Part Part 4 - National Health Act 1953 - Rules under subsection 99AAA(8) (No. PB 15 of 2004) - PRESCRIPTION RECORD

Part 4PRESCRIPTION RECORD

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PART 4 — PRESCRIPTION RECORD

Column 1Field	Column 2Start	Column 3End	Column 4Specifications for field
Record Type	1	1	One byte alphabetic, value “P”, to identify this record as being a prescription record; there will be one of these for each prescription
Card Issue Number	2	2	One byte numeric, being the tenth digit of the medicare number or special number that applies to the person for whose treatment the prescription was written
Individual’s Reference Number	3	3	One byte numeric, being the eleventh digit of the medicare number or special number that applies to the person for whom the prescription was written
First Two Digits of Hospital Provider Number	4	5	Two bytes numeric, being the second and third characters of the hospital provider number where the pharmaceutical benefit was supplied by a public hospital authority; otherwise “00”
Form Category	6	6	One byte numeric, using the following values:original prescription 1repeat authorisation 2original authority prescription 3repeat authorisation relating to authority prescription 4deferred supply authorisation 5prescription written by a participating dental practitioner 6doctor’s bag form 7
Payment Category	7	7	One byte numeric, using the following values:general benefit 1entitlement card 2concessional benefit and concession card 3doctor’s bag form 5
Serial Number	8	12	Five bytes numeric, right justified, zero filled, marked upon the prescription in respect of the pharmaceutical benefit supplied by the approved supplier, that uniquely identifies that pharmaceutical benefit within the payment category, pursuant to subsubparagraph 3(g)(iii) of these Rules
Prescriber Number	13	19	Seven bytes numeric, right justified, zero filled, being the prescriber number of the prescribing medical practitioner or participating dental practitioner, issued by the Commission in pursuance of the function granted to it by paragraph 3C(a) of the Health Insurance Commission Regulations 1975, except in respect of a prescription that was written by a medical practitioner where that prescriber number was not available to the approved supplier at the time of the supply of the pharmaceutical benefit, in which case the field shall be zero filled

Column 1Field	Column 2Start	Column 3End	Column 4Specifications for field
Brand	38	39	Two bytes alphabetic, being the manufacturer’s code that represents the brand of the pharmaceutical benefit in the determination made under subsection 85(6) of the Act, in the case of a prescription that identifies the pharmaceutical benefit by reference to a brand; or two spaces, in the case of a prescription that does not identify the pharmaceutical benefit by reference to a brand
Quantity	40	44	Five bytes numeric, right justified, zero filled, to represent the quantity supplied; must be the total quantity supplied where supply of the original prescription and the repeat or repeats is made at the one time pursuant to regulation 24 of the Regulations
Price	45	50	Six bytes numeric, right justified, zero filled, value in cents; for prescriptions priced by the approved supplier in accordance with an election pursuant to paragraph 39 of the determination made under paragraph 98B(1) a) of the Act or priced by the approved supplier as exceptional prescriptions
Pricing Election	51	51	One byte alphabetic; value “Y” where the approved supplier has made an election pursuant to paragraph 39 of the determination made under paragraph 98B(1)(a) of the Act; otherwise “N”
Number of Repeats	52	53	Two bytes numeric, right justified, zero filled; must be the number of repeats prescribed, subject to the maximum allowable, for original prescriptions, original authority prescriptions, repeat authorisations and deferred supply authorisations; must be the number of repeats that are required where supply of the original prescription and the repeat or repeats is made at the one time pursuant to regulation 24 of the Regulations
Number of Previous Supplies	54	55	Two bytes numeric, right justified, zero filled, to represent the number of times that the pharmaceutical benefit has previously been supplied; required for repeat authorisations, repeat authorisations relating to authority prescriptions and deferred supply authorisations; must be “00” for deferred supply authorisation
Regulation 24	56	56	One byte alphabetic; value “Y” if supply of the original prescription and the repeat or repeats is made at the one time pursuant to regulation 24 of the Regulations; otherwise “N”
Check Character of Hospital Provider Number	57	57	One byte alphabetic, being the eighth character of the hospital provider number where the pharmaceutical benefit was supplied by a public hospital authority; otherwise blank
Glass Bottle	58	58	One byte alphabetic; value “Y” if, in a prescription for extemporaneously-prepared ear drops, eye drops or nasal instillations, a glass bottle is ordered by the prescriber or considered necessary by the approved supplier; otherwise “N”
Authority Number	59	66	Eight bytes numeric, right justified, zero filled; required for original authority prescriptions and repeat authorisations relating to authority prescriptions; being, in the case of an original authority prescription, the number preprinted on that form, or, in the case of a repeat authorisation relating to an authority prescription, the number preprinted on the original authority prescription form to which the repeat authorisation relates
Early Re-supply	67	67	One byte alphabetic; value “Y” if the pharmaceutical benefit was supplied pursuant to paragraph 25(3)(b) or (c) or (4)(b) or (c) of the Regulations; otherwise “N” or blank

Column 1Field

Column 2Start

Column 3End

Column 4Specifications for field

Brand

Two bytes alphabetic, being the manufacturer’s code that represents the brand of the pharmaceutical benefit in the determination made under subsection 85(6) of the Act, in the case of a prescription that identifies the pharmaceutical benefit by reference to a brand; or two spaces, in the case of a prescription that does not identify the pharmaceutical benefit by reference to a brand

Quantity

Five bytes numeric, right justified, zero filled, to represent the quantity supplied; must be the total quantity supplied where supply of the original prescription and the repeat or repeats is made at the one time pursuant to regulation 24 of the Regulations

Price

Six bytes numeric, right justified, zero filled, value in cents; for prescriptions priced by the approved supplier in accordance with an election pursuant to paragraph 39 of the determination made under paragraph 98B(1) a) of the Act or priced by the approved supplier as exceptional prescriptions

Pricing Election

One byte alphabetic; value “Y” where the approved supplier has made an election pursuant to paragraph 39 of the determination made under paragraph 98B(1)(a) of the Act; otherwise “N”

Number of Repeats

Two bytes numeric, right justified, zero filled; must be the number of repeats prescribed, subject to the maximum allowable, for original prescriptions, original authority prescriptions, repeat authorisations and deferred supply authorisations; must be the number of repeats that are required where supply of the original prescription and the repeat or repeats is made at the one time pursuant to regulation 24 of the Regulations

Number of Previous Supplies

Two bytes numeric, right justified, zero filled, to represent the number of times that the pharmaceutical benefit has previously been supplied; required for repeat authorisations, repeat authorisations relating to authority prescriptions and deferred supply authorisations; must be “00” for deferred supply authorisation

Regulation 24

One byte alphabetic; value “Y” if supply of the original prescription and the repeat or repeats is made at the one time pursuant to regulation 24 of the Regulations; otherwise “N”

Check Character of Hospital Provider Number

One byte alphabetic, being the eighth character of the hospital provider number where the pharmaceutical benefit was supplied by a public hospital authority; otherwise blank

Glass Bottle

One byte alphabetic; value “Y” if, in a prescription for extemporaneously-prepared ear drops, eye drops or nasal instillations, a glass bottle is ordered by the prescriber or considered necessary by the approved supplier; otherwise “N”

Authority Number

Eight bytes numeric, right justified, zero filled; required for original authority prescriptions and repeat authorisations relating to authority prescriptions; being, in the case of an original authority prescription, the number preprinted on that form, or, in the case of a repeat authorisation relating to an authority prescription, the number preprinted on the original authority prescription form to which the repeat authorisation relates

Early Re-supply

One byte alphabetic; value “Y” if the pharmaceutical benefit was supplied pursuant to paragraph 25(3)(b) or (c) or (4)(b) or (c) of the Regulations; otherwise “N” or blank

Column 1Field	Column 2Start	Column 3End	Column 4Specifications for field
Entitlement Identifier	68	78	Eleven bytes alphanumeric, left justified, space filled; for concessional benefit prescriptions, the number of the Pensioner Concession Card, Health Care Card or Commonwealth Seniors Health Card that applies to the person for whom the prescription was written; for concession card prescriptions, the number of the Safety Net Concession Card that applies to the person for whom the prescription was written; for entitlement card prescriptions, the number of the Pharmaceutical Benefits Entitlement Card that applies to the person for whom the prescription was written; for general benefit prescriptions, blank
Medicare Number Stem	79	87	Nine bytes numeric, being the first nine digits of the medicare number or special number that applies to the person for whose treatment the prescription was written
Name Type	88	88	One byte alphabetic; value “D”
Surname	89	112	Twenty-four bytes alphabetic, left justified, blank filled; being the surname of the person for whom the prescription was written
Given Name	113	124	Twelve bytes alphabetic, left justified, blank filled; being the given name of the person for whom the prescription was written
Last Four Digits of Hospital Provider Number	125	128	Four bytes numeric, being the fourth to seventh characters of the hospital provider number where the pharmaceutical benefit was supplied by a public hospital authority; otherwise four blanks