Health Datasets/Australian Medical Benefits Scheme (MBS) and Pharmaceutical Benefits Scheme (PBS)
Description[edit | edit source]
This health care administration dataset contains line data (i.e. not aggregate) 10% of patients that have used the Medical Benefits Scheme (MBS) or the Pharmaceutical Benefits Scheme (PBS) between the years of 1984-2014.
These schemes are at the core of Australia's universal healthcare system (i.e. Medicare) and are primarily administrative in nature. The MBS data is generated by financial reimbursement claims from General Practitioners, Specialists, Allied Health, Hospitals and other health services and the PBS data from pharmacies and other health services. The Australian Government Department of Health is the data custodian for both of the original datasets.
More information about this dataset can be found at http://data.gov.au/dataset/a8e3c0bc-44ac-4e9a-8b3c-b779438ddb10
Source[edit | edit source]
This dataset was originally found at http://data.gov.au/dataset/a8e3c0bc-44ac-4e9a-8b3c-b779438ddb10 in July 2016, but was pulled for maintenance in September 2016. Dennis Wollersheim imported the dataset, along with related reference tables, into an database, and subsequently setup this resource to document it. Contact him via email or via his talk page for more information.
Tools[edit | edit source]
Database details[edit | edit source]
| Area | Table Name | Number of Records | Description |
|---|---|---|---|
| btos | 16 | Broad Type of Service | |
| cat_group | 93 | ||
| mbs | 765,031,264 | Main Medical Benefits System (MBS) table | |
| mbs_cat | 9 | Lookup table for MBS categories | |
| mbs_desc | 16438 | ||
| mbs_desc_latest | 12474 | Lookup table for MBS item descriptions | |
| mbs_group | 94 | Lookup table for MBS groups | |
| mbs_imap | 12474 | ||
| mbs_reuse_imap | 63 | ||
| mbs_subgroup | 252 | Lookup table for MBS subgroups | |
| patient | 2,985,511 | Patients | |
| pbs | 229,007,463 | Main Pharmaceutical Benefits System (PBS) table | |
| pbs_atc | 6692 | Lookup table for PBS item ATC's | |
| pbs_item | 7614 | Lookup table for PBS items | |
| pbs_item_manufacturer | 15837 | ||
| spr_rsp | 261 | Lookup table for PBS service providers? | |
| drg_typ_cd | 23 | Lookup table for PBS drug types | |
| mjr_spclty_grp_cd | 4 | Lookup table for PBS Specialty group of prescriber | |
| ptnt_ctgry_drvd_cd | 9 | Lookup table for PBS Patient category | |
| undr_cprscrptn_typ_cd | 4 | Lookup table for PBS claim level | |
Individual Table Details[edit | edit source]
There are 3 major tables: PBS, MBS and Patients. PBS is drug prescription data, MBS is medical procedure data, and Patient holds the data about individual patients.
PBS Table[edit | edit source]
Pharmaceutical Benefits Scheme.
| Field Name | Data | Description |
|---|---|---|
| PK | Serial | Primary Key |
| pin | character varying(11) | Patient ID |
| supply_date | date | Date of Supply |
| pbs_item | character varying(6) | Item code for prescribed |
| pbs_rgltn24_adjst_qty | integer | Quantity of PBS item supplied; regulation 24 adjusted.
For some items, pbs_rgltn24_adjst_qty = 1 indicates the entire packet/box/bottle is supplied. |
| bnft_amt | double precision | Benefit/Amount paid by the commonwealth government in AUD |
| ptnt_cntrbtn_amt | double precision | Contribution/Amount paid by the consumer in AUD |
| srt_rpt_ind | character varying(4) | Repeat ("R") or Original (blank) script identifier |
| rgltn24_ind | boolean | Regulation 24 indicator - whether a script and all repeats can be filled all at once |
| drg_typ_cd | character varying(2) | Drug type (codeset); a classification of drug type |
| mjr_spclty_grp_cd | character varying(4) | Specialty group of prescriber (codeset); classification of prescribers |
| undr_cprscrptn_typ_cd | character varying(32) | PBS claim level (codeset); a classification of co-payment claims |
| prscrptn_cnt | integer | Number of prescriptions supplied. This is a derived/calculated item for this dataset, no METeOR reference available. |
| ptnt_ctgry_drvd_cd | character varying(2) | Patient category (codeset); a classification of patient's government assistance scheme |
| ptnt_state | character varying(3) | Geographic location of patient, state |
MBS Table[edit | edit source]
Medical Benefits Scheme.
| Field Name | Data | Description |
|---|---|---|
| PK | Serial | Primary key |
| pin | character(11) | Patient ID |
| service_date | date | Date of service, supplied/performed |
| pinstate | character(1) | Patient geographic location, state |
| spr* | character(9) | Service/care provider identifier (*encrypted) |
| spr_rsp | character(4) | |
| sprprac | character(1) | Service/care provider practice location identifier |
| sprstate | character(1) | Service/care provider geographic location, state |
| rpr* | character varying(9) | Referring provider identifier (*encrypted) |
| rprprac | character(1) | Referring provider practice location identifier |
| rprstate | character(1) | Referring provider geographic location, state |
| item | character(5) | MBS item identifier |
| numserv | integer | Number of MBS services claimed |
| mdv_numserv | smallint | Number of MBS services claimed, where bulk billing incentive and modifier items are counted |
| benpaid | money | Benefit/Amount paid by the commonwealth government in AUD |
| feecharged | real | Fee/Amount charged by the service/care provider |
| schedfee | real | Scheduled fee/Amount set by the commonwealth government to be paid for the MBS item in AUD |
| billtypecd | character(1) | Billing-type code:
D = direct/bulk billed, P = patient billed |
| inhospital | character(1) | Indicator of whether the service was provided within a hospital |
| sample_weight | real |
Patient Table[edit | edit source]
Patient details.
| Field Name | Data | Description |
|---|---|---|
| pin | character varying(11) | Patient ID |
| yob | integer | Patient's year of birth (YYYY) |
| sex | character varying(4) | Patient's sex (N) |
Derived data extracts[edit | edit source]
Due to dataset size, there are several subsets useful for testing queries. Note, the id column is not the same between tables.
| Subset suffix | Description |
|---|---|
| *_l | eg patient_l, pbs_l and mbs_l, holding only the patients with greater than 1200 PBS events, along with their matching pbs, mbs and patient details. |
| *_r | a random 1% sample from patient table, along with matching PBS and MBS records. |
| *_rr | a random 0.1% sample from patient table, along with matching PBS and MBS records. |