[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040290
Version
6
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
21-Oct-2020  
Current
18-May-2021  
Approval Type
Standard
Approving Authority
Information Management Strategic Governance Committee (IMSGC), Queensland Health
Effective From
01-Jan-2021
Effective To
-
Definition
Whether a person identifies as being of Aboriginal and/or Torres Strait Islander origin.
Context
Clinical and administrative purposes and individual identification.
Short Name
Indigenous status
Name in Other Contexts
-
Representational Attributes
Datatype
Numeric
Representation Class
Code
Format
N
Minimum Character Length
1
Maximum Character Length
1
Permissible Values
CodeDescription
1Aboriginal but not Torres Strait Islander origin
2Torres Strait Islander but not Aboriginal origin
3Both Aboriginal and Torres Strait Islander origin
4Neither Aboriginal nor Torres Strait Islander origin
Supplementary Values
CodeDescription
9Not stated/unknown
Collection and Usage Attributes
Guide for Use
Indigenous status data should be sourced from or verified against the data held in the Corporate Reference Data System (CRDS) maintained by the Statistical Services Branch (SSB).

The classification for Indigenous status has a hierarchical structure comprising two levels. There are four categories at the detailed level of the classification which are grouped into two categories at the broad level. There is one supplementary category for 'not stated/unknown' responses. The classification is as follows:

Aboriginal and Torres Strait Islander peoples:
- Aboriginal but not Torres Strait Islander origin.
- Torres Strait Islander but not Aboriginal origin.
- Both Aboriginal and Torres Strait Islander origin.

Non-Aboriginal and Torres Strait Islander people:
- Neither Aboriginal nor Torres Strait Islander origin.

Not stated/unknown:
This category is not to be available as a valid answer to the questions but is intended for use:
- Primarily when importing data from other data collections that do not contain mappable data.
- Where the answer cannot be determined without clarification from the respondent (for example, 'No' and 'Yes, Aboriginal' are both selected).
- Where an answer was declined.
- Where the question was not able to be asked because the client was unable to communicate or a person who knows the client was not available.

Although provision is made for recording unknown Indigenous status every effort should be made to determine and record whether a person identifies as being of Aboriginal and/or Torres Strait Islander origin, subject to the person's right to privacy.
Verification Rules
Should not be null.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must not be null.
Validated against a list of Indigenous status codes.
Collection Methods
This metadata item is based on the Australian Bureau of Statistics (ABS) standard for Indigenous status. For detailed advice on its use and application please refer to the ABS website as indicated in the Comments section.

The Indigenous status question allows for more than one response. The procedure for coding multiple responses is as follows:
- If the respondent answers 'Yes, Aboriginal' and 'Yes, Torres Strait Islander', then their response should be coded to 'Yes, both Aboriginal and Torres Strait Islander origin'.
- If the respondent answers 'No' and one or more of the following:
    - 'Yes, Aboriginal'
    - 'Yes, Torres Strait Islander'
    - 'Yes, both Aboriginal and Torres Strait Islander'
then the response should be coded to 'Not stated/unknown' if the response cannot be clarified with the respondent.

The following information provides advice on the recommended way to ask the Indigenous status question.

Self-enumerated collections
For self-enumerated collections (for example, self-completed questionnaires or forms), the following question is recommended:
[Are you] [Is the person] [Is (name)] of Aboriginal or Torres Strait Islander origin?
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander

If [you] [the person] [(name)] are of both Aboriginal and Torres Strait Islander origin, answer using both 'Yes' options.

This approach may be problematic in some data collections, for example when data are collected using screen based data capture systems. An additional response category of 'Yes, both Aboriginal and Torres Strait Islander' may be included if this better suits the data collection practices of the agency or establishment concerned.

If the Indigenous status question has not been completed on a returned form, this should be followed up and confirmed with the person.

Interviewer-conducted collections
For interviewer-conducted collections in which the Indigenous status of one person is collected, the following question set is recommended:

Q1. Are you of Aboriginal or Torres Strait Islander origin?
- Yes
- No (no more questions)

Q2. Are you of Aboriginal origin, Torres Strait Islander origin, or both?
- Aboriginal
- Torres Strait Islander
- Both Aboriginal and Torres Strait Islander

The first question is used to sequence out persons not of Aboriginal and/or Torres Strait Islander origin. The second question is used to determine the specific Aboriginal and/or Torres Strait Islander origin of the person. A benefit of this approach is that the interviewer is not required to prompt the respondent with response categories. The 'Both Aboriginal and Torres Strait Islander' response category can be included or excluded in interviewer conducted collections depending on which option best suits the data collection practices of the agency concerned. Including the additional response category ensures that respondents are aware of the option to identify as being of both Aboriginal and Torres Strait Islander origin.

Various articulations of the standard question are recommended to address the following circumstances:

Person is present and answers
This question wording is recommended where it is known that the person being interviewed is the subject:
Q1. Are you of Aboriginal or Torres Strait Islander origin?
Q2. Are you of Aboriginal origin, Torres Strait Islander origin, or both?

Person is not present and someone else who knows the person well answers
The following question wording is recommended when another member of the household answers for the person. Examples of such incidents include parents answering for children, or relatives answering in hospital situations.
Q1. Is [the person] [(name)] of Aboriginal or Torres Strait Islander origin?
Q2. Is [the person] [(name)] of Aboriginal origin, Torres Strait Islander origin, or both?

Person is deceased and someone else answers on their behalf (for example, death information form)
In these circumstances a close relative or friend should answer. Only if a relative or friend is unavailable should the undertaker or other such person answer. Be mindful that in Aboriginal culture it is taboo to mention (or in some cases write) the name of a deceased person. Aboriginal people believe that if the deceased person's name is mentioned, the spirit is called back to this world. The suggested question wording follows:
Q1. Was [the person] [(name)] of Aboriginal or Torres Strait Islander origin?
Q2. Was [the person] [(name)] of Aboriginal origin, Torres Strait Islander origin, or both?

Person is an infant and parents answer
In this circumstance it is recommended that parents are asked:
Q1. Do you identify [the baby's] [(name)'s] as being of Aboriginal or Torres Strait Islander origin?
Q2. Do you identify [the baby's] [(name)'s] as being of Aboriginal origin, Torres Strait Islander origin, or both?

For interview conducted collections in which the Indigenous status of more than one person is collected from a household representative, the following question set is recommended:
Q1. Is anyone who (usually lives here) (or) (is visiting here) of Aboriginal or Torres Strait Islander origin?
- Yes
- No 
Q2. Who are they?
Question 3 is asked of each person identified as being of Aboriginal or Torres Strait Islander origin.
Q3. [Are you] [Is (name)] of Aboriginal origin, Torres Strait Islander origin, or both?
- Aboriginal
- Torres Strait Islander
- Both Aboriginal and Torres Strait Islander  

The first question is used to sequence out households in which no Aboriginal and/or Torres Strait Islander people usually live (or are visiting). The second question is used to identify those usual residents (and visitors) of Aboriginal or Torres Strait Islander origin. This approach eliminates the need to repeatedly ask the Indigenous status question of each individual in a household when data are collected on a single household form. It is particularly advantageous when collecting from areas with a large proportion of households with persons not of Aboriginal and/or Torres Strait Islander origin.

For both self-enumerated collections and interviewer-conducted collections
The Indigenous status question can be used in circumstances where a close relative, friend, or another member of the household is answering on behalf of the subject. It is strongly recommended that the question be asked directly wherever possible.

When the person is not present, the person answering for them should be in a position to do so, that is, this person must know the person about whom the question is being asked well and feel confident to provide accurate information about them.

The Indigenous status question must always be asked regardless of data collectors' perceptions based on appearance or other factors.

The Indigenous status question may only be left unanswered in the following circumstances:
- Where the person declined to answer
- Where the question was not able to be asked because the client was unable to communicate or a person who knows the client was not available.

Death Registrations:
The Indigenous status of the deceased is recorded. 

Oral Health Data Supply Requirement (DSR):
Used to identify clients of Indigenous Australian descent, who are a high risk group that receive priority treatment.

Queensland Needle and Syringe programs (QNSP) Data Supply Requirement (DSR):
This data element is collected on each occasion of service. Prior to 1 November 2009 collection of this data element was optional.

Queensland Opioid Treatment Program (QOTP) Admission Data Supply Requirement (DSR):
Provide the client's Indigenous status as indicated on the Queensland Opioid Treatment Program (QOTP) Admission form.

Other Data Collections which include this data element: 
Mental Health Activity Data Collection (MHADC), Community Mental Health Collection (CMHC).
Comment
The purpose of this data element is to provide information about people who identify as being of Aboriginal or Torres Strait Islander origin. Aboriginal and Torres Strait Islander peoples cultures are the oldest continuing living cultures in the world and should be celebrated. Unfortunately, Aboriginal and Torres Strait Islander peoples experience unacceptable health inequity, and despite this, Aboriginal and Torres Strait Islander peoples continue to display incredible resiliency and strengths. Accurate and consistent statistics about Aboriginal and Torres Strait Islander peoples assists in planning, promoting and delivering essential services, to monitor changes in wellbeing and to account for government expenditure in this area.
The following definition, commonly known as 'The Commonwealth definition', was given in a High Court judgement in the case of Commonwealth v Tasmania (1983) 46 ALR 625. 'An Aboriginal or Torres Strait Islander is a person of Aboriginal or Torres Strait Islander descent who identifies as an Aboriginal or Torres Strait Islander and is accepted as such by the community in which he or she lives'.
There are three components to the Commonwealth definition:
- descent;
- self-identification; and
- community acceptance.
In practice, it is not feasible to collect information on the community acceptance part of this definition in general purpose statistical and administrative collections and therefore standard questions on Indigenous status relate to descent and self-identification only. This metadata item is based on the Australian Bureau of Statistics (ABS) standard for Indigenous status.
For detailed advice on its use and application please refer to the ABS website https://www.abs.gov.au/statistics/standards/indigenous-status-standard/latest-release.
Relational Attributes
Related Metadata References
Is mappable from Person-Indigenous status (registration, HBCIS) QH 041940 Version 4
Supersedes Person-indigenous status QH 040290 Version 5
Implementation in Metadata Sets

Otherrelational

  • 1 - 10
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Data Supply RequirementOtherCause of death Unit Record File (COD URF) Data Supply Requirement (DSR)QH 020344 Version 1Mandatory01-Jan-2021
Information AssetData RepositoryDeath RegistrationsQH 020227 Version 2Mandatory01-Jan-2021
Data Supply RequirementOtherDeath Registrations Data Supply Requirement (DSR)QH 020359 Version 1Mandatory01-Jan-2021
Information AssetData CollectionElective Surgery Data Collection (ESDC)QH 020110 Version 2Mandatory01-Jan-202130-Jun-2021
Information AssetData CollectionElective Surgery Data Collection (ESDC)QH 020110 Version 3Mandatory01-Jul-2021
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Census Data Supply Requirement (DSR) 2020-2021QH 020682 Version 1Mandatory01-Jan-202130-Jun-2021
Data Supply RequirementHHS Service AgreementElective Surgery Waiting List Removals Data Supply Requirement (DSR) 2020-2021QH 020683 Version 1Mandatory01-Jan-202130-Jun-2021
Information AssetData CollectionEmergency Data Collection (EDC)QH 020159 Version 2Mandatory01-Jan-202130-Jun-2021
Information AssetData CollectionEmergency Data Collection (EDC)QH 020159 Version 3Mandatory01-Jul-2021
Data Supply RequirementHHS Service AgreementGastrointestinal Endoscopy (GIE)-Removals Data Supply Requirement (DSR) 2020-2021QH 020685 Version 1Mandatory01-Jan-202130-Jun-2021
Data Quality Declaration
-
Source and Reference Attributes
Source Organisation
Australian Institute of Health and Welfare
Aboriginal and Torres Strait Islander Health Division, Queensland Health
Source Document
METeOR data element: Person-Indigenous status, code N, identifier 602543, Health standard 19/11/2015 https://meteor.aihw.gov.au/content/index.phtml/itemId/602543/meteorItemView/long
Aboriginal and Torres Strait Islander Cultural Capability Information Sheet: Protocols for use of 'Aboriginal' and 'Torres Strait Islander' <INTERNAL QH LINK NOT AVAILABLE>