Ineligible
WCQWorkers Compensation Queensland
WCQIWorkers Compensation Queensland Ineligible
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
This data element is mapped to the Person-Medicare eligibility status data element as follows:
Code CS Correctional Services is mapped to code 1 Eligible
Code CU Unsighted Medicare Card is mapped to code 1 Eligible
Code DD Department of Defence is mapped to code 1 Eligible
Code DVA Department of Veterans Affairs is mapped to code 1 Eligible
Code MC Medicare is mapped to code 1 Eligible
Code MVO Motor Vehicle Other is mapped to code 1 Eligible
Code MVOI Motor Vehicle Other Ineligible is mapped to code 2 Not eligible
Code MVQ Motor Vehicle Queensland is mapped to code 1 Eligible
Code MVQI Motor Vehicle Queensland Ineligible is mapped to code 2 Not eligible
Code NE Not Eligible is mapped to code 2 Not eligible
Code NIIO National Injury Insurance Other maps to code 1 Eligible
Code NIIOI National Injury Insurance Other Ineligible maps to code 2 Not eligible
Code NIIQ National Injury Insurance Scheme Queensland Eligible is mapped to code 1 Eligible
Code NIIQI National Injury Insurance Scheme Queensland Ineligible is mapped to code 2 Not eligible
Code RC Reciprocal Country is mapped to code 1 Eligible
Code TPE Third Party Eligible is mapped to code 1 Eligible
Code TRI Third Party Ineligible is mapped to code 2 Not eligible
Code TST Torres Strait Treaty is mapped to code 2 Not eligible
Code WCO Workers Compensation Other is mapped to code 1 Eligible
Code WCOI Workers Compensation Other Ineligible is mapped to code 2 Not eligible
Code WCQ Workers Compensation Queensland is mapped to code 1 Eligible
Code WCQI Workers Compensation Queensland Ineligible is mapped to code 2 Not eligible

This data element is mappable to the Episode of care-expected principal source of patient funding (QLD) data element as follows:
Code CS Correctional Services is mappable to code 01 Health service budget (not covered elsewhere)
Code CU Unsighted Medicare Card is mappable to code 13 Health service budget (no charge raised due to hospital decision)
Code DD Department of Defence is mappable to code 08 Department of Defence
Code DVA Department of Veterans Affairs is mappable to code 07 Department of Veterans' Affairs
Code MC Medicare is mappable to codes 01 Health service budget (not covered elsewhere) and 13 Health service budget (no charge raised due to hospital decision)
Code MVO Motor Vehicle Other is mappable to code 05 Motor vehicle third party personal claim
Code MVOI Motor Vehicle Other Ineligible is mappable to code 05 Motor vehicle third party personal claim
Code MVQ Motor Vehicle Queensland is mappable to code 05 Motor vehicle third party personal claim
Code MVQI Motor Vehicle Queensland Ineligible is mappable to code 05 Motor vehicle third party personal claim
Code NIIO National Injury Insurance Other is mappable to code 06 Other compensation (e.g. public liability, common law, medical negligence)
Code NIIOI National Injury Insurance Other Ineligible is mappable to code 06 Other compensation (e.g. public liability, common law, medical negligence)
Code NIIQ National Injury Insurance Scheme Queensland Eligible is mappable to code 06 Other compensation (e.g. public liability, common law, medical negligence)
Code NIIQI National Injury Insurance Scheme Queensland Ineligible is mappable to code 06 Other compensation (e.g. public liability, common law, medical negligence)
Code RC Reciprocal Country is mappable to code 11 Health service budget (due to eligibility for Reciprocal Health Care Agreement)
Code TPE Third Party Eligible is mappable to code 06 Other compensation (e.g. public liability, common law, medical negligence)
Code TPI Third Party Ineligible is mappable to code 06 Other compensation (e.g. public liability, common law, medical negligence)
Code TST Torres Strait Treaty is mappable to code 12 Other funding source
Code WCO Workers Compensation Other is mappable to code 04 Worker's compensation
Code WCOI Workers Compensation Other Ineligible is mappable to code 04 Worker's compensation
Code WCQ Workers Compensation Queensland is mappable to code 04 Worker's compensation
Code WCQI Workers Compensation Queensland Ineligible is mappable to code 04 Worker's compensation
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of care-payment classQH 041742 Version 3Superseded
Is used in the derivation ofData ElementData ElementPerson-Medicare eligibility statusQH 040058 Version 3Current
Is used in the derivation ofData ElementDerived Data ElementCompensable patient claim (workers' compensation)-payment classQH 042104 Version 2Current
Relates toData ElementData Element ConceptEpisode of careQH 041640 Version 1Current
Implementation in Metadata Sets

Implemented

No Metadata Items
Source and Reference Attributes
Compensable; Compensable status; Payment class;