Data Dictionary: ÚZIS National register of hospitalized patients: Difference between revisions

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{| class="wikitable"
! Data on the inpatient medical facility (reporting unit)
|-
| ICO/PCZ of the device
|-
| Region, district of the location of the facility
|-
| Type of device
|-
| Department, serial number of the department
|-
| Workplace
|}


'''Data on the inpatient medical facility (reporting unit)'''
{| class="wikitable"
 
! Patient data
* ICO/PCZ of the device
|-
* Region, district of the location of the facility
| Number of the insured (usually social security number)  
* Type of device
|-
* Department, serial number of the department
| First and last name (required, only for the purpose of identification without saving)  
* Workplace
|-
 
| Date of birth (newly mandatory)  
 
|-
'''Patient data'''
| Gender (newly mandatory)  
 
|-
* Number of the insured (usually social security number)
| Marital status  
* First and last name (required, only for the purpose of identification without saving)
|-
* Date of birth (newly mandatory)
| Employment  
* Gender (newly mandatory)
|-
* Marital status
| Country of residence (new temporarily optional)  
* Employment
|-
* Country of residence (new temporarily optional)
| Municipality of permanent residence  
* Municipality of permanent residence
|-
* EU membership
| EU membership  
* Country of nationality (new temporarily optional)
|-
| Country of nationality (new temporarily optional)
|}




'''Data relating to the patient's admission and stay in an institutional care facility'''
'''Data relating to the patient's admission and stay in an institutional care facility'''


* Admission recommended
*{| class="wikitable"
* Date of receipt (day, month, year)
! Data relating to the patient's admission and stay in an institutional care facility
* Reception time (hour, minute)
|-
* Reason for admission
| Admission recommended  
* Acceptance (manner)
|-
* Onset of symptoms - date (day, month, year) - validity for urgent admission
| Date of receipt (day, month, year)  
* Onset of symptoms - time (hour, minute) - validity for urgent admission
|-
* Basic diagnosis - diagnosis of the basic disease that is the cause of hospitalization according to the International Statistical Classification of Diseases and Associated Health Problems as amended by the tenth revision (ICD-10)
| Reception time (hour, minute)  
* Hospitalized for the first time in his life for a basic diagnosis
|-
* External cause of the basic diagnosis (applies not only to injuries), diagnosis according to ICD-10
| Reason for admission  
* Other diagnoses (secondary diagnoses) according to ICD-10 (newly added separate section)
|-
* Severity of injury according to AIS classification (conditionally mandatory)
| Acceptance (manner)  
* Date of operation (day, month, year)
|-
* Operation time (hour, minute)
| Onset of symptoms - date (day, month, year) - validity for urgent admission  
* Main operative diagnosis, diagnosis of the disease that is the main reason for performing the operation according to ICD-10
|-
* Nosocomial infection (mandatory for all hospitalizations since 2007)
| Onset of symptoms - time (hour, minute) - validity for urgent admission  
* Type of operation
|-
* Reoperation (repeated operation of the patient in connection with the main operative diagnosis)
| Basic diagnosis  
* Postoperative complications
|-
* Number of days in the Intensive Care Unit (ICU)
| Hospitalized for the first time in his life for a basic diagnosis  
* Main operating procedure (according to the List of medical procedures including contractual procedures)
|-
* DRG group - cancelled
| External cause of the basic diagnosis (applies not only to injuries), diagnosis according to ICD-10  
* Number of days of interruption of hospitalization
|-
* Date of discharge (death)
| Other diagnoses (secondary diagnoses) according to ICD-10 (newly added separate section)  
* Hour, min. discharge (death)
|-
* Patient category (number of days in a certain condition)
| Severity of injury according to AIS classification (conditionally mandatory)  
* Basic cause of death (Id) - fill in the diagnosis (IKN-10) of the primary cause of death taken from the Certificate of examination of the deceased
|-
* Immediate cause of death (Ia) - fill in the diagnosis (IKN-10) of the immediate cause of death taken from the Certificate of examination of the deceased
| Date of operation (day, month, year)  
* Termination of hospitalization (code)
|-
* Compensation
| Operation time (hour, minute)  
* The need for further care after discharge
|-
 
| Main operative diagnosis, diagnosis of the disease that is the main reason for performing the operation according to ICD-10  
 
|-
'''List of performed services (performance sentence)'''
| Nosocomial infection (mandatory for all hospitalizations since 2007)  
 
|-
* Performance code (according to the list of medical performances)
| Type of operation  
* Performance date
|-
* The number of performed performances
| Reoperation (repeated operation of the patient in connection with the main operative diagnosis)  
 
|-
| Postoperative complications  
|-
| Number of days in the Intensive Care Unit (ICU)  
|-
| Main operating procedure (according to the List of medical procedures including contractual procedures)  
|-
| DRG group - cancelled  
|-
| Number of days of interruption of hospitalization  
|-
| Date of discharge (death)  
|-
| Hour, min. discharge (death)  
|-
| Patient category (number of days in a certain condition)  
|-
| Basic cause of death (Id)
|-
| Immediate cause of death
|-
| Termination of hospitalization (code)  
|-
| Compensation  
|-
| The need for further care after discharge
|}


'''Block of secondary diagnoses'''
{| class="wikitable"
! List of performed services (performance sentence)
|-
| Performance code (according to the list of medical performances)
|-
| Performance date
|-
| The number of performed performances
|}


* A maximum of 14 secondary diagnoses (ICD-10) can be entered
{| class="wikitable"
! Block of secondary diagnoses
|-
| A maximum of 14 secondary diagnoses (ICD-10) can be entered
|}

Revision as of 17:58, 23 November 2023

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Data on the inpatient medical facility (reporting unit)
ICO/PCZ of the device
Region, district of the location of the facility
Type of device
Department, serial number of the department
Workplace
Patient data
Number of the insured (usually social security number)
First and last name (required, only for the purpose of identification without saving)
Date of birth (newly mandatory)
Gender (newly mandatory)
Marital status
Employment
Country of residence (new temporarily optional)
Municipality of permanent residence
EU membership
Country of nationality (new temporarily optional)


Data relating to the patient's admission and stay in an institutional care facility

  • {| class="wikitable"

! Data relating to the patient's admission and stay in an institutional care facility |- | Admission recommended |- | Date of receipt (day, month, year) |- | Reception time (hour, minute) |- | Reason for admission |- | Acceptance (manner) |- | Onset of symptoms - date (day, month, year) - validity for urgent admission |- | Onset of symptoms - time (hour, minute) - validity for urgent admission |- | Basic diagnosis |- | Hospitalized for the first time in his life for a basic diagnosis |- | External cause of the basic diagnosis (applies not only to injuries), diagnosis according to ICD-10 |- | Other diagnoses (secondary diagnoses) according to ICD-10 (newly added separate section) |- | Severity of injury according to AIS classification (conditionally mandatory) |- | Date of operation (day, month, year) |- | Operation time (hour, minute) |- | Main operative diagnosis, diagnosis of the disease that is the main reason for performing the operation according to ICD-10 |- | Nosocomial infection (mandatory for all hospitalizations since 2007) |- | Type of operation |- | Reoperation (repeated operation of the patient in connection with the main operative diagnosis) |- | Postoperative complications |- | Number of days in the Intensive Care Unit (ICU) |- | Main operating procedure (according to the List of medical procedures including contractual procedures) |- | DRG group - cancelled |- | Number of days of interruption of hospitalization |- | Date of discharge (death) |- | Hour, min. discharge (death) |- | Patient category (number of days in a certain condition) |- | Basic cause of death (Id) |- | Immediate cause of death |- | Termination of hospitalization (code) |- | Compensation |- | The need for further care after discharge |}

List of performed services (performance sentence)
Performance code (according to the list of medical performances)
Performance date
The number of performed performances
Block of secondary diagnoses
A maximum of 14 secondary diagnoses (ICD-10) can be entered