TABLE 4.27: Able-427-total-Discharges-pre-MDC-on-DRG-version-80-by-patient-type-in-patient-length-of-stay-2017

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 2017 Version 8.0 was used to group Discharges. Activity in Acute Public Hospitals in Ireland Annual Report, 2017, is a report on in-patient and day patient Discharges from acute public hospitals participating in the Hospital In-Patient Enquiry (HIPE) scheme in 2017. 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 2017 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 2017 at http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2017/HIPE_Report_2017.pdf预主要诊断类别（Pre-MDC）：按患者类型划分的第8.0版澳大利亚细化诊断相关分组（Australian Refined Diagnosis Related Group, AR-DRG），覆盖日间患者与住院患者。主要诊断类别（Major Diagnostic Category, MDC）是基于单一身体系统或病因的分类体系，对应特定医学专科。诊断相关分组（Diagnosis Related Group, DRG）是将临床特征与医疗资源消耗相似的病例归为一类的分组方式。爱尔兰自2005年起便开始使用AR-DRG，2017年采用第8.0版AR-DRG对出院病例进行分组。《2017年爱尔兰急性公立医院运营年报》是针对2017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的住院患者与日间患者出院病例的统计报告。该报告按患者类型（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、性别）对出院病例数据开展分析。报告中还涵盖了与爱尔兰医疗体系相关的多项议题，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，报告基于诊断结果、手术操作、主要诊断类别以及诊断相关分组对医疗费用进行分析，所有分析均以全国层面为统计维度。2017年的HIPE出院病例采用ICD-10-AM/ACHI/ACS第8版进行编码，并归入第8.0版AR-DRG分组体系。完整报告可通过以下链接获取：http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2017/HIPE_Report_2017.pdf