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Data Element Detail

Episode of admitted patient care-compensable patient status
Identifying and Definitional Attributes
QH 041740 v1
Data Element
Data Element
Current
02-Nov-2012		Superseded
29-Jan-2018
Standard
01-Jul-2012
30-Jun-2017
An episode of care for a patient who may be entitled to the payment of, or who has been paid compensation for, damages or other benefits (including payment in settlement of a claim for compensation, damages or other benefits) in respect of injury, illness or disease for which he/she is receiving care and treatment.
Admitted patient care
Compensable patient status (QHAPDC)
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Workers' Compensation (Queensland)
2Workers' Compensation (Other)
3Other Third Party
4Other compensable
5Department of Veterans' Affairs
6Motor Vehicle (Queensland)
7Motor Vehicle (Other)
8None of the above
9Department of Defence
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Code 1 Workers' Compensation Queensland
The patient is entitled to claim compensation under the Queensland Workers' Compensation and Rehabilitation Act 2003. This includes workers injury claims managed by WorkCover Queensland and those Queensland firms who are self-insured. The Regulator is responsible for:
- regulating the workers' compensation scheme,
- monitoring the compliance of insurers under the Act,
- monitoring the performance of insurers under the Act including the consistent application of this Act; and
- deciding applications relating to self-insurance.

Code 2 Workers' Compensation (Other)
The patient is entitled to claim damages under a Workers' Compensation Act other than Queensland (e.g. if an employee of the Commonwealth, an interstate company or national organisation insured under the workers' compensation act of another State or Territory not under the Queensland Workers Compensation and Rehabilitation Act 2003).

Code 3 Compensable Third Party
The patient is admitted to hospital for the treatment of an injury, illness or disease sustained in:
- A motor vehicle accident that occurred prior to 1 September 1994.
- An accident that is not associated with Compulsory Third Party (CTP) insurance and not covered by workers' compensation insurance. For example, accidents involving mobile machinery or equipment such as bulldozers and forklifts, or agricultural implements.
- A motor vehicle accident where liability is unclear, or where there is a possibility of shared liability.

This code may also be used for patients seeking to claim against public or product liability insurance, and who do not fit into any of the other categories.

Victims of criminal acts are not considered compensable, so a charge is not to be raised for their treatment.

Code 4 Other compensable
The patient has other compensable entitlement.

Code 5 Department of Veterans' Affairs
The patient is an entitled veteran whom the Department of Veterans' Affairs has accepted responsibility for the payment of any charges relating to his/her episode of care. This relates to all Gold Card holders and those White Card holders for specific illness or injury. White Card holders should not be classified as DVA patients unless they are receiving care or treatment for a recognised and accepted by DVA as a compensable condition.

Code 6 Motor Vehicle (Queensland)
The patient is admitted to hospital from a motor vehicle accident and can establish negligence against an owner or driver of a Queensland registered motor vehicle.

Code 7 Motor Vehicle (Other)
The patient is admitted to hospital from a motor vehicle accident and can establish negligence against an owner or driver of a motor vehicle registered in a state or territory other than Queensland or where the patient is a driver-at-fault covered under a motor vehicle policy for drivers at fault.

Code 8 None of the above
The patient cannot be classified as compensable under any of the above categories, or their compensable status is unknown.

Code 9 Department of Defence
The patient is Australian Defence Force personnel for whom the Department of Defence has accepted responsibility for the payment of any charges relating to his/her episode of care. This relates to permanent and part-time members. Part-time members should only be classified as Department of Defence where they seek and receive treatment for an injury or illness sustained while serving in the Defence Forces (e.g. Regular, Reserve Forces and Cadets).
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Validated against a list of compensable chargeable status codes.
Must not be null.
Hospital Based Corporate Information System (HBCIS):
For public hospitals using HBCIS, compensable and ineligible patients who are to be admitted for a day only band procedure are charged the compensable/ineligible rate and are not banded. It is unnecessary to record a band for them.

This data item is not entered separately as it is derived from the item account class. An activity change is recorded automatically as a result of any changes made to the account class. The letters from the account class are:
TP = Compensable Third Party
WC = Workers' Compensation Queensland
WCO = Workers' Compensation (other)
MV = Motor Vehicle (Queensland)
MVO = Motor Vehicle (Other)
DVA = Department of Veterans' Affairs
DD = Department of Defence
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementCompensable status (QHAPDC)QH 040051 Version 4Superseded
Has been superseded byData ElementData ElementEpisode of admitted patient care-compensable patient statusQH 041740 Version 2Current
Is mappable fromData ElementData ElementAccount classQH 040165 Version 1Superseded
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 3
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1MandatorySuperseded01-Jul-201230-Jun-2014
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2016-2017QH 020315 Version 1MandatorySuperseded01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2016-2017QH 020314 Version 1MandatorySuperseded01-Jul-201630-Jun-2017
Source and Reference Attributes
Compensable status;