[WWW - 2023.07.31]

Data Element Detail

Person-Medicare card number
Identifying and Definitional Attributes
QH 040164 v3
Data Element
Data Element
Draft
15-Mar-2012		Current
29-May-2012
Standard
01-Jul-2012
Person identifier, allocated by the Health Insurance Commission to eligible persons under the Medicare scheme, that appears on a Medicare card.
Medicare utilisation statistics and institutional health care. Persons eligible for Medicare services.
Medicare card number
Representational Attributes
Numeric Character
Identification Number
N(11)
11
11
Permissible Values

Permissible_values

-
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Full Medicare number for an individual (i.e. family number plus person (individual reference) number).

The 11 digit Medicare card number comprises:
- a card number (8 digits),
- a check digit (1 digit),
- an issue number (1 digit), and
- a person number (1 digit).

The Medicare card number should only be collected from persons eligible to receive health services that are to be funded by the Commonwealth government. The number should be reported to the appropriate government agency to reconcile payment for the service provided. The data should not be used by private sector organisations for any other purpose unless specifically authorised by law. For example, data linkage should not be carried out unless specifically authorised by law.
If supplied, must be a valid medicare number.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Transmit as blank if not available or if null.

Emergency Data Collection (EDC):
This field is essential unless the Payment class is 07 - Motor vehicle other ineligible, 09 - Motor vehicle Queensland ineligible, 10 - Not eligible, 13 - Third party ineligible, 15 - Workers compensation other ineligible or 17 - Workers compensation Queensland ineligible. If the Payment class is 07, 09, 10, 13, 15 or 17, this data element must be null.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
The eleventh digit is the number that precedes the patient's name on the card (the subnumerate). If a subnumerate cannot be supplied, the eleventh digit of the medicare number should be provided as zero.
The Medicare card number is printed on a Medicare card and is used to access Medicare records for an eligible person. Up to 9 persons can be included under the one Medicare card number with up to five persons appearing on one physical card. Persons grouped under one Medicare card number are often a family, however, there is no requirement for persons under the same Medicare card number to be related. A person may be shown under separate Medicare card numbers where, for example, a child needs to be included on separate Medicare cards held by their parents. As a person can be identified on more than one Medicare card this is not a unique identifier for a person. Note: Veterans may have a Medicare card number and a Department of Veterans' Affairs (DVA) number or only a DVA number.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 1
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementMedicare card numberQH 040164 Version 2Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 15
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionEmergency Data Collection (EDC)QH 020159 Version 3ConditionalDraft01-Jul-2021
Information AssetData CollectionEmergency Data Collection (EDC)QH 020159 Version 2ConditionalCurrent01-Jul-201930-Jun-2021
Information AssetData CollectionEmergency Data Collection (EDC)QH 020159 Version 1ConditionalSuperseded01-Jul-201230-Jun-2019
Data Supply RequirementHHS Service AgreementEmergency Data Collection (EDC) Data Supply Requirement (DSR) 2018-2019QH 020431 Version 1ConditionalSuperseded01-Jul-201830-Jun-2019
Information AssetData CollectionQueensland Cancer Register (QCR) Data CollectionQH 020002 Version 3ConditionalDraft01-Jul-2021
Information AssetData CollectionQueensland Cancer Register (QCR) Data CollectionQH 020002 Version 2ConditionalCurrent01-Jul-201930-Jun-2021
Information AssetData CollectionQueensland Cancer Registry (QCR) Data CollectionQH 020002 Version 1ConditionalSuperseded01-Jul-201230-Jun-2019
Information AssetData CollectionQueensland Health Non-Admitted Patient Data Collection (QHNAPDC)QH 020262 Version 3ConditionalDraft01-Feb-2023
Information AssetData CollectionQueensland Health Non-Admitted Patient Data Collection (QHNAPDC)QH 020262 Version 2ConditionalCurrent01-Jul-201931-Jan-2023
Information AssetData CollectionQueensland Health Non-Admitted Patient Data Collection (QHNAPDC)QH 020262 Version 1ConditionalSuperseded01-Jul-201430-Jun-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2ConditionalCurrent01-Jul-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-201230-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2016-2017QH 020315 Version 1ConditionalSuperseded01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2017-2018QH 020501 Version 1ConditionalSuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2018-2019QH 020503 Version 1ConditionalSuperseded01-Jul-201830-Jun-2019
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Person-government funding identifier, Medicare card number N(11), identifier 270101, Health, Standard 01/03/2005 https://meteor.aihw.gov.au/content/index.phtml/itemId/270101/meteorItemView/long
Medicare;