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Data Element Detail

Outpatient clinic occasion of service-principal source of funding
Identifying and Definitional Attributes
QH 041589 v1
Data Element
Data Element
Current
06-Oct-2011		Superseded
01-Nov-2012
Standard
01-Sep-2011
30-Jun-2012
The principal source of funds for an occasion of service.
Hospital outpatient clinic services excluding community mental health care (which includes hospital-based mental health ambulatory services). Used for analysis of system utilisation and for funding purposes.
Principal source of funding (ODC)
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01Health service budget (not covered elsewhere)
02Private health insurance
03Self-funded
04Worker's compensation
05Motor vehicle third party personal claim
06Other compensation (e.g. public liability, common law, medical negligence)
07Department of Veterans' Affairs
08Department of Defence
09Correctional facility
10Other hospital or public authority (contracted care)
11Health service budget (due to eligibility for Reciprocal Health Care Agreement)
12Other funding source
13Health service budget (no charge raised due to hospital decision)
14Medicare Benefits Scheme
Supplementary Values

Supplemenary_values

CodeDescription
99Not known
Collection and Usage Attributes
Code 01 Health service budget (not covered elsewhere)
Health service budget (not covered elsewhere) should be recorded as the funding source for Medicare eligible patients presenting at a public hospital outpatient department for whom there is no other funding arrangement.

Code 02 Private health insurance
Excludes: overseas visitors for whom travel insurance is the major funding source.

Code 03 Self-funded
This code includes funded by the patient, by the patient's family or friends, or by other benefactors.

Code 10 Other hospital or public authority (contracted care)
Patients receiving treatment under contracted care arrangements (inter-hospital contracted patient).

Code 11 Health service budget (due to eligibility for Reciprocal Health Care Agreement)
Patients who are overseas visitors from countries covered by Reciprocal Health Care Agreements.

Code 12 Other funding source
This code includes overseas visitors for whom travel insurance is the major funding source.

Code 13 Health service budget (no charge raised due to hospital decision)
Patients who are Medicare ineligible and receive public hospital services free of charge at the discretion of the hospital or the state/territory. Also includes patients for whom a charge is raised but is subsequently waived.

Code 14 Medicare Benefits Scheme
Medicare eligible non-admitted patients presenting at a public hospital outpatient department for whom services are billed to Medicare. Includes both bulk-billed and patients with out-of-pocket expenses.
Must be a valid code.
Outpatient scheduling systems contain a mandatory field to collect this data element.
This data element is part of the NAP-DSS pilot data collection. This data element provides an indication of the patient flow through the system for strategic planning and policy direction.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 3
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementData ElementEpisode of care-expected principal source of patient fundingQH 040624 Version 3Superseded
Relates toData ElementData Element ConceptOccasion of serviceQH 040607 Version 1Retired
Relates toData ElementData Element ConceptOutpatient clinicQH 041541 Version 1Current
Implementation in Metadata Sets

Implemented

No Metadata Items
Source and Reference Attributes
Australian Institute of Health and Welfare
Non-admitted patient service event-principal source of funding, code NN, METeOR identifier 400680, Health, Standard 01/12/2010 https://meteor.aihw.gov.au/content/index.phtml/itemId/400680/meteorItemView/long
Funding source; Occasion of service; Outpatient clinic;