[WWW - 2023.07.31]

Data Element Detail

Episode of care-payment class
Identifying and Definitional Attributes
QH 041742 v1
Data Element
Data Element
Draft
12-Jun-2014		Current
04-Aug-2014		Superseded
29-Jan-2018
Standard
01-Jul-2014
30-Jun-2017
Identifies the payment source assigned to a patient's account 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
RCReciprocal Country
TPEThird Party Eligible
TPIThird Party Ineligible
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 Episode of care-compensable patient status data element as follows:
Code CS Correctional Services is mapped to code 97 Non-compensable.
Code CU Unsighted Medicare Card is mapped to code 97 Non-compensable.
Code DD Department of Defence is mapped to code 04 Compensable - Department of Defence.
Code DVA Department of Veterans Affairs is mapped to code 04 Compensable - Department of Veterans' Affairs.
Code MC Medicare is mapped to code 97 Non-compensable.
Codes MVO Motor Vehicle Other and MVOI Motor Vehicle Other Ineligible are mapped to code 06 Compensable - Motor Vehicle - Other.
Codes MVQ Motor Vehicle Queensland and MVQI Motor Vehicle Queensland Ineligible are mapped to code 05 Compensable - Motor Vehicle - Queensland.
Code NE Not Eligible is mapped to code 97 Non-compensable.
Code RC Reciprocal Country is mapped to code 97 Non-compensable.
Codes TPE Third Party Eligible and TRI Third Party Ineligible are mapped to code 03 Compensable - Third Party.
Codes WCO Workers Compensation Other and WCOI Workers Compensation Other Ineligible are mapped to code 02 Compensable - Workers' Compensation - Other.
Codes WCQ Workers Compensation Queensland and WCQI Workers Compensation Queensland Ineligible are mapped to code 01 Compensable - Workers' Compensation - Queensland.

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 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 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.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 5
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementData ElementEpisode of care-payment classQH 041742 Version 2Superseded
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 1Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of care-compensable patient statusQH 042642 Version 3Retired
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;