Pharmaceutical Benefits Scheme (PBS) prescription—patient entitlement status (derived), Commonwealth government assistance scheme code AX
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
---|---|
Short name: | Patient category (derived) |
Synonymous names: | Derived patient category; Derived patient entitlement status; Patient entitlement status (derived); Derived beneficiary status; Beneficiary status (derived) |
METEOR identifier: | 604103 |
Registration status: | Commonwealth Department of Health , Standard 17/12/2015 |
Definition: | The derived entitlement status of the patient at the time the Pharmaceutical Benefits Scheme (PBS) item is supplied, as represented by a code. |
Context: | The patient's derived entitlement status determines the maximum contribution payable by the patient. |
Data Element Concept: | Pharmaceutical Benefits Scheme (PBS) prescription—patient entitlement status (derived) |
Value Domain: | Commonwealth government assistance scheme category code AX |
Collection and usage attributes | |
Guide for use: | CODE DB Prescriber Bag orders This code is used to describe a provision within the Pharmaceutical Benefits Scheme (PBS) whereby certain pharmaceutical benefits are provided without charge to prescribers who, in turn, can supply them free of charge to patients for emergency use. Also known as Doctor's Bag orders, particularly in the context of historical data records. CODE OC Stoma products prescription This code is used in instances where the payment of a benefit is related to the provision of stoma-related aids and appliances. Assistance in relation to stoma-related products is provided via the Stoma Appliance Scheme (SAS). The SAS provides assistance to Medicare-eligible Australian residents who have a temporary or permanent artificial body opening, whether created surgically or otherwise, which facilitates the removal of urine and products of the gastrointestinal tract where the person does not have normal gastrointestinal tract or bladder functions. To receive subsidised stoma-related products a patient must be a member of a stoma association in Australia and hold an SAS entitlement card issued by the Department of Human Services through one of the associations. CODE OP Paraplegic or quadriplegic products prescription This code is used in instances where the payment of a benefit is related to the provision of paraplegic- or quadriplegic-related aids and appliances. Assistance in relation to paraplegic- or quadriplegic-related products is provided via the provisions of the National Health (Paraplegic and Quadriplegic Program) Special Arrangement 2010. The program provides assistance to Medicare-eligible Australian residents who have paraplegia or quadriplegia. To receive subsidised paraplegic- or quadriplegic-related products a patient must be a member of an authorised paraplegic or quadriplegic association in Australia and hold an entitlement card issued by the Department of Human Services through one of the associations. |
---|
Source and reference attributes | |
Submitting organisation: | Department of Health |
---|---|
Reference documents: | Department of Health 2015. Stoma Appliance Scheme web page. Department of Health, Canberra. Viewed 17 September 2015, Office of Parliamentary Counsel, ComLaw website 2015. National Health (Paraplegic and Quadriplegic Program) Special Arrangement 2010 (PB 118 of 2010) (Cwth). Office of Parliamentary Counsel, Canberra. Viewed 17 September 2015, |
Data element attributes | |
Collection and usage attributes | |
Guide for use: | In the context of Pharmaceutical Benefits Scheme (PBS) data, values for this data item are derived from a combination of values recorded for the related data items Payment category and Patient payment category. |
---|---|
Source and reference attributes | |
Submitting organisation: | Department of Health |
Relational attributes | |
Related metadata references: | See also Pharmaceutical Benefits Scheme (PBS) prescription—patient category, entitlement code AA Commonwealth Department of Health , Standard 17/12/2015 See also Pharmaceutical Benefits Scheme (PBS) prescription—patient payment category, code X Commonwealth Department of Health , Standard 17/12/2015 |
Implementation in Data Set Specifications: | Pharmaceutical Benefits Scheme (PBS) state/territory data extract 2013-14 Commonwealth Department of Health , Standard 17/12/2015 Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 DSS specific information: Variable name = PTNT_CTGRY_DRVD_CD |
Implementation in Indicators: |
Used as Numerator
|