TAC Data Dictionary - Institute for Safety, Compensation … · · 2016-04-27TAC Data Dictionary Version 8.2 ... Date of 1 st Hospital attendance ... The TAC database is an administrative

TAC Data Dictionary

Version 8.2

(for TAC database received in Aug 2014)

Compensation Research Database (CRD)

Contact Details: Web: www.iscrr.com.au Email: [email protected] Phone: +61 9903 8610

TAC Data Dictionary Page 1 of 58

Table of Contents Introduction .................................................................................................................................................................... 3

Background ................................................................................................................................................................. 3

Overview ..................................................................................................................................................................... 3

Note to researchers .................................................................................................................................................... 3

Claims Dataset ................................................................................................................................................................ 4

Dataset Summary Statistics ........................................................................................................................................ 4

Dataset Grouping ........................................................................................................................................................ 5

Dataset Variables ........................................................................................................................................................ 8

No-fault Claimant details ................................................................................................................................................ 8

De-identified Claim number ................................................................................................................................... 8

Total hospital stay ................................................................................................................................................... 8

Date of first computer record ................................................................................................................................. 9

Role of claimant in accident ................................................................................................................................... 9

Managing claims division ........................................................................................................................................ 9

Age at accident ..................................................................................................................................................... 10

Date of death ........................................................................................................................................................ 10

Employment type at accident ............................................................................................................................... 10

Date of 1st Hospital attendance ............................................................................................................................ 11

Claim status .......................................................................................................................................................... 11

Killed or Injured .................................................................................................................................................... 12

No fault team ........................................................................................................................................................ 12

Occupation group ................................................................................................................................................. 13

Person identifier of claimant ................................................................................................................................ 14

Local government area of residence (ABS)........................................................................................................... 14

Socio-economic Indexes for claimant postcode of residence .............................................................................. 14

Biological gender of claimant ............................................................................................................................... 15

Total $ amount paid for claim .............................................................................................................................. 16

Type of claim......................................................................................................................................................... 16

Claim subtype (additional claim type information) .............................................................................................. 17

Accident Data ............................................................................................................................................................... 17

Local government area of accident (TAC) ............................................................................................................ 17

Local government area of accident (ABS)............................................................................................................. 17

Date of accident .................................................................................................................................................... 18

Vehicle tare weight ............................................................................................................................................... 18

Vehicle date of manufacture ................................................................................................................................ 18

Other vehicles at fault (interview) ........................................................................................................................ 18

Other vehicles at fault (police report) .................................................................................................................. 19

Number of vehicles in accident ............................................................................................................................ 19

Vehicle risk zone ................................................................................................................................................... 19

Vehicle insurance .................................................................................................................................................. 20

Common Law Claim Data.............................................................................................................................................. 21

CL Claim Type ........................................................................................................................................................ 21

CL lodgement date ................................................................................................................................................ 21

CL finalised date .................................................................................................................................................... 21

CL decision event .................................................................................................................................................. 22

CL decision date .................................................................................................................................................... 22

CL potential ID date .............................................................................................................................................. 22

CL settlement date ............................................................................................................................................... 23

CL claim status ...................................................................................................................................................... 23


CL total paid to date ............................................................................................................................................. 23

Injury Data .................................................................................................................................................................... 24

Catastrophic injury ............................................................................................................................................... 24

Functional code .................................................................................................................................................... 24

Glasgow Coma Scale ............................................................................................................................................. 24

% of impairment ................................................................................................................................................... 25

Summary type of injury ........................................................................................................................................ 25

Detailed type of injury .......................................................................................................................................... 25

Type of injury ........................................................................................................................................................ 26

Mobility ................................................................................................................................................................. 27

Post traumatic amnesia days ................................................................................................................................ 27

Payments Dataset ......................................................................................................................................................... 30

Dataset Summary Statistics ...................................................................................................................................... 30

Dataset Grouping ...................................................................................................................................................... 31

Dataset Variables ...................................................................................................................................................... 33

Claim Information ......................................................................................................................................................... 33

De-identified claim number .................................................................................................................................. 33

Payment Information ................................................................................................................................................... 33

De-identified payment number ............................................................................................................................ 33

Service Amount paid by TAC ................................................................................................................................ 33

Inflated Service Amount paid by TAC ................................................................................................................... 34

Account payment date ......................................................................................................................................... 34

Identifier for person receiving payment ............................................................................................................... 34

Date/Time of Service Information ................................................................................................................................ 35

Benefit number of days ........................................................................................................................................ 35

Service start date .................................................................................................................................................. 35

Service end date ................................................................................................................................................... 35

Treatment/Service Information .................................................................................................................................... 36

Hospital Classification of assessed patient ........................................................................................................... 36

Benefit category ................................................................................................................................................... 38

Benefit type .......................................................................................................................................................... 39

Benefit code .......................................................................................................................................................... 39

Description of paid item ....................................................................................................................................... 43

Payment Code for service category ...................................................................................................................... 43

Service Provider Type ........................................................................................................................................... 46

Payable item number ........................................................................................................................................... 46

Service location..................................................................................................................................................... 47

Service type .......................................................................................................................................................... 47

Service provider type ............................................................................................................................................ 50

Service or treatment payment in hospital ............................................................................................................ 51

Drug category ....................................................................................................................................................... 51

Drug group ............................................................................................................................................................ 52

De-identified provider number ............................................................................................................................ 53

Additional ‘general’ help notes .................................................................................................................................... 54

Indexation of benefits schedule ................................................................................................................................... 54

Other sources of statistical information ....................................................................................................................... 58


Introduction This document constitutes the data dictionary for variables from the TAC database available from the Compensation Research Database (CRD). The CRD is a database of claims made to WorkSafe Victoria (WorkSafe) and the Transport Accident Commission (TAC). It has been assembled by the Institute for Safety, Compensation and Recovery Research (ISCRR) working with WorkSafe and the TAC. The WorkSafe data dictionary is a separate document available on our web site www.iscrr.com.au

Background ISCRR was established in April 2009 as an unincorporated joint venture between WorkSafe, TAC and Monash University. One of its first research projects was to work with WorkSafe and the TAC to establish the CRD database. The TAC database is updated at least once per annum. A new version of the data dictionary document is produced after each yearly update detailing the new version currently available for research purposes. The TAC data available is de-identified meaning that the original data is replaced with generated data so that the individual or an organisation cannot be identified. The following variables are de-identified, date of birth, date of accident, claim number, provider number and payee number. The data access policy available on our web site www.iscrr.com.au details the process to follow to obtain a data extract from the CRD database. To request a data extract send an email to [email protected] indicating which variables are needed for research from this data dictionary document.

Overview This data dictionary document relates to the last TAC update and the datasets available from the TAC CRD database are as follows:

• Claims Dataset (0.6 million claims records between 1987 and 2014) • Payments Dataset (35 million payments records between 1992 and 2014)

Note that all the records are linked via “CLAIM_NUMBER” variable which is a random de-identified number created by ISCRR.

Note to researchers

The TAC database is an administrative dataset designed primarily for claims management and not for research purposes. To assist with quantifying the potential limitations of these data, we have presented the percentage of missing data and the percentage of change for each variable. Percentage of missing data (called Percent missing data: in detailed variable description) represents the proportion of cases that have either no data or data indicating a null value (e.g. 9999 or 0000). Percentage of changed data (called Percent of change in detailed variable description) represents the proportion of cases that have had their values changed by the TAC over the previous year. Case values might have changed due to new diagnostic information becoming available, the identification of a previous error or new information provided by the claimant. Such statistics may provide researchers with an indication of the accuracy and reliability of a given variable.


Claims Dataset The claims dataset contains information relating to claimant, no-fault claim, accident, common law and injury.

Dataset Summary Statistics Between 1 January 1987 and 30 June 2014, there are 552,282 TAC claim records accepted for statistical analysis. The following graph shows the number of claims per annum based on transport accidents occurring between 1 January 1987 and 31 December 2013. Please note that the year 2014 was not included as it is incomplete.

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Year of accident

Total claims per annum


Dataset Grouping Column 1 in the table below indicates the logical grouping associated with the claim variables.

Group Variable Name Date Field Name Description

No-fault claimant details

De-identified Claim number CLAIM_NUMBER De-identified claim number generated

by ISCRR

Date claim received APPSAS Date claim form received

Total hospital stay BEDAYS Total length of hospital stay

Date of first computer record CRESAS Date computer record generated

Role of claimant in accident

CTYPE Claimant role in road accident

Managing claims division DIVISION Claims division managing the claim

Age at accident AGE_AT_ACCIDENT Claimant’s age at the time of accident

Date of death DODSAS Date of death of claimant

Employment type at accident EMPTYPE

Employment type at the time of accident

Date of 1st Hospital admission

FHOSDATE Date of first hospital admission

Claim status INCOV Claim status

Killed or Injured KI Killed/Injured Indicator

No fault team NFTEAM No Fault Team

Occupation group OCCUPATIONGROUP Occupation group code of the claimant

Person identifier of claimant CLAIMANT_NUMBER Person identifier relating to claimant

Residential postcode CLAIMANT_SLA_LGA Claimant’s postcode of residence

Socio-Economic Indexes for claimant postcode

IRSAD_Variables IRSAD indexes for the claimant's residential postcode

Local government area of residence (ABS)

LGA_SLA_Variables Local government area of claimant’s postcode of residence based on ABS


Gender SEX Gender of claimant

Total $ amount paid for claim TOTAL Total no fault amount paid for claim

since January 1987

Type of claim WCIND Claim type indicator

Claim subtype CLAIM_SUBTYPE Claim subtype additional information

Accident data

Local government area

ACCLGA Local government area at accident

Postcode of accident ACCIDENT_SLA_LGA Location of accident (postcode)

Date of accident ACCSAS Date of accident

Vehicle tare weight TAREWT Tare weight of vehicle

Vehicle date of manufacture YEARMAN Vehicle year of manufacture

Other vehicles at fault (interview)

FAULTC Other vehicle at fault in accident? (claim interview)

Other vehicles at fault (police report)

FAULTP Other vehicle at fault in accident? (police report)

Number of vehicles in accident

NUMVEH Number of vehicles in the accident

Vehicle risk zone ZONE Vehicle premium risk zone

Vehicle insurance INSR Vehicle premium insurance class

Common law claim data

CL Claim Type CLAWTYPE Common law claim type

CL lodgement date CREATED Common law lodgement date

CL finalised date FINALISED Common law finalised date

CL decision event S93DCODE Common law section 93 decision event

CL decision date S93DDATE Common law section 93 decision date

CL potential ID date S93PDATE

Common law potential - identification date

CL settlement date SETTLED Common law settlement date

CL claim status STATUS Common law claim status


CL total paid to date TOTPAID Common law total amount paid to date

Injury data

Catastrophic injury CATFLAG Catastrophic injury

Functional code FCODE Functional code of the injured individual

Glasgow Coma Scale GCS Glasgow Coma Scale

% of impairment IMPLEVEL Percentage of the impairment of the claimant

Summary type of injury INJURY_HIGH Type of injury - summary

Detailed type of injury INJURY_DETAIL Type of injury - detailed

Type of injury TINJURY Injury type

Mobility MCODE Mobility code

Post traumatic amnesia days

PTA Post traumatic amnesia days


Dataset Variables This section describes each variable in the dataset in greater detail.

No-fault Claimant details Variable Name Variable Details

De-identified Claim number

Description: De-identified claim number generated by ISCRR Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.0% Codes and categories: Not applicable CLAIM_NUMBER

Recording Guide This is a random number generated by ISCRR to identify a case in claims database.

Help Notes

This variable is used to link between different datasets and is unique for every case in the claims dataset only, but it will be repeated in the payments dataset (as one person may have received multiple payments over the course of their claim).

Variable Name Variable Details

Date claim received

Description: Date claim form received by TAC Data type: Date Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.0% Codes and categories: Not applicable APPSAS

Recording Guide Help Notes Variable Name Variable Details

Total hospital stay

Description: Total length of hospital stay Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.76% Codes and categories: Not applicable BEDAYS

Recording Guide

Help Notes

The TAC records a person as being "hospitalised" if they were an inpatient for 1 full day or more. Note that if bedays is 0 and fhosdate has a value then the admission to hospital was only to ED/Outpatients (not an inpatient admission). If bedays is 1 then this was the same day inpatient admission.



Date of first computer record

Description: Date computer record generated Data type: Date Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.0% Codes and categories: Not applicable CRESAS

Recording Guide

Date is automatically entered by the computer system not a person, which tends to be more accurate and consistent. In the majority of the cases cresas is the same as appsas as seen in the table below

appsas=cresas appsas <> cresas

64% 36%

On average cresas is 1 day behind appsas indicating that the claim was received first (appsas) then processed the next day (cresas).

Help Notes Variable Name Variable Details

Role of claimant in accident

Description: Claimant role in road accident Data type: Numeric Measurement: Nominal Missing percent: 2.84% (values null, empty or 8) Percent of change: 0.03% Codes and categories: See codes and descriptions below CTYPE

1 Driver 2 Passenger 3 M/cyclist 4 Pedestrian 5 Cyclist 6 Train/tram 7 Other 8 Unknown Recording Guide Help Notes Variable Name Variable Details

Managing claims division

Description: TAC claims division managing the claim Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.01% Codes and categories: See codes and descriptions below DIVISION

1 Independence 2 Recovery


Recording Guide A small number of claims, about 3% are handled by the Independence division as opposed to 97% for Recovery division.

Help Notes

Independence handles the most severely injured claims including fatalities (where benefits can be paid to dependents) and injuries such as severe Acquired Brain Injury, Spinal Cord injuries and severe burns etc. The expectation with Independence clients is that it is unlikely that they will be able to return to their pre-accident status and that they may require lifetime support from the TAC.

Variable Name Variable D etails

Age at accident

Description: Claimant’s age at the time of accident Data type: Numeric Measurement: Nominal Missing percent: 0.17% (value null) Percent of change: 0.01% Codes and categories: Not applicable AGE_AT_ACCIDENT

Recording Guide This is a calculated variable which is the difference in years between dobirth and accsas.


Date of death

Description: Date of death of claimant Data type: Date Measurement: Nominal Missing percent: 96.87% (value null) Percent of change: 0.03% Codes and categories: Not applicable DODSAS


Employment type at accident

Description: Employment type at the time of accident Data type: String Measurement: Nominal Missing percent: 35.86% (value null or empty) Percent of change: 0.04% Codes and categories: See codes and descriptions below EMPTYPE

Unknown B Self employed C Other E Employed F Student G Pensioner H Other


L Student M Pensioner N Employed O Other P Pensioner S Student U Unemployed V Other Recording Guide Help Notes Variable Name Variable Details

Date of 1 st Hospital attendance

Description: Date of first hospital attendance Data type: Date Measurement: Nominal Missing percent: 38.63% (value null) Percent of change: 0.5% Codes and categories: Not applicable FHOSDATE

Recording Guide Help Notes Blank if there is no hospital attendance (inpatient or outpatient) Variable Name Variable Details

Claim status

Description: Claim status Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.13% Codes and categories: See codes and descriptions below INCOV

1 Accepted 2 Denied 3 Denied - lodged for common law purposes only 4 Pending Recording Guide

Help Notes

The approximate proportion for each is as follows: Incov incov_description Percent

1 Accepted 90% 2 Denied 8%

3 Denied - lodged for common law purposes only 2%

4 Pending 0%



Killed or Injured

Description: Killed/Injured Indicator Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.01% Codes and categories: See codes and descriptions below KI

1 Killed 2 Injured Recording Guide

Help Notes

The approximate proportion for each is as follows: ki ki_description Percent 1 KILLED 3% 2 INJURED 97%


No fault team

Description: No fault team (TAC team that handles the claim) Data type: Numeric Measurement: Nominal Missing percent: 7.0% (value null or 23) Percent of change: 9.6% Codes and categories: See codes and descriptions below NFTEAM

1 West 2 East 3 Return to work 3 - soft tissue vocational 4 Return to work pilot 5 Return to work 5 - orthopaedic vocational 6 Long hospital 7 Return to work 7 - long hospital vocational 8 Client support 9 Client support 10 Spinal 11 Aquired brain injury team 1 12 Aquired brain injury team 2 13 Child & youth 15 Lifetime support 16 Workcover/interstate 17 Fatal 18 Unknown community support 19 Unknown recovery 20 Unknown acute 21 Workcover - transport claims 22 Other 23 Missing 24 Return to work maintenance 25 Victorian workcover authority community integration 26 Acquired brain injury team 3 27 Recovery client assistance 28 Eligibility 30 IC pilot 31 Complex claims 33 Recovery early support 34 Return to health 1 35 Return to health 2


36 Return to work 1 37 Return to work 2 38 Return to work 3 39 Return to work 4 43 Staff files 44 Dummy claim for rehab taxi 45 Independence early support 46 Recovery admin 47 First service officer 48 First service spacialist 49 Return to work 50 LOEC analyst 51 Client assist 1 52 Client assist 2 53 FIRST SERVICE TEAM 1 54 FIRST SERVICE TEAM 2 Recording Guide Help Notes Variable Name Variable Details

Occupation group

Description: Occupation group code of the claimant Data type: Numeric Measurement: Nominal Missing percent: 42.6% (value null or 0) Percent of change: 0.0% Codes and categories: See value labels below OCCUPATIONGROUP

0 Unknown 1 Administrative 2 Armed services 3 Clerical 4 Farmer 5 Miner 6 Professional 7 Sales person 8 Sport/recreation 9 Tradesperson 10 Transport worker Recording Guide

Help Notes

This variable is created by ISCRR based on OCODE variable which is the occupation of the claimant. The OCODE variable is either a 4-digit CASS occupation codes and should correspond to the ASCO classification - First Edition. For a legend for these codes see http://assda.anu.edu.au/census/c86/asco/c86ascovar.html; OR it is the 3-digit MAB occupation code which should correspond to older ACLO occupation codes) . For a legend for these codes see http://assda.anu.edu.au/census/c86/asco/c86ascovar.html#ACLO NB: TAC has advised that the OCODE variable is spar sely recorded in the most recent years and for this reas on ISCRR collapses this variable to create the OCCUPATIONGRO UP variable.



Person identifier of claimant

Description: Unique person identifier relating to claimant Data type: Number Measurement: Nominal Missing percent: 0.0% (values null) Percent of change: 0.0% Codes and categories: Not applicable CLAIMANT_NUMBER

Recording Guide Help Notes Note that one claimant may have more than one claim. Variable Name Variable Details

Local government area of residence (ABS)

Description: Local government area based on claimant’s postcode of residence as coded by ABS Data type: String Measurement: Nominal Missing percent: 0.27% (value null) Percent of change: 0.6% Codes and categories: Not applicable

Claimant_SLA_LGA

Recording Guide

The local government area is downloaded from ABS web site and linked to the claimant’s postcode of residence. The following variables are available related to claimant postcode of residence LGA or SLA. Claimant_LGA_Code, Claimant_LGA_Name, Claimant_SLA_Code, Claimant_SLA_NAme

Help Notes

Claimant’s postcode of residence is not available to external researchers; instead the Claimant_LGA_Name or ACCLGA or IRSAD variables are available. LGA = Local Government Area SLA = Statistical Local Area


Socio-economic Indexes for claimant postcode of residence

Description: of Relative Socio-economic Advantage and Disadvantage score for the claimant's residential postcode release 2011 Data type: Numeric Percent missing data: 0.27% (value null) Percent of change: 0.6% Measurement: Nominal Codes and descriptions: Not applicable

IRSAD_Variables

Recording Guidance

A lower IRSAD score indicates that an area is relatively disadvantaged compared to an area with a higher score. Scores should only be used in distributive analysis. To enable easy recognition of high and low scores, the statistical area 1(SA1) index scores have be standardised to have a mean of 1000 and a standard deviation of 100 across all SA1s in Australia. However, this is not the


case for the larger geographies which were constructed from the SA1 scores, such as postal area The following variables are available: IRSAD_Population, IRSAD_Score, IRSAD_AustraliaRank, IRSAD_AustraliaDecile, IRSAD_AustraliaPercentile, IRSAD_State, IRSAD_StateRank, IRSAD_StateDecile, IRSAD_StatePercentile

Help Notes

The Index of Relative Socio-economic Advantage and Disadvantage (IRSAD) variables can be used to measure socio-economic wellbeing in a continuum, from the most disadvantaged areas to the most advantaged areas.

An area with a high score on this index has a relatively high incidence of advantage and a relatively low incidence of disadvantage. Due to the differences in scope between this index and the Index of Relative Disadvantage, the scores of some areas can vary significantly between the two indexes. For example, consider a large area that has parts containing relatively disadvantaged people, and other parts containing relatively advantaged people. This area may have a low Index of Relative

See the ABS web site for further information http://www.abs.gov.au/websitedbs/censushome.nsf/home/seifa?opendocument&navpos=260


Biological gender of claimant

Description: Gender of claimant Data type: String Measurement: Nominal Missing percent: 0.04% (value null or empty) Percent of change: 0.0% Codes and categories: Male or Female SEX

Recording Guide

Help Notes

The approximate proportion for each is as follows: sex Percent M 52% F 48%



Total $ amount paid for claim

Description: Total no fault amount paid for claim since January 1987 Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 66.06% Codes and categories: Not applicable TOTAL

Recording Guide

Help Notes The total variable will change considerably as the total amount paid to the claim changes during the course of the year ( not CPI adjusted).


Type of claim

Description: Claim type indicator Data type: String Measurement: Nominal Missing percent: 0.0% (value null or empty) Percent of change: 0.05% Codes and categories: See codes and descriptions below WCIND

No-fault C Workcover course J Workcover journey N No-fault R Journey direct T Journey direct

Recording Guide All claim types are handled by TAC except C or J which are Workcover claims.

Help Notes

The approximate proportion for each is as follows: wcind wcind_description Percent N No-fault 84% T Journey direct 8% J Workcover journey 5% C Workcover course 3%



Claim subtype (additional claim type information)

Description: Claim type (additional information) Data type: String Measurement: Nominal Missing percent: 15.49% (value null or empty or ‘unknown’) Percent of change: 0.02% Codes and categories: See values sample below

CLAIM_SUBTYPE

EEO (Emergency Expenses Only) Self Insured (WorkCover Scheme) Standard Unknown VWA Insured (WorkCover Scheme) Recording Guide Help Notes

Accident Data Variable Name Variable Details

Local government area of accident (TAC)

Description: Local government area of the accident based on TAC Data type: Numeric Measurement: Nominal Missing percent: 3.4% (value null or 4) Percent of change: 0.02% Codes and categories: See codes and descriptions below ACCLGA

1 Metro 2 Country 3 Interstate 4 Unknown Recording Guide Help Notes Variable Name Variable Details

Local government area of accident (ABS)

Description: Local government area of the accident based on ABS Data type: String Measurement: Nominal Missing percent: 0.26% (value null or 4) Percent of change: 0.03% Codes and categories: Not applicable Accident_SLA_LGA

Recording Guide This variable is created by ISCRR based on accident postcode variable accpcode which is not available to researchers. The list of postcodes and LGA is downloaded from ABS web site.

Help Notes The following variables are available linked to the accpcode Accident_LGA_Code Accident_LGA_Name


Accident _SLA_Code Accident_SLA_Name


Date of accident

Description: Date of accident Data type: Date Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.0% Codes and categories: Not applicable ACCSAS


Vehicle tare weight

Description: Tare weight of vehicle Data type: Numeric Measurement: Nominal Missing percent: 26.00% (value null) Percent of change: 0.92% Codes and categories: Not applicable TAREWT

Recording Guide The range of vehicle weight starts from 1Kg to 90,000Kg Help Notes This variable allows grouping of vehicles based on weight. Variable Name Variable Details

Vehicle date of manufacture

Description: Year of vehicle’s manufacture Data type: Numeric Measurement: Nominal Missing percent: 14% (value null) Percent of change: 0.65% Codes and categories: Not applicable YEARMAN


Other vehicles at fault (interview)

Description: Other vehicle at fault in accident? (Claim Interview) Data type: String Measurement: Nominal Missing percent: 92.93% (value null empty or ‘unknown’) Percent of change: 0.0% Codes and categories: See codes and descriptions below FAULTC

Unknown Yes


No

Recording Guide This variable is for internal use only therefore is not available to external researchers.

Help Notes Only routinely collected in recent years. Variable Name Variable Details

Other vehicles at fault (police report)

Description: Other vehicle at fault in accident? (Police Report) Data type: String Measurement: Nominal Missing percent: 92.29%(value null empty or ‘unknown’) Percent of change: 0.0% Codes and categories: See codes and descriptions below FAULTP

Unknown Yes No

Recording Guide This variable is for internal use only therefore is not available to external researchers.

Help Notes Only routinely collected in recent years. Variable Name Variable Details

Number of vehicles in accident

Description: Number of vehicles in the accident Data type: Numeric Measurement: Nominal Missing percent: 0.06% (value null) Percent of change: 0.28% Codes and categories: Not applicable NUMVEH


Vehicle risk zone

Description: Vehicle premium risk zone Data type: Numeric Measurement: Nominal Missing percent: 16.05% (value null or 9) Percent of change: 5.24% Codes and categories: See codes and descriptions below ZONE

1 High risk zone 2 Medium risk zone 3 Low risk zone 9 Unknown risk zone Recording Guide

Help Notes

The location that the vehicle is garaged will be in one of three risk zones: high, medium or low. Risk zones are assigned by postcode. The TAC charge is determined by three factors one of which is the risk zone in which the car is garaged. The three factors determining TAC


charge are: 1. Type of vehicle 2. Location (suburb) that the vehicle is garaged 3. Registered owner (pensioner concessions may apply)


Vehicle insurance

Description: Vehicle premium insurance class Data type: Numeric Measurement: Nominal Missing percent: 25.37% (value null or 99) Percent of change: 2.49% Codes and categories: See codes and descriptions below INSR

10 Passenger vehicles - sedan, station wagon or related body-type 11 Passenger vehicles - seating fewer than 10 people including the driver 12 Passenger vehicles - seating more than 9 people including the driver 13 Passenger vehicles - taxi licenced under the transport act 1983 14 Passenger vehicles - bus seating fewer than 10 people including the driver 15 Passenger vehicles - bus seating more than 9 but fewer than 31 people including the driver 16 Passenger vehicles - bus seating 31 people or more 20 Goods vehicles - up to two tonnes capacity 22 Goods vehicles - over two tonnes capacity 24 Goods vehicles - prime mover type vehicle 26 Goods vehicles - owned by primary producer 29 Motorcycles - engine capacity less than 61 cc 31 Motorcycles - engine capacity greater than 60cc but less than 126cc 33 Motorcycles - engine capacity greater than 125cc but less than 501cc 35 Motorcycles - engine capacity greater than 500cc 37 Motorcycles - exempt with engine capacity greater than 125cc but less than 501cc 39 Motorcycles - exempt with engine capacity greater than 501cc 41 Miscellaneous motor vehicles - any motor vehicle not otherwise classified 43 Miscellaneous motor vehicles - any tractor, self-propelled farm machine owned by primary producer 45 Miscellaneous motor vehicles - any recreation motor vehicle registered under the safety act 1986 50 Special purpose motor vehicles - owned by metropolitan fire brigade 52 Special purpose motor vehicles - motor vehicle owned country fire authority 55 Special purpose motor vehicles - motor vehicle owned by police 56 Special purpose motor vehicles - motor cycle owned by police 57 Special purpose motor vehicles - used by manufacturer of vehicles or car dealers 58 Special purpose motor vehicles - tow truck 59 Special purpose motor vehicles - hire and drive 99 Unknown insurance class Recording Guide Help Notes


Common Law Claim Data


CL Claim Type

Description: Common law claim type Data type: Numeric Measurement: Nominal Missing percent: 91.13% (value null) Percent of change: 0.24% Codes and categories: Not applicable CLAWTYPE

1 Interstate accident involving Victorian registered vehicles 2 Victorian accident Recording Guide

Help Notes There is a high percentage of missing values because there only a small number of common law claims in the data.


CL lodgement date

Description: Common law lodgement date Data type: Date Measurement: Nominal Missing percent: 91.13% (value null) Percent of change: 0.29% Codes and categories: Not applicable CREATED

Recording Guide



CL finalised date

Description: Common law finalised date Data type: Date Measurement: Nominal Missing percent: 91.7% (value null) Percent of change: 0.38% Codes and categories: Not applicable FINALISED

Recording Guide




CL decision event

Description: Common law section 93 decision event Data type: String Measurement: Nominal Missing percent: 94.75% (value null or empty) Percent of change: 0.32% Codes and categories: See codes and descriptions below S93DCODE

Unknown CLAF Accepted by TAC CLAG Accepted by Court CLAH Accepted 30% impaired or higher CLAI Rejected by TAC CLAJ Rejected by Court CLAN Rejected 30% impaired or higher (plaintiff conceded common law right) CLAT Rejected non-transport accident CLAW Rejected withdrawn by plaintiff Recording Guide

Help Notes There is a high percentage of missing values because there only a small number of common law claims in the data – also not applicable to interstate accident claims.


CL decision date

Description: Common law section 93 decision date Data type: Date Measurement: Nominal Missing percent: 94.75% (value null) Percent of change: 0.32% Codes and categories: Not applicable S93DDATE

Recording Guide

Help Notes There is a high percentage of missing values because there only a small number of common law claims in the data – also not applicable to interstate accident claims.


CL potential ID date

Description: Common law potential - identification date Data type: Date Measurement: Nominal Missing percent: 98.18% (value null) Percent of change: 0.15% Codes and categories: Not applicable S93PDATE

Recording Guide

Help Notes There is a high percentage of missing values because there only a small number of common law claims in the data- also not applicable to interstate accident claims.



CL settlement date

Description: Common law settlement date Data type: Date Measurement: Nominal Missing percent: 94.84% (value null) Percent of change: 0.25% Codes and categories: Not applicable SETTLED

Recording Guide



CL claim status

Description: Common law claim status Data type: Numeric Measurement: Nominal Missing percent: 91.13% (value null) Percent of change: 0.56% Codes and categories: See codes and descriptions below STATUS

1 Active 2 Settled 3 Finalised (all legal fees have been paid) 4 Finalised (no settlement - common law payment did not proceed ) Recording Guide



CL total paid to date

Description: Common law total amount paid to date Data type: Numeric Measurement: Nominal Missing percent: 93.64% (value null) Percent of change: 2.45% Codes and categories: Not applicable TOTPAID

Recording Guide



Injury Data Variable Name Variable Details

Catastrophic injury

Description: Catastrophic injury Data type: String Measurement: Nominal Missing percent: 0.0% (value null or empty) Percent of change: 0.01% Codes and categories: Yes or No CATFLAG


Functional code

Description: Functional code Data type: String Measurement: Nominal Missing percent: 99.3% (value null or empty) Percent of change: 0.04% Codes and categories: See codes and descriptions below FCODE

Unknown 1 Minimal function 2 Conscious but dependent 3 Dependent in most tasks 4 Independent but disabled 5 Independent mild residual deficits A 100% disruption of function & sensation B 100% disruption, motor function, some sensation C Some weak motor function, some sensation D Some strong motor function & sensation E Near normal motor function & sensation Recording Guide

Help Notes Not coded for Recovery Division claims and usually only applicable to catastrophically injured claimants.


Glasgow Coma Scale

Description: Glasgow Coma Scale Data type: Numeric Measurement: Ordinal Missing percent: 99.7% (value null or <3) Percent of change: 0.01% Codes and categories: Value range from 3 to 15 GCS

Recording Guide GCS score is a combination of three sub scores – verbal, motor and eye opening. A GCS score of 3-8 represents an unconscious patient and is a severe TBI, 9-12 is moderate and 13-15 is mild/none.

Help Notes The GCS is used selectively by the regulator to identify individuals with complex needs and lifetime care. It is most often recorded in cases of


severe TBI. It is however unclear when the GCS is recorded post injury (i.e. in ambulance, trauma triage etc.). Not coded for Recovery Division claims amd mainly only relevant to ABI claims.


% of impairment

Description: Percentage of the impairment of the claimant Data type: Numeric Measurement: Nominal Missing percent: 91.93% (value null or -1) Percent of change: 0.52% Codes and categories: Range from 1 to 100. IMPLEVEL


Summary type of injury

Description: Type of injury - summary Data type: String Measurement: Nominal Missing percent: 0.0% (value null or empty) Percent of change: 0.12% Codes and categories: See values sample below INJURY_HIGH

Catastrophic Fatal Musculoskeletal Orthopaedic Other Injuries Other Severe Recording Guide Help Notes Variable Name Variable Details

Detailed type of injury

Description: Type of injury - detailed Data type: String Measurement: Nominal Missing percent: 0.0% (value null or empty) Percent of change: 0.21% Codes and categories: Sample data below INJURY_DETAIL

Other Injuries Contusion / Abrasion Laceration Soft Tissue (Neck / Back) / Whiplash Fractures - Limb Fractures - Other Sprains / Strains Brain Injury (Mild) / Head Injury (Ill defined) Fatal Internal Injuries Concussion


Dislocations Other Spinal Degloving Amputations Severe ABI - 4 (Acquired Brain Injury) Severe ABI - 5 (Acquired Brain Injury) Severe ABI - 3 (Acquired Brain Injury) Severe ABI - 2 (Acquired Brain Injury) Severe ABI - 1 (Acquired Brain Injury) Severe ABI - Deceased (Acquired Brain Injury) Severe ABI - Unknown (Acquired Brain Injury) Burns (Severe / Moderate) Nerve Damage Paraplegia Loss of Sight / Eyes Quad - C6 (Quadriplegia of C6) Quad - C5 (Quadriplegia of C5) Quad - C1 - C4 (Quadriplegia of C1-C4) Quad - C7 - C8 (Quadriplegia of C7-C8) Quad - Deceased (Quadriplegia deceased) Quad - Unknown (Quadriplegia unknown) Quad - Functional Code E (Quadriplegia functional code E) Quad - Ventilated (Quadriplegia ventilated) Recording Guide Help Notes Variable Name Variable Details

Type of injury

Description: Injury type grouping for injury detail Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null or 0) Percent of change: 0.2% Codes and categories: See codes and descriptions below TINJURY

1 Fatal 2 Quadriplegia 3 Severe Acquired Brain Injury 4 Paraplegia 5 Mild Acquired Brain Injury 6 Spinal 7 Amputation 8 Burns 9 Internal injury 10 Loss of sight 11 Degloving 12 Fracture - limb 13 Fracture - other 14 Dislocations 15 Whiplash 16 Sprains, strains 17 Concussion 18 Nerve damage 19 Contusion abrasions 20 Other injuries Recording Guide

Help Notes When enquiring from the TAC about the differences between TINJURY and INJURY_ DETAIL. Their response is: The difference you are observing is because injury_detail is being


overwritten for the QUAD/SEVERE HEAD clients by Community Support data. It is the more reliable source, although it is coded independent of ICDs. Note that severe injuries are coded more accurately than non-severe injuries.


Mobility

Description: Mobility code Data type: String Measurement: Ordinal Missing percent: 99.32% (value null or empty) Percent of change: 0.02% Codes and categories: See codes and descriptions below MCODE

1 No use of arms/legs 2 Some use of arms but no use of legs 3 Full use of arms but no use of legs 4 No use of arms but some use of legs 5 Some use of arms/legs 6 Full use of arms & some use of legs 7 No use of arms but full use of legs 8 Some use of arms & full use of legs 9 Full use of arms & legs A Limited head/neck movement B Head/neck control, may shrug shoulders C Has shoulder control & bend elbow palms up D Has shoulder control & extend wrist & turn palms E Has shoulder control & limited to natural hand function F Full upper limb control & limited upper trunk stability G Full upper limb control & fair upper trunk stability H Full upper limb control & good trunk control I Full upper limb control & partial/full control lower extremities Recording Guide

Help Notes Not coded for Recovery Division claims and usually only applicable to catastrophically injured claimants.


Post traumatic amnesia days

Description: The number of post traumatic amnesia days Data type: Numeric Measurement: Nominal Missing percent: 99.52% (value null) Percent of change: 0.02% Codes and categories: Not applicable PTA

Recording Guide

Help Notes Not coded for Recovery Division claims amd mainly only relevant to ABI claims.



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Payments Dataset

The payments dataset represents the payments made by TAC to the service provider on behalf of the claimant and includes details of claim, payment, date of service and treatment as seen below. Notes regarding the Payments dataset: There are TAC claims starting from 1-Jan-1987 and there are Payments that start from 1-Jul-1992. The reason for this is that the TAC data prior to July 1992 is in a completely different format - it does not contain benefit type (bentype), benefit category (bencat) or the benefit code (bencode) - nor does it include consistent payment reference numbers that would enable the TAC to calculate the unique payment identifier. Negative amounts in the payments dataset (FINPAY – actual payments file):

Negative amounts in the payments dataset are not mistakes – these represent the TAC recovering money for services they should not have been paid or that have been paid the wrong amount. To interpret these when looking at services provided, these negative amounts should be treated as "negative services" to counteract the “false positives” the TAC paid for previously.

Dataset Summary Statistics Between 1st Jan 1987 and 30 Jun 2014 there are 35,059,423 payment records accepted for statistical analysis. Please note that the year 2014 was not included as it is incomplete.

$0

$50,000,000

$100,000,000

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$450,000,000

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tal

cost

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C

Acident Year

TAC total payments per accident calendar year


Dataset Grouping Column 1 in the table below indicates the logical grouping associated with the payment variables.

Group Variable Name Data Field Name Description

Claim De-identified claim number CLAIM_NUMBER De-identified claim number

generated by ISCRR

Payment

De-identified payment number PAYMENT_NUMBER

De-identified payment number generated by ISCRR

Service Amount paid by TAC

AMOUNT Amount paid by the TAC for the service

Inflated Service Amount paid by TAC

INF_AMOUNT Amount paid by TAC for the service inflated to June 2014 values.

Account payment date PAYDATE Account payment date

Identifier for person receiving payment PAYEE_NUMBER Person identifier receiving

payment

Date/Time of Service

Benefit number of days DAYS Benefit number of days

Service start date SDATE1 Service date 1 (start)

Service end date SDATE2 Service date 2 (end)

Treatment/ service

Hospital Classification of assessed patient

ASSDCLAS Assessed patient classification (hospital)

Benefit category BENCAT Benefit category

Benefit type BENTYPE Benefit type

Benefit code BENCODE Benefit code

Description of paid item ITEM_DESCRIPTION Paid item description

Payment Code for service category PCODE Payment code

Service Provider Type PITEMTYP Service provider type

Payable item number PITEMNUM Payable item number

Service location SERLOCN Service location

Service type SERTYPE Service type

Service provider type SPROVTYP Service provider type

Service treatment in hospital TREATED_IN_HOSPITAL Service treatment in hospital


Drug category DRUG_CATEGORY Drug Category (Only valid for Pharmacy: Benefit Code = 110603)

Drug group DRUG_GROUP Drug Group (Only valid for Pharmacy: Benefit Code = 110603)

De-identified provider number PROVIDER_NUMBER De-identified provider

number generated by ISCRR


Dataset Variables This section describes each variable in greater detail below.

Claim Information Variable Name Variable Details

De-identified claim number

Description: De-identified claim number generated by ISCRR Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.0% Codes and categories: Not applicable CLAIM_NUMBER

Recording Guide Refer to claim number on Page 8

Help Notes

This variable is used to link between different datasets and is unique for every case in the claims dataset only, but it will be repeated in the payments dataset (as one person may have received multiple payments over the course of their claim).

Payment Information Variable Name Variable Details

De-identified payment number

Description: De-identified payment number generated by ISCRR Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.0% Codes and categories: Not applicable PAYMENT_NUMBER


Service Amount paid by TAC

Description: Amount paid by the TAC for the service Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.0% Codes and categories: Not applicable AMOUNT

Recording Guide This variable is not adjusted for CPI, use inf_amount variable for CPI adjusted amount instead

Help Notes



Inflated Service Amount paid by TAC

Description: Inflated payment amount paid by TAC for the service inflated to June 2014 values Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 100% Codes and categories: Not applicable

INF_AMOUNT

Recording Guide Indexes each payment amount to June 2014 values, using inflation factors provided by the TAC’s external actuaries.


Account payment date

Description: Account payment date Data type: Date Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.0% Codes and categories: Not applicable PAYDATE


Identifier for person receiving payment

Description: De-identified person identifier receiving payment Data type: String Measurement: Nominal Missing percent: 1.69% (value null) Percent of change: 0.0% Codes and categories: Not applicable PAYEE_NUMBER

Recording Guide Help Notes


Date/Time of Service Information Variable Name Variable Details

Benefit number of days

Description: Benefit number of days Data type: Numeric Measurement: Nominal Missing percent: 6.89% (value null) Percent of change: 0.0% Codes and categories: Not applicable DAYS

Recording Guide

The Days variable is calculated by the following formula: Days=Sdate2-Sdate1+1 However this is not true in all cases and TAC is currently investigating what is the correct formula.

Help Notes This variable is under review Variable Name Variable Details

Service start date

Description: Service date 1 (start) Data type: Date Measurement: Nominal Missing percent: 0.0% (value null) Percent of change: 0.02% Codes and categories: Not applicable SDATE1

Recording Guide Refer to Days variable on how to calculate the number of days of service use.


Service end date

Description: Service date 2 (end) Data type: Date Measurement: Nominal Missing percent: 82.05% (value null) Percent of change: 0.0% Codes and categories: Not applicable SDATE2

Recording Guide Refer to Days variable on how to calculate the number of days of service use. Only usually coded for inpatient stays and periods of income replacement and dependency payments.

Help Notes


Treatment/Service Information Variable Name Variable Details

Hospital Classification of assessed patient

Description: Assessed patient classification (hospital) Data type: String Measurement: Nominal Missing percent: 98.62% (value null or empty) Percent of change: 0.0% Codes and categories: See codes and descriptions below ASSDCLAS

Unknown 202 Brain neuro spine & major 203 All other impairments f13 205 Stroke 210 Brain dysfunction 211 Brain dysfunction 212 Neurological 213 Brain dysfunction 214 Brain dysfunction 215 Brain dysfunction 216 Neurological 217 Neurological 218 Neurological 220 Spinal chord dysfunction 221 Spinal cord dysfunction 222 Spinal cord dysfunction 224 Amputation of limb 225 Amputation of limb 226 Pain syndromes 227 Ortho cond-fractures 228 Ortho cond-fractures 229 Ortho cond-fractures 230 Ortho cond-fractures 231 Ortho cond-joint replace 232 Ortho cond-joint replace 233 Ortho cond-joint replace 234 Orthopaedic cond-other 235 Orthopaedic cond-other 236 Orthopaedic cond-other 237 Cardiac 238 Major multiple trauma 239 Major multi trauma/burns 240 Major multiple trauma 241 Major multiple trauma 242 Other impairments 243 Other impairments 244 Other impairments 245 Other impairments AS Advanced surgical AS1 Advanced surgical group 1 AS2 Advanced surgical group 2 AS3 Advanced surgical group 3 AS4 Advanced surgical group 4 AS5 Advanced surgical group 5 BAS Bethesda ambulance service BLC Bed leave with care BLF Bed leave fee BRN Burns inpatient CAM Child and adolescent mental health service


CAU Claimant accommodation unit CCU Coronary care inpatient DAY Day patient DN District nursing DRG Casemix base fee EME Emergency response EMT Emergency stretcher transport EXT Extended care / geriatric FWI Air ambulance - fixed wing GM General medical GS General surgical GS1 General surgical group 1 GS2 General surgical group 2 GS3 General surgical group 3 GS4 General surgical group 4 GS5 General surgical group 5 H Head injuries inpatient HBF Holding bed fee HDU High dependency inpatient HEL Air ambulance - helicopter HIG High dependency psychiatric at a public psychiatric hospital HLI Air ambulance - helicopter HS Head and spinal injuries inpatient ICU Intensive care inpatient ILU Independant living unit INR Intensive neurological and respiratory unit ITC Interim care LOW Low dependency psychiatric patient at a public psychiatric hospital LT1 Long term - category 1 LT2 Long term - category 2 LT3 Long term - category 3 LT4 Long term - category 4 LT5 Long term - category 5 LT6 Long term - category 6 LTA Long term accommodation LTP Long term care - public M1 Medical group 1 M2 Medical group 2 M3 Medical group 3 M4 Medical group 4 M5 Medical group 5 MUS Musculo-skeletal injuries inpatient NE Nurse escort NEN Non emergency/stretcher transport NES Non emergency stretcher transport NHT Nursing home transition NRM Normal inpatient NS1 Non-stretcher 1-man crew (no4) NS2 Non-stretcher 2-man crew (to4) NSV Non-stretcher vehicle NUR Nursing home patient ORT Orthopaedic injuries inpatient OUT Outpatient PAL Palliative care PEC Psychiatric extended care - adult PLN Air ambulance - plane PRP Pain rehabilitation program (bethesda only) PRS Paediatric rehab service PSA Psychiatric acute specialist PSY Psychiatric inpatient PWD Private ward accomodation RE Rescue REH Rehabilitation inpatient


RIH Rehabilitation in the home RL1 Rehabilitation level 1 RL2 Rehabilitation level 2 RL3 Rehabilitation level 3 RP1 Respite care - category 1 RP2 Respite care - category 2 RP3 Respite care - category 3 RPC Respite care RTA Road trauma - alfred S Spinal injuries inpatient SM Special medical SR1 Spinal rehabilitation 1 SR2 Spinal rehabilitation 2 SSR Slow stream rehabilitation TLC Transitional living centre (ilu) Recording Guide Help Notes only applicable to Benefit Type (Hospital) Variable Name Variable Details

Benefit category

Description: Benefit category Data type: Numeric Measurement: Nominal Missing percent: 0.0% (values null) Percent of change: 0.0% Codes and categories: See codes and descriptions below BENCAT

100 Medico-legal 101 Investigations/other 200 Ambulance/road accident rescue 300 Dependency lump sum 301 Dependency annuity 302 Dependency other 400 Victorian public hospital 401 Victorian private hospital 402 Other hospital 500 Impairment annuity 600 Impairment lump sum 700 Loss of earnings 701 Loss of earnings capacity 800 Defendant 801 Plaintiff 900 Attendant care inc subs 901 Long term care other 1000 Medical consultations 1001 Medical other 1100 Paramedical private 1101 Paramedical rehab hospital 1102 Occupational therapy 1103 Vocational 1104 Equipment 1105 Home services 1106 Paramedical other 1200 Recoveries Recording Guide Help Notes



Benefit type

Description: Benefit type Data type: Numeric Measurement: Nominal Missing percent: 0.0% (values null) Percent of change: 0.0% Codes and categories: See codes and descriptions below BENTYPE

1 Administration 2 Ambulance/road accident rescue 3 Dependency 4 Hospital 5 Impairment annuity 6 Impairment lump sum 7 Income 8 Legal 9 Long term care 10 Medical 11 Paramedical 12 Recoveries Recording Guide Help Notes Variable Name Variable Details

Benefit code

Description: Benefit code Data type: Numeric Measurement: Nominal Missing percent: 0.0% (values null) Percent of change: 0.0% Codes and categories: See codes and descriptions below

BENCODE

10000 Medical impairment assessment 10001 Medical exams 10002 Treater report not requested by Transport Accident Commission (TAC) 10003 Impairment report not requested by Transport Accident Commission (TAC) 10004 Other report not requested by Transport Accident Commision (TAC) 10100 Patients accommodation 10101 Parents expenses 10102 Information search costs 10103 Interpreter costs 10104 Investigation circumstances 10105 Investigation activities 10106 Workcover reimbursement 10107 Workers compensation recovery 10108 Other 20000 Ambulance 20001 Road rescue 20002 Rehab travel (dummy claim 02/02125) 30000 Compensation fatal spouse Motor Accident Board (MAB) 30001 Compensation fatal child Motor Accident Board (MAB) 30002 Compensation fatal lump sum spouse 30003 Compensation fatal lump sum child 30100 Compensation fatal annuity spouse 30101 Compensation fatal annuity child


30102 Compensation fatal education allowance 30103 Tax on dependency annuity 30200 Fatal family counselling 30202 Funeral 30203 Autopsy 40000 Alfred hospital 40001 Royal melbourne hospital 40002 Other major trauma 40003 Other victorian metro public hospital 40004 Non-metro victorian public hospital 40100 Epworth hospital 40101 Healthscope 40102 Private arrangement hospital 40103 Other victorian private hospital 40200 Interstate/unknown hospital 50000 Periodic annuity impairment 50001 Periodic minors impairment 50002 Redemption lump sum impairment 60000 Lump sum impairment 70000 Regular payment for Loss Of Earning (LOE) 70001 Regular payment for partial Loss Of Earning (LOE) 70002 Interest on determination 70003 Compensation non-fatal Motor Accident Board (MAB) 70004 Compensation redemption capacity 70005 Compensation refund Loss Of Earning (LOE) 70006 Claimant on approved work trial Loss Of Earning (LOE) 70007 Tax on Loss Of Earning (LOE) 70100 Regular payment for Loss Of Earning Capacity(LOEC) 70101 Regular payment for partial Loss Of Earning Capacity(LOEC) 70102 Compensation refund for Loss Of Earning Capacity(LOEC) 70103 Claimant on approved work trial Loss Of Earning Capacity(LOEC) 80000 Commission appeal cost 80001 Commissions legal expenses 80002 Commissions impairment costs - protocols 80003 Commissions dispute resolution costs - protocols 80004 Recoveries - legal 80100 Claimants appeal cost 80101 Claimants legal expenses 80102 Claimants impairment costs - protocols 80103 Claimants dispute resolution costs - protocols 90000 Attendant care 90001 Integration teacher aide 90002 Accommodation/respite care 90003 Independent living unit 90004 Special accommodation 90005 Attendant care in group home 90006 Attendance/personal assistance 90007 Nursing home 90008 Supported community options 90009 Supported community options travel 90010 Living expenses 90011 Long term nursing 90100 Structural alterations 90101 Vehicle modification/purchase 90102 Computer equipment purchase 90103 Equipment for Activities for daily Living (ADL) 90104 Case management 90105 Supported community options establishment/transition fee 90106 Other lifetime care 90107 Community access planning/review 90108 Self purchasing/brokerage 100000 Consultation – General Practitioner (GP) 100001 Consultation - specialist


100002 Consultation - consultant physician 100003 Consultation - other 100100 Doctor - anaesthetic 100101 Doctor - surgery 100102 Pathology 100103 Radiology 100104 Psychiatry 100105 Doctor - maps/misc 100106 Doctor - other 100107 Hospital outpatients - paramedical 100108 Hospital outpatients - medical 100109 Medical excess 110000 Dental (private) 110001 Psychology (private) 110002 Speech therapy (private) 110003 Social work (private) 110004 Physiotherapy (private) 110005 Chiropody/podiatry 110006 Optical 110007 Chiropractor 110008 Osteopathy 110100 Dental (rehab) 110101 Psychology (rehab) 110102 Speech therapy (rehab) 110103 Social work (rehab) 110104 Physiotherapy (rehab) 110105 Sports centre 110106 Special education 110107 Physical education 110200 Occupational therapy treatment 110201 Occupational therapy travel 110202 Occupational therapy assessment/report 110300 Vocational equipment 110301 Vocational education training courses 110302 Vocational counselling 110400 Administration 110401 Personal 110402 Beds 110403 Daily living 110404 Assisted movement 110405 Transport 110406 Communication & vocational aids 110407 Recreation 110408 Building fixtures 110409 Other equipment 110410 Prosthesis 110411 Urology 110500 Home help 110501 Childminding 110502 Domestic services 110503 Gardening 110504 Post acute support services 110600 Rehabilitation - other 110601 Other expenses at hospital 110602 Nursing 110603 Chemist 110604 Driving education 110605 Travelling expenses 110606 Other paramedical 110608 Serious injury family counselling 110609 Acupuncture 110610 Post hospital support 120000 Recoveries


Recording Guide

The benefit code is linked to the benefit category and benefit type coding. Bentype Bencat Bencode 4 Hospital 4 Hospital

400 Victorian Public hospital 401 Victorian public hospital

40000 Alfred Hospital 4100 Epworth Hospital

Help Notes

1. For information regarding the definition of health services and benefits see the Additional ‘general’ help notes at the end of this document.

2. To calculate days off work or income replacement payments see Additional ‘general’ help notes at the end of this document

3. If interested in splitting cases into “acute, rehab, psych and other” admissions use the ASSDCLAS variable definitions. See below sample breakdown:

if assdclas is 'DRG', 'AS','AS1' - 'AS5', 'CCU','DAY', 'M1' - 'M5', 'GM', 'SM', 'LT1' - 'LT6', 'GS', 'GS1' - 'GS5', 'HDU', 'ICU' then stay = 'ACUTE/MEDICAL' if assdclas is 'H','MUS','ORT','PRP','HBF','BLF','BRN','REH','RL1' - 'RL3', 'SR1', 'RIH', 'S' then stay = 'REHABILITATION' if assdclas is 'PSY' = 'PSYCHIATRIC' if assdclas is other = 'OTHER'

To further break up type of rehab... if assdclas is… H = Head MUS = Musculoskeletal ORT = Orthopaedic PRP = 'Pain rehab HBF BLF = Bed holding fees BRN = Burns REH, RH1 - RL3, RIH = General Rehab, L1 - 3 Rehab, Rehab in home SR1, S = Spinal



Description of paid item

Description: Paid item description Data type: String Missing percent: 0.0% (values null or empty) Percent of change: 0.0% Measurement: Nominal Codes and categories: This variable is linked to item number (PITEMNUM). - see a sample of possible descriptions below: ITEM_DESCRIPTION

Physiotherapy: standard consultation (rooms) Claimant travel - no fault (private travel) Surgery consultation PHYS - Individual Session Tax on loss of earnings (LOE) Regular payment for loss of earnings (LOE) Non-PBS (pharmaceutical benefit scheme) prescribed drugs (pharmacy) Regular payment for loss of earning capacity (LOEC) Home help (preferred provider) Taxi service - no fault (travelling) Chiropractic - standard consultation rooms Standard Consultation Domestic service – domestic help preferred Tax on dependency annuity Pharmacy - private script Compensation fatal annuity spouse Taxi transport hospitals Physiotherapy - standard consultation rooms Subsequent specialist referred consultation Quantitation in serum, plasma, urine or other body Compensation fatal annuity child Ambulance Chest Recording Guide Help Notes Variable Name Variable Details

Payment Code for service category

Description: Payment code Data type: Numeric Measurement: Nominal Missing percent: 0.0% (value null ) Percent of change: 0.0% Codes and categories: See codes and descriptions below

PCODE

Coding used

1 Rehabilitation - medical hospital 2 Rehabilitation - vocational equipment 3 Vocational work trial loss of earnings (LOE) 4 Rehabilitation - vocational education training courses 5 Rehabilitation - other 6 Rehabilitation - paramedical 7 Rehabilitation - attendant care


8 Rehabilitation - vocational counselling 9 Structural alterations 10 Rehabilitation - travelling expenses 11 Vehicle modification/ purchase 12 Computer equipment purchase 13 Rehabilitation - therapeutic equipment 14 Integrated teacher aide 15 Accommodation/ respite care 16 Regular payment for loss of earnings (LOE) 17 Regular payment for partial loss of earnings (LOE) 18 Loss of earnings capacity (LOEC) - regular 19 Loss of earnings capacity (LOEC) - partial 20 Counselling to families of fatal claimants 21 Interest on determination 22 Lump sum Impairment 23 Periodic annuity impairment 24 Periodic minors impairment 25 Compensation - non-fatal (old scheme only) 26 Compensation - fatal dependent spouse (old scheme only) 27 Compensation - fatal dependent child (old scheme only) 28 Compensation - redemption capacity 29 Redemption lump sum impairment 30 Lump sum for surviving spouse 31 Funeral 32 Compensation refund for loss of earnings (LOE) 33 Housekeeping 34 Regular payment for surviving spouse 35 Regular payment for surviving child 36 Lump sum for surviving child 37 Education allowance for surviving child 38 Compensation wage subsidy for loss of earnings (LOE) 39 Accommodation for patients undergoing exams 40 Medical impairment assessment 41 Doctor 42 Dental 43 Medical materials 44 Independent living unit 45 Prosthesis 46 Maxillo-facial surgery 47 Doctors treatment at hospital 48 Other expenses at hospital 49 Physiotherapy at hospital 50 Hospital (non-rehabilitation) - outpatient 51 Hospital (non-rehabilitation) - inpatient 52 Hospital (non-rehabilitation) - theatre fees 53 Rehabilitation hospital - outpatient 54 Rehabilitation hospital - inpatient 55 Nursing 56 Child minding 57 Special accommodation 58 Domestic services 59 Claimant's appeal costs 60 Commission's appeal costs 61 Chemist 62 Psychology 63 Occupational therapy 64 Speech therapy 65 Social work 66 Rehabilitation - urology 67 Rehabilitation - appliances 68 Rehabilitation - driving education 69 Attendant care - in group home 70 Attendant care - workcover wages


71 Ambulance 72 Attendant care - annual leave 73 Rehabilitation - travelling expenses 74 Parents' expenses 75 Information search costs 76 Interpreter costs 77 Investigation circumstances 78 Workcover levy payment (attendant care) 79 Therapeutic equipment - medical service 80 Equipment for activities of daily living (ADL) 81 Physiotherapy 82 Chiropody/ podiatry 83 Therapeutic equipment - non-medical services 84 Optical 85 Structural alterations 86 Chiropractor 87 Osteopathy 88 Other paramedical service 89 Attendance/ personal assistance 90 Claimants medical evidence costs 91 Commission's medical evidence costs 92 Non-Attendance-Medical Exam 93 Investigation cost - activities 94 Commission's legal expenses 95 Workcover re-imbursement 96 Claimant's legal expenses 97 Advertising (attendant care) 98 Workers' compensation recovery 99 Other (excluding RAR and recoveries) 100 Tax on loss of earnings (LOE) 101 Tax on regular payment 102 Road Accident Rescue (RAR) [where billing provider is State Emergency Services (SES), Country Fire Authority (CFA) or Metropolitan Fire Brigade (MFB)] 103 Vocational work trial for loss of earning capacity (LOEC) 104 Post Acute Support 132 Compensation refund for loss of earning capacity (LOEC) 138 Compensation wage subsidy for loss of earning capacity (LOEC) 160 Medical Excess Reimbursements Recording Guide

Help Notes

When Looking for income replacement payments (to derive return to work measures), if you selecting pcode='Regular payment for LOE', the payments may present in periods of 14 days, 5 days, sometimes 100 days. The instances of service periods longer than 14 days are essentially caused by re-assessments of the rate of payment that must be applied to historical payment periods. There may be periods shorter than 5 days for the first payment where people are paid so as to be "in sync" with the standard fortnightly payment cycle currently in place with the TAC. With the current payment system payments (from July 2008 onwards) are typically fortnightly paid from Monday to Sunday the following week --> 14 days. However, they appear as two-weekly payment records with the same service dates covering the fortnight. It is a quirk of the way the payments are calculated in the system. Essentially each weekly payment is determined separately but paid to the client fortnightly. For the old payments system there was a single fortnightly payment but the payment period was from Monday to Friday the following week --> 12 days.



Service Provider Type

Description: Service provider type Data type: String Measurement: Nominal Missing percent: 18.45% (values null or empty) Percent of change: 0.0% Codes and categories: See codes and descriptions below PITEMTYP

Unknown A Australian Medical Association C Chemist (PBS Schedule / Private Pharmacy) (to identify specific drugs refer to pitemnum on PBS web site) D Australian Dental Association E Common Law (CMIS) Paycodes F Motor Accidents Board (MAB) Paycodes G Payment System (TAPS) Provider / Service Types M Medical Benefit Schedule O Over the Counter Pharmacy Items P Prosthetic Schedule R Private Pharmacy Items T Transport Accident Commission (TAC) V Victorian WorkCover Authority (VWA) Z Miscellaneous TAPS Item Numbers Recording Guide Help Notes Variable Name Variable Details

Payable item number

Description: Payable item number related to service provider type Data type: Numeric Measurement: Nominal Missing percent: 17.43% (values null or empty) Percent of change: 0.0% Codes and categories: Not applicable

PITEMNUM

Recording Guide

If you select data where pitemtyp is equal to C, you get all the chemist bills. If you then look at the variable pitemnum, it gives you the PBS codes of all the drugs reimbursed by the TAC. You can look that code up on the PBS website and all the drug information is there. As highlighted elsewhere the item_desciption gives this information – it is already in the CRD. Also my preference is to use Benefit Code 110603 for Chemist payments. Chemist is also paid against pitemtyp = O, R and T

Help Notes



Service location

Description: Service location Data type: String Measurement: Nominal Missing percent: 39.07% (values null or empty) Percent of change: 0.0% Codes and categories: See codes and descriptions below SERLOCN

Unknown A In ambulance B Bush nursing C Chemist E Rehab hospital G Gym H Community health centre L School O Other P Public hospital Q Equipment supplier R Consulting rooms S Scene of accident T Private hospital V Home visit W Work site X Rehab approval Recording Guide Help Notes Variable Name Variable Details

Service type

Description: Service type Data type: String Measurement: Nominal Missing percent: 15.32% (values null or empty) Percent of change: 0.0% Codes and categories: See codes and descriptions below SERTYPE

Unknown AC Attendant care AE Aids & equipment AF Accommodation fee AI Additional inpatient cost AM Ambulance AN Anaesthetic AP Ambulance - private AU Acupuncture AX Carers accommodation/travel expenses BL Victorian Rehabilitation Centre bladder management program (VRC) BW Victorian Rehabilitation Centre bowel management program (VRC)


CA Community access provider CB Not in use CC Computer consultancy CE Computer equipment CH Chemist CI Chemist - exclusive of bed fee CO Consultations CP Consultation (psychiatric) CT Claimant travel DE Delivery of therapeutic equipment DF Dental fee (public hospital) DI Not in use DN District nurse DT Not in use EA Equipment (adaptive) ED Education EH Therapeutic equip/aids (hire) EM Computer equipment maintenance EN Not in use EQ Equipment EX Accommodation expenses FD Funeral director FF Facility fee FI Funeral interstate common law FX Field assessment expenses GA Gait analysis GE General GM Gymnasium GS General services (dental) HF Hospital medical fee for disease related group (DRG) HH Home help HM Home modifications HN Home service needs HP Public hospital-post acute care IA Integration IC Investigation circumstances ID Disease related group inpatient IM Information - miscellaneous IN Interpreting costs IO Investigation observations IP Inpatient IR Information report IS Information search IV In vitro fertilisation treatment (IVF) IY Tracheostomy co-payment LC Legal costs MD Materials & drugs MF Medical fee MP Miscellaneous procedure MS Not in use MZ Miscellaneous service ND Pharmacy non-defined NE Nurse escort NF Nursing fee at public hospital NH Nursing home supplementary fee NM Nuclear medicine NP Network pain management NU Nursing OB Obstetrics OC Op-continence clinic OE Optical equipment OF Outpatient fee OH Not in use


OM Orientation & mobility OP Outpatient OR Orthosis OS Op-psychological clinical community PA Pathology PC Parents accommodation with child PD Prescribed drugs PH Not in use PL Accommodation - property location PM Paramedical PR Prosthesis PS Not in use PT Psychology - travel PV Property valuation QU Questionnaire (medical or paramedical) RA Radiology RC Recovery credit RE Rescue RN Rental assistance RP Report RS Not in use RT Retraining equipment RW Standard return to work (RTW) services SA Structural alterations SD Substitute care - domiciled SF Accommodation supplementary fee SI Senior/icap assessments SM Swimming SU Operation TA Air transport TC Taxi - cabcharge TE Therapy equipment/aids (purchase) TG Travelling TH Theatre TI Internal transport TJ Not in use TK Personal assistant travel TM Travel (miscellaneous) TN Nursing travel TR Rail transport TV Physiotherapy - travel TW Travel to work TX Taxi TZ Travel & accommodation VH Vehicle hire VM Vehicle costs VP Vocational provider VR Victorian rehabilitation centre paediatric co-payment (VRC) VS Vocational services VW Victorian Workcover Authority (VWA) claims WE Work experience WM Wound management WP Work program (crown casino) WT Work trial Recording Guide Help Notes



Service provider type

Description: Service provider type Data type: String Measurement: Nominal Missing percent: 15.32% (values null or empty) Percent of change: 0.0% Codes and categories: See codes and descriptions below SPROVTYP

Unknown 01 Public hospital 02 Private hospital 03 Ambulance 04 Rescue 05 Doctor 06 Physiotherapy 07 Chiropractic 08 Osteopath 09 Psychology 10 Occupational therapist 11 Social worker 12 Speech therapist 13 Dietitian/nutritionist 14 Orthoptist 15 Chiropodist/podiatrist 16 Interpreting service provider 17 Driving instructor 18 Personal assistant 19 Counsellor 20 Educator 21 Physical educator 22 Allied health assistance 23 Optometrist 24 Recreational therapist 25 Acupuncturist 26 Audiologist 27 Masseur/tactile therapist 28 Naturopath 29 Music therapist 30 Advertising agency 31 Vocational provider 32 Home service assessment provider 33 Community access provider 34 Prosthetist/orthotist 35 Commonwealth rehab service 36 Equipment suppliers 37 School 38 Radiographer 39 Accommodation provider 40 Domestic service provider 41 Nurse 42 Employer 43 Information provider


44 Sports complex 45 Solicitor 46 Builder 47 Auto engineer 48 Dentist 49 Transport provider 50 Pharmacy 55 Funeral director 95 Miscellaneous Recording Guide Help Notes Variable Name Variable Details

Service or treatment payment in hospital

Description: Provided during an inpatient stay Data type: String Measurement: Nominal Missing percent: 0.0% (values null or empty) Percent of change: 0.0% Codes and categories: Yes or No TREATED_IN_HOSPITAL

Recording Guide

Its value is “yes” if a payment was made for a medical or paramedical treatment (bentype of 10 or 11) where the treatment service date “sdate1” matches to an inpatient stay date. Otherwise its value is “No’, including for all benefit types other than 10 and 11.

Help Notes Note that this is an indicative variable only and its use should be discussed with TAC before commencing any analysis.


Drug category

Description: Drug Category (Only valid for Pharmacy: Benefit Code = 110603) Data type: String Measurement: Nominal Missing percent: 0.0% (values null or empty) Percent of change: 0.0% Codes and categories: See codes and descriptions below

DRUG_CATEGORY

Anti-depressants (6) Anti-psychotics (24) Sedatives incl. injectables (7,51,52,53) Sched 8 meds incl. injectables (46,48,49,50) Neuropathic pain (45) Analgesics cont. codeine (1) PBS Sedatives Other Recording Guide

Help Notes This variable is the main group relating to the drug_group variable below



Drug group

Description: Drug Group (Only valid for Pharmacy: Benefit Code = 110603) Data type: Numeric Measurement: Nominal Missing percent: 95.45% (values null or empty) Percent of change: 0.0% Codes and categories: See codes and descriptions below

DRUG_GROUP

1 ANALGESIA 2 NSAID 3 HEADACHE/MIGRAINE 4 INFECTION - MRSA/ likely MVA related 5 ULCER/REFLUX 6 DEPRESSION 7 PBS Sedatives 8 CARDIOVASCULAR 9 ERECTILE DYSFUNCTION 10 NAUSEA/VOMITING 11 LAXATIVES 12 MUSCLE SPASM 13 LIPID LOWERING/CHOLESTEROL LOWERING 14 HYPERTENSION 15 RESPIRATORY 16 INFECTION OTHER VIRAL/FUNGAL/UTI/RTI/SPLENECTOMY 17 DIABETES MELLITUS 18 OSTEOPOROSIS/CALCIUM 19 EPILEPSY 20 MUSCULOSKELETAL - RHEUM ARTHRITIS/GOUT/PREDNISOLONE 21 WEIGHT LOSS 22 DIGESTIVES inc. ENZYMES, ANTI-DIARRHOEALS, INTESTINAL ANTI-INFLAMATORIES 23 SEX HORMONES 24 PSYCHOTIC ILLNESS 25 SKIN 26 ALLERGY 27 NEUROMUSCULAR ILLNESS 28 EYE PREPS 29 EAR/NOSE/THROAT 30 VITAMINS/MINERALS/FATTY ACIDS 31 ANTICOAGULANTS 32 BLADDER 33 HYPERACTIVE DISORDER/ALZHEIMER 34 THYROID DRUGS 35 PITUITARY/ADRENAL HORMONES 36 BIRTH CONTROL 37 CANCER/ONCOLOGY/TRANSPLANT/HAEMATOLOGY 38 DENTAL/ORAL 39 SMOKING/ALCOHOL 40 SURGICAL/IV FLUIDS 41 VACCINES 42 DRUG DEPENDENCY/TOXICITY 43 INFECTION - UNUSUAL BACTERIA/PARASITIC INFECTIONS 44 ANTIHYPERTENSIVES FOR HEADACHES PROPYLAXIS 45 NEUROPATHIC PAIN 46 PBS INJECTABLE NARCOTICS 47 INJECTABLE STEROIDS 48 PBS SCHEDULE 8 49 Private Schedule 8 50 Private Injectable Narcotics 51 Private Sedatives


52 Injectable PBS Sedatives 53 Injectable Private Sedatives Recording Guide Help Notes This variable is the sub-group for drug_category above Variable Name Variable Details

De-identified provider number

Description: De-identified provider number generated by ISCRR Data type: Numeric Measurement: Nominal Missing percent: 1.69% (value null) Percent of change: 0.0% Codes and categories: Not applicable PROVIDER_NUMBER

Recording Guide Help Notes The provider number variable identifies a provider for the services


Additional ‘general’ help notes

TAC Scheme changes: Medical Thresholds (i.e. Medical Excess) changed within the scheme over time from 1987 through 2013. In 1997 a change occurred pertaining to Medical Excess. Services received in a Community Health Centre prior to 1997 were paid regardless of whether excess was reached or not. Post 1997 services at a Community Health Centre became subject to excess. In 2007 there was a change relating to all accident years, each accident year is allocated the same accident excess threshold. Also, family members in the same accident share an excess threshold. Prior to 2007, family members only included partners or dependent children under the age of 18 years. After 2007 family members include partners, parents, children or siblings. Medical thresholds (in the form of Medical Excess) have changed over time. The historical excess rates TAC applied are listed below:

The TAC will apply the following excess rates, according to the date of the transport accident: http://www.tac.vic.gov.au/claims

Indexation of benefits schedule

INDEXED BY

FROM 1/7/2011

FROM 1/7/2012

FROM 1/7/2013

$ $ $

MEDICAL EXCESS: AWE 564 584 599

LOSS OF EARNINGS:

Maximum Weekly AWE 1,130 1,170 1,200

Minimum Weekly (or 100% of pre-accident weekly earnings)

AWE 555 574 589

Dependants - first AWE 157 162 166

Dependants - other AWE 50 52 53

LOSS OF EARNING CAPACITY:

Maximum Weekly AWE 958 991 1,020

Minimum Weekly (or 100% of pre-accident earning capacity)

AWE 515 533 547



INDEXED BY

FROM 1/7/2011

FROM 1/7/2012

FROM 1/7/2013

$ $ $


Supported Employment Program - Unaffected Earnings

CPI 144 148 151

SAFETY NET INCOME BENEFIT (Weekly):

AWE 1,130 1,170 1,200

FATAL DEPENDENCY:

Maximum Weekly AWE 1,130 1,170 1,200

Minimum Weekly (or 100% of the deceased's earning capacity)

AWE 555 574 589



Lump Sum CPI 159,750 164,690 168,150

Education Allowance CPI 2,550 2,630 2,690

Family Counselling Allowance CPI 15,000 15,000 15,000

Funeral Expenses * CPI 14,135

FAMILY MEMBER VISITING EXPENSES:

Maximum Allowance per Claim CPI 10,000 10,000 10,000

CAPPED AMOUNT FOR DAILY LIVING EXPENSES (applies to TAC clients residing in Shared Supported Accommodation facilities or Supported Residential Services

CPI 32.50 32.50 32.50

OTHER NO-FAULT BENEFITS:


INDEXED BY

FROM 1/7/2011

FROM 1/7/2012

FROM 1/7/2013

$ $ $

Travel to Work Allowance CPI 1,220 1,260 1,290

Post Hospital Support Allowance AWE 4,410 4,560 4,680

MAXIMUM NO-FAULT: CPI 153,600 158,350 161,680

COMMON LAW:

Threshold CPI 47,230 48,690 49,710

Maximum Pecuniary Loss CPI 1,063,160 1,096,020 1,119,060

Maximum Pain/Suffering CPI 472,500 487,100 497,340

Maximum Wrongs Act CPI 773,900 797,820 814,590

CPI INDEX 3.0649% 3.0904% 2.1021%

AWE INDEX 6.7804% 3.4966% 2.6266%

* Applicable for accidents on or after 20/11/2013

Accident Date Excess

1 July 2004 to 30 June 2011 $564

1 July 2003 to 30 June 2004 $523

1 July 2002 to 30 June 2003 $488

1 July 2001 to 30 June 2002 $462

1 July 2000 to 30 June 2001 $450

1 July 1999 to 30 June 2000 $444

1 July 1998 to 30 June 1999 $443

1 July 1997 to 30 June 1998 $426

1 July 1996 to 30 June 1997 $416

1 July 1995 to 30 June 1996 $407

1 July 1994 to 30 June 1995 $389

1 July 1992 to 30 June 1994 $378

1 July 1991 to 30 June 1992 $360


1 July 1990 to 30 June 1991 $344

1 July 1989 to 30 June 1990 $317

1 July 1988 to 30 June 1989 $301

1 July 1987 to 30 June 1988 $286

1 January 1987 to 30 June 1987 $269

Definition of services and benefits Question: Does TAC have an official definition of what health care service is?

Does that include physician or provider services/Procedures/ Radiography/films/ Prescription medications?

The TAC doesn't tend to use the term "health care service", but the "Medical" and "Rehabilitation" services (and possibly "Disability" services) probably most accurately capture health care services. The link below gives a detailed breakdown of what is payable in each of these categories. http://www.tac.vic.gov.au/claims/what-the-tac-pays-for As for a standard or official definition, each of the categories has a definition in the website above - but it is overall governed by Section 60 of the TAA 1986, relating to accredited medical and like services. Section 60 does include physician and provider services, procedures, radiography, prescription meds, prosthetics, hospital costs etc. All of these costs would be included in the BENCODES, and as a general rule of thumb, would be contained within the BENCODE most specifically relating to the type of service. For example, both the radiography consultation and film costs would sit in "Radiology" BENCODE. Where things get complex is when trying to stitch together an event: For example, a total knee replacement. The costs associated with this would sit in the –

� BENTYPE "Hospital" (bedfees and theatre costs for acute and rehab hospitals), � BENCODE "Consultation - Specialist" (Initial surgeon consult, hospital visits, post-

hospital follow-up), "Doctor - Surgery" (Surgeons' surgery fees), "Doctor - Anaesthetic" (Anaesthesist's fees), "Prosthetics" (Hardware costs), "Pharmacy" (pain relief post discharge) and

� BENCAT "Paramedical Rehab Hospital" (Outpatient program). Employment status, days off work and Loss of Earnin gs payments:

1. To determine if a claimant was employed or not, type of employment can be determined from the “EMPTYPE” variable.

2. It is only possible to determine ‘days off work’ of a given claimant (due to the accident) if

they were paid income replacement (which only gets paid to those who were employed at the time of the accident unless there were excepted circumstances – see point 2b). For most clients, income benefits will cease at 3 years post-accident. There is no way from the data to determine how much longer the person was away from their employment. Also note that the TAC does not cover the first five days off work.


a. To find days off work, look for anyone paid BENCODE 70000 (Loss of Earnings) and count the total days they were paid - how many weekdays are between SDATE1 and SDATE2 for each payment.

b. It is also worth noting that the only people captured are people off work in the first 18 months after their accident. To also look at payments after 18 months use BENCODE 70100 and 70101. BENCODE 70100 is the income replacement for people off work greater than 18 months. There are additional eligibility criteria, which mean that non-employed people (at time of accident) may be eligible. For this reason, you would only be interested in keeping people who have also been paid 70000.

3. If interested in work disability and loss of earning payments for accepted claims ensure

that you use BENCODE 70000 which is individuals fully off work receiving full income replacement payments AND BENCODE 70001, which is people partially off work receiving partial income replacement payments. Note that the 'days off work' calculation at point 2a will not really work here as BENCODE 70001 payments reflect someone who was not off work for the entire period. It also coves par-time employees and also people who have returned to work part-time when their substantive employment is full-time.

Other sources of statistical information • TAC annual reports page from the TAC web site www.tac.vic.gov.au

• Australian Bureau of Statistics web site http://www.abs.gov.au

~~ End of document ~~

Documents

TAC Data Dictionary - Institute for Safety, Compensation … · · 2016-04-27TAC Data Dictionary Version 8.2 ... Date of 1 st Hospital attendance ... The TAC database is an administrative