TABLE 5.13: Hipe Report: Total Discharges: MDC 11 Diseases and Disorders of the Kidney and Urinary Tract: AR-DRG by Patient Type (N, In-Patient Length of Stay), 2014

MDC 11 Diseases and Disorders of the Kidney and Urinary Tract: On-DRG 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 2014 Version 6.0 was used to group Discharges. Activity in Acute Public Hospitals in Ireland Annual Report, 2014, is a report on in-patient and day patient Discharges from acute public hospitals participating in the Hospital In-Patient Enquiry (HIPE) scheme in 2014. Charging activity is Examined by type of patient and hospital, and by demographic parameters. 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. Maternity Discharges are Examined separately from other Discharges. The analysis is presented at the national level. In 2014 HIPE Discharges were coded using ICD-10-AM/Achi/ACS 6th Edition and grouped into AR-DRG Version 6.0. See the complete Activity in Acute Public Hospitals in Ireland Annual Report 2014 at http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2014/HIPE_Report_2014.pdf第11类主要诊断类别（Major Diagnostic Category, MDC）：肾脏与泌尿道疾病及病症——按患者类型（日间患者与住院患者）划分的按需诊断相关组（On-DRG）。主要诊断类别（MDC）通常基于单一身体系统或病因，与特定医学专科相关联。诊断相关组（Diagnosis Related Groups, DRG）是具有相似临床特征与资源消耗需求的病例集群。 自2005年起，澳大利亚优化版诊断相关组（Australian Refined Diagnosis Related Group, AR-DRG）便在爱尔兰投入使用；2014年则采用其6.0版本对出院病例进行分组。 《2014年爱尔兰急性公立医院运营年度报告》是一份针对2014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情况的报告。该报告按患者类型、医院类型以及人口统计学参数对医疗费用发生情况进行分析。报告中涉及的与爱尔兰医疗体系相关的若干议题，包括按医疗卡持有者身份以及公立/私立医保身份划分的出院病例构成情况。医疗费用还可按诊断结果、手术操作、主要诊断类别以及诊断相关组进行细分分析。产科出院病例将与其他出院病例分开单独分析。所有分析均以国家层面为统计维度展开。 2014年的HIPE出院病例采用国际疾病分类第十版澳大利亚修订版（ICD-10-AM）、澳大利亚医疗干预分类（ACHI）及澳大利亚编码标准（ACS）第六版进行编码，并归类至AR-DRG 6.0版本。完整的《2014年爱尔兰急性公立医院运营年度报告》可通过以下链接获取：http://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2014/HIPE_Report_2014.pdf