Tokens – Informed Financial Consent (IFC Hospital)
Location of IFC
| Token Name | Data | Notes |
| <<IFCLocId>> | Location | e.g. 1, 2 |
| <<IFCLoc>> | Location | e.g. ACSS Private Hospital |
| <<IFCLocAdd1>> | Location Address Line 1 | |
| <<IFCLocAdd2>> | Location Address Line 2 | |
| <<IFCLocSuburb>> | Location Suburb | e.g. BONDI |
| <<IFCLocState>> | Location State | e.g. NSW |
| <<IFCLocPostcode>> | Location Postcode | |
| <<IFCLocPhone>> | Location Phone | e.g. 02 1234 5678 |
| <<IFCLocFax>> | Location Fax | e.g. 02 1234 5678 |
| <<IFCLocEmail>> | Location Email Address | |
| <<IFCLocAbn>> | Location ABN | |
| <<IFCLocACN>> | Location ACN | |
| <<IFCLocBSB>> | Location BSB | |
| <<IFCLocAccNo>> | Location Account Number | |
| <<IFCLocAccName>> | Location Account Name | |
| <<IFCLocProvNo>> | Location Provider Number | |
| <<IFCUser>> | Name of User Generating the IFC | |
| <<IFCUserFN>> | First Name of User Generating the IFC | |
| <<IFCUserI>> | Initials of User Generating the IFC |
Patient Fields
| Token Name | Data | Notes |
| <<IFCPatFullName>> | Patient name | |
| <<IFCPatFname>> | Patient First Name | |
| <<IFCPatLname>> | Patient Surname | |
| <<IFCPatTitle>> | Patient Title | |
| <<IFCMRN>> | Patient MRN | |
| <<IFCFileNum>> | Patient File Number | |
| <<IFCDOB>> | Patient date of birth | |
| <<IFCSexID>> | Patient gender | e.g. M, F in db, 1 = M etc |
| <<IFCSex>> | Patient gender | e.g. Male, Female |
| <<IFCMed>> | Patient Medicare Number | |
| <<IFCMedRef>> | Patient Medicare Reference | |
| <<IFCAdd1>> | Patient Address Line 1 | |
| <<IFCAdd2>> | Patient Address Line 2 | |
| <<IFCSuburb>> | Patient Suburb | |
| <<IFCState>> | Patient State | |
| <<IFCPC>> | Patient Postcode | |
| <<IFCMobile>> | Patient Mobile | format 9999 999 999 |
| <<IFCPhoneH>> | Patient Phone Home | format 02 9999 9999 |
| <<IFCPhoneW>> | Patient Home Work | format 02 9999 9999 |
| <<IFCPatEmail>> | Patient Email |
Episode Fields
| Token Name | Data | Notes |
| <<IFCAdmDate>> | Admission date | |
| <<IFCAdmDayF>> | Admission day – Full name | e.g. Monday |
| <<IFCAdmDayS>> | Admission Day – Short name | e.g Mon |
| <<IFCDisDate>> | Discharge date | |
| <<IFCPatCat>> | Patient Category | Shows ‘Day Only’ or ‘Inpatient’ depending on the discharge date |
| <<IFCAnaID>> | Anaesthetic type | e.g. N, I |
| <<IFCAna>> | Anaesthetic type | e.g. None, IV/Sedation |
| <<IFCStatusID>> | Insurance status | E.g. F, B |
| <<IFCStatus>> | Insurance status | e.g. Full Fee, Basic fee |
| <<IFCFundtable>> | Fund Table | |
| <<IFCFundVer>> | Fund Verification | |
| <<IFCDJ>> | Fund date joined | Dd/mm/yyyy |
| <<IFCMins>> | Minutes in theatre | e.g. 999 |
| <<IFCFundName>> | Fund | e.g. Medibank |
| <<IFCFundNo>> | Membership number | |
| <<IFCFundId>> | Fund ID | e.g. 1 |
| <<IFCFund>> | Fund | e.g. MBP |
| <<IFCExcess>> | Excess amount | Currency e.g. 999,999,999.99 |
| <<IFCcopay>> | Co-payment amount | Currency e.g. 999,999,999.99 |
| <<IFCUninsured>> | Uninsured amount | Currency e.g. 999,999,999.99 |
| <<IFCDefben>> | Default Benefit | Currency e.g 999,999,999.99 |
| <<IFCAccom>> | Accommodation | e.g. Accom – Medical |
| <<IFCAccomID>> | Accommodation | e.g. 1, 2 |
| <<IFCRoomID>> | Room type | e.g. S, P convert 1 to S, 2 to P |
| <<IFCRoom>> | Room Type | e.g. Shared, Private |
| <<IFCPDis>> | Proposed Discharge Date | only applicable if overnight i.e. Inpatient |
| <<IFCN>> | Number of Nights | only applicable if overnight i.e. Inpatient |
| <<IFCProcNote>> | Procedure Note |
Doctor and Anaesthetist Fields
| Token Name | Data | Notes |
| <<IFCDocID>> | Doctor/Surgeon ID | e.g. 1, 2 |
| <<IFCDoc>> | Doctor Full Dame | e.g. Michelle ROMERO |
| <<IFCDocFirstN>> | Doctor First Name | e.g. Michelle |
| <<IFCDocLastN>> | Doctor Last Name | e.g. ROMERO |
| <<IFCDocTitle>> | Doctor Title | e.g. Dr |
| <<IFCDocProvNo>> | Doctor Provider Number | e.g. 123456AF |
| <<IFCDocSpecID>> | Doctor Specialty ID | e.g. 1,2 |
| <<IFCDocSpec>> | Doctor Specialty | e.g. Radiology |
| <<IFCDocPh>> | Doctor Phone | format 99 9999 9999 |
| <<IFCDocFax>> | Doctor Fax | format 99 9999 9999 |
| <<IFCDocMob>> | Doctor Mobile | format 9999 999 999 |
| <<IFCAnaDrID>> | Anaesthetist ID | e.g. 1, 2 |
| <<IFCAnaFN>> | Anaesthetist Full Name | e.g. Michelle ROMERO |
| <<IFCAnaFirstN>> | Anaesthetist First Name | e.g. Michelle |
| <<IFCAnaLastN>> | Anaesthetist Last Name | e.g. ROMERO |
| <<IFCAnaTitle>> | Anaesthetist Title | e.g. Dr |
| <<IFCAnaProvNo>> | Anaesthetist Provide Number | e.g. 123456AF |
| <<IFCAnaSpecID>> | Anaesthetist Specialty ID | e.g. 1,2 |
| <<IFCAnaSpec>> | Anaesthetist Specialty | e.g. Anaesthetics |
| <<IFCAnaPh>> | Anaesthetist Phone | format 99 9999 9999 |
| <<IFCAnaFax>> | Anaesthetist Fax | format 99 9999 9999 |
| <<IFCAnaMob>> | Anaesthetist Mobile | format 9999 999 999 |
Subtotal Charges
| Token Name | Data | Notes |
| <<IFCNotes>> | Notes from review screen | |
| <<IFCBursaryL>> | Bursary Level | |
| <<IFCDisc>> | Discount as a percentage | |
| <<IFCDiscAmt>> | Discount as a dollar value | |
| <<IFCSubTotalC>> | Sums all charges before any discount is applied | Currency e.g. 999,999,999.99 |
| <<IFCAccomC>> | Sums all charges where csrvtypecode = A | Currency e.g. 999,999,999.99 |
| <<IFCAccomR>> | Sums all rebates where csrvtypecode = A | Currency e.g. 999,999,999.99 |
| <<IFCAccomB>> | Sums all Bursary where csrvtypecode = A | Currency e.g. 999,999,999.99 |
| <<IFCAccomDif> | Difference in Accommodation | Currency e.g. 999,999,999.99 |
| <<IFCTheatreC>> | Sums all charges where csrvtypecode = T | Currency e.g. 999,999,999.99 |
| <<IFCTheatreR>> | Sums all rebates where csrvtypecode = T | Currency e.g. 999,999,999.99 |
| <<IFCTheatreB>> | Sums all bursary where csrvtypecode = T | Currency e.g. 999,999,999.99 |
| <<IFCTheatDif>> | Difference in Theatre | Currency e.g. 999,999,999.99 |
| <<IFCOtherC>> | Sums all charges where csrvtypecode = O | Currency e.g. 999,999,999.99 |
| <<IFCOtherR>> | Sums all rebates where csrvtypecode = O | Currency e.g. 999,999,999.99 |
| <<IFCOtherB>> | Sums all bursary where csrvtypecode= O | Currency e.g. 999,999,999.99 |
| <<IFCOtherDif>> | Difference in Other | Currency e.g. 999,999,999.99 |
| <<IFCBundledC>> | Sums all charges where csrvtypecode = C, R | Currency e.g 999,999,999.99 |
| <<IFCBundledR>> | Sums all rebates where csrvtypecode = C, R | Currency e.g. 999,999,999.99 |
| <<IFCBundledB>> | Sums all bursary where csrvtypecode = C, R | Currency e.g. 999,999,999.99 |
| <<IFCBundDif>> | Difference in Bundled Fees | Currency e.g. 999,999,999.99 |
Total Charges
| Token Name | Data | Notes |
| <<IFCTotalC>> | Sums all charges | Currency e.g. 999,999,999.99 |
| <<IFCTotalR>> | Sums all rebates | Currency e.g. 999,999,999.99 |
| <<IFCTotalB>> | Sums all bursary | Currency e.g. 999,999,999.99 |
| <<IFCGap>> | Charges less rebate plus (excess + copay and default benefit) | Currency e.g. 999,999,999.99 |
| <<IFCTotDif>> | Charges less rebate | Currency e.g. 999,999,999.99 |
| <<IFCTotR2>> | Sum of all rebates less (excess + Copayment)) | Currency e.g. 999,999,999.99 |
Grid Items
| Token Name | Data | Notes |
| <<DateFrom>> | Date from | |
| <<DateTo>> | Date to | |
| <<Item>> | Item | |
| <<Desc>> | Description | |
| <<DescShort>> | Description, the first 50 characters only | |
| <<Type>> | Type | |
| <<Charge>> | Charge | |
| <<GST>> | GST | |
| <<Rebate>> | Rebate | |
| <<Diff>> | Difference between Charge and Rebate | |
| <<Band>> | Band | |
| <<Qty>> | Quantity | |
| <<BillTo>> | Bill to |
