National IDB File Information (Minimum Data Set)
1
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Country
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Lithuania
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2
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Year
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2013
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3
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National Register Name
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Compulsory Health Insurance Fund information system (CHIF IS).
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4
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Purpose of the register
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CHIF IS managed by the State Patient Fund. CHIF IS covers data on hospital discharges, out-patient visits, and primary health care visits. The main focus is taken on the accounting, administration and promotion of the services paid from the CHIF budget.
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5
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Scope of the register
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CHIF IS covers all injuries and other diseases according ICD-10 (2001 01 01-2011 03 31)/ ICD-10-AM (2011 04 01 - present), all age groups, 99% of hospital discharges, about 90% of outpatient visits, 100% of primary health care visits.
From CHIF IS data selection according MDS is available since the 1st of June 2011 these data covers only hospital discharges. Since 2013 data according MDS from emergency departments in hospitals (ED) is partly available as well (not all ED started coding injuries and external cause since 2013 01 01).
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6
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Data file name (MDS)
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JAMIE_MDS_2013_LT.txt
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7
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Date of creation of MDS file
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2014 05 26
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8
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Range of data of attendance
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2013 01 01 - 2013 12 31
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9
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Original coding dictionary
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ICD-10-AM (Australian modification), 1st of July 2008. Prepared conversation tables ICD-10-AM -> IDB MDS.
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10
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Dictionary modifications
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Prepared conversation tables ICD-10-AM -> IDB MDS.
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11
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Bridge coding applied
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ICD-10-AM -> IDB MDS
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12
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No. of records in the data file
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246582
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13
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No. of MDS reference hospitals
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103
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14
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Geographic scope
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99% of the entire reporting country
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15
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Hospital characteristics used for a representative sample of hospitals
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All hospitals, which has contract with the State Patient Fund and entering data into CHIF IS; all registered injuries in acute care beds (rehabilitation and nursing cases excluded) and in emergency departments in hospitals.
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16
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Sampling of cases within hospitals
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99%
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17
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Percentage of admissions in data file
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14.3%
In 2013 all ED started register injuries since 2013 07 01 and during this period 129487 cases were registered. Therefore we take period 2013 07 01 – 2013 12 31 for admission calculation: 21690 cases were registered.
Percentage of admissions in 2013: (21690/(21690+129487))*100=14.3%.
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18
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Relative sample size (admissions)
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99.9%
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19
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Relative sample size (ambulatory treatments)
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78.3%
In 2013 all ED started register injuries and their external causes since 2013 07 01 and during this period 129487 cases were registered (during all year cases from ED should be about 29487*2=258974 cases of injuries) but quite big part of ED started register injuries since 2013 01 01 and during all year of 2013 – 202840 cases were registered.
Coverage of out-patients in ED of all year is about (202840/258974)*100=78.32%.
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20
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Minimum Quality Control Checks
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y
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21
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Average percentage of “unknown””
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15.6%
For average calculation have been taken all elements from data file JAMIE_MDS_2013_LT.txt (except: provider (hospital) code, permanent country of residence, nature of injury 2, part of the body injured 2, narrative)
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22
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Method for extrapolation from sample to national incidence
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Sampling has not been done. Selected all hospital discharges from CHIF IS which covers 99% of all hospitals discharges (99.9% of acute injuries).
Selected all ED from CHIF IS, but in 2013 not all ED started coding injuries since 2013 01 01, data coverage is about 78.3%.
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23
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Reference population data provided
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Y
Is it correct to use population statistics by 1 January of each year for reference population data file? Because for calculation of rates we mostly use average population statistics and in case we do not have this statistics we use population statistics at the end of year (this is equal to population statistics by 1 January of next year).
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24
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(Eventual) additional comments (for the user):
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25
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Responsible data administrator (organization)
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Institute of hygiene, http://www.hi.lt/en/
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26
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Contact: Responsible person
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Neringa Madeikyte,
Health Statistics Department
Health Information Centre ofInstitute of Hygiene,
Didzioji str. 22, Vilnius, LT-01128, Lithuania,
TEL. (+370) 577 33 03,
neringa.madeikyte@hi.lt.
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27
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Signature
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28
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Date of completion of this file
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2014 05 28
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