TABLE 4.27: Hipe Report: Table 4.27 Total Discharges: Pre-MDC: AR-DRG Version 8.0 by Patient Type (N, In-Patient Length of Stay), 2016

Pre-MDC: AR-DRG Version 8.0 by Patient Type (day patient and in-patient).The MDC is a category Generally based on a single body system or aetiology that is associated with a particular medical specialty. DRGs are clusters of cases with similar clinical Attributes and resource requirements. In Ireland, Australian Refined Diagnosis Related Group (AR-DRG) have been in use in Ireland since 2005, in 2016 Version 8.0 was used to group Discharges. Activity in Acute Public Hospitals in Ireland Annual Report, 2016, is a report on in-patient and day patient Discharges from acute public hospitals participating in the Hospital In-Patient Enquiry (HIPE) scheme in 2016. Discharge activity is Examined by type of patient (day patient/in-patient), admission type (elective/emergency/maternity) and hospital group, and by demographic parameters (such as age and sex). Certain issues of relevance to the Irish health care system covered in the report relate to the composition of Discharges by medical card and public/private status. Charges are also analysed by diagnoses, procedures, major Diagnostic categories, and Diagnosis related groups. The analysis is presented at the national level. In 2016 HIPE Discharges were coded using ICD-10-AM/Achi/ACS 8th Edition and grouped into AR-DRG Version 8.0. See the complete Activity in Acute Public Hospitals in Ireland Annual Report 2016 at http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2016/HIPE_Report_2016.pdf预主要诊断类别（Pre-MDC）：基于患者类型划分的第8.0版澳大利亚精修诊断相关分组（Australian Refined Diagnosis Related Group, AR-DRG），患者类型涵盖日间患者与住院患者。主要诊断类别（Major Diagnostic Category, MDC）是以单一身体系统或病因为基础构建的分类体系，与特定医学专科相对应。诊断相关分组（Diagnosis Related Groups, DRG）是将临床特征与医疗资源消耗需求相似的病例进行归组的分类方法。爱尔兰自2005年起便开始采用澳大利亚精修诊断相关分组（AR-DRG）；2016年则使用第8.0版AR-DRG对出院病例进行分组归类。《2016年爱尔兰急性公立医院运营年报》（Activity in Acute Public Hospitals in Ireland Annual Report, 2016）聚焦2016年参与医院住院患者调查（Hospital In-Patient Enquiry, HIPE）计划的急性公立医院出院病例，涵盖住院患者与日间患者两类病例的相关数据。该报告针对出院病例的分析维度包括：患者类型（日间患者/住院患者）、入院类型（择期/急诊/产科）、医院组别，以及人口统计学参数（如年龄与性别）。报告还涵盖了与爱尔兰医疗体系密切相关的多项议题，包括按医疗卡持有者身份与公立/私立医保状态划分的出院病例构成情况。同时，报告还按诊断结果、手术操作、主要诊断类别以及诊断相关分组对医疗费用开展分析。上述分析均以全国层面为统计范围。2016年的HIPE出院病例采用ICD-10-AM/Achi/ACS第8版进行编码，并归类至第8.0版AR-DRG。完整的《2016年爱尔兰急性公立医院运营年报》可通过以下链接获取：http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2016/HIPE_Report_2016.pdf