On the Rules for the Production and Provision of Medical Statistical Information
Text of the document
📑 Contents (20 articles)
State Registration Code 350.050.000.22.035.007.238
Order No. 101/n of the Minister of Labour, Health and Social Protection of Georgia
5 April 2005
Tbilisi
On the rules for the production and provision of medical statistical information
Pursuant to Articles 20, 43, 45 and 55 of the Law of Georgia "On Health Care" and Articles 2, 6, 11, 12 and 17 of the Law of Georgia "On Statistics", with the aim of creating and further improving a unified information system in medical statistics, I order:
1. To approve:
a) the annual forms of departmental statistical observation to be submitted by medical institutions, district, city and regional public health centres (Annex 1), their list (Annex 2) and submission deadlines (Annex 3);
b) the quarterly and monthly forms of departmental statistical observation to be submitted by medical institutions, district, city and regional public health centres (Annex 4), their list and submission deadlines (Annex 5);
c) the registration and notification forms for epidemiological surveillance and control of communicable diseases in Georgia, the rules for their production and analysis and submission deadlines (Annex 6).
2. The territorial bodies of the Ministry of Labour, Health and Social Protection of Georgia, the city, district and regional public health centres, the heads of scientific-research institutions in the medical field and of institutions of the health care system located on the territory of Georgia, regardless of their departmental subordination and form of ownership, shall ensure:
a) the collection and submission of statistical information corresponding to the activities of the institutions to the Legal Entity of Public Law - "L. Sakvarelidze National Centre for Disease Control and Medical Statistics" in accordance with the attached list, forms and deadlines of departmental statistical observation reports to be submitted by medical institutions (Annexes 1-6);
b) the assignment of responsible persons to submit departmental statistical observation reports to the Legal Entity of Public Law - L. Sakvarelidze National Centre for Disease Control and Medical Statistics within the established deadlines.
3. The Legal Entity of Public Law - L. Sakvarelidze National Centre for Disease Control and Medical Statistics (P. Imnadze) shall ensure the submission of consolidated reports to the Ministry of Labour, Health and Social Protection and to the State Sub-Departmental Institution of the Ministry of Economic Development of Georgia - the Department of Statistics in accordance with the established procedure and deadlines.
4. The following shall be declared invalid:
a) Order No. 104/n of 21 March 2001 of the Minister of Labour, Health and Social Protection of Georgia "On the submission of statistical reports by institutions of the health care system";
b) Form IV-04 experimental 1.8 "Report on preventive vaccinations carried out" and Form IV-04 experimental 2.8 "Report on preventive vaccinations carried out", approved by Order No. 122/n of 4 June 2003 of the Minister of Labour, Health and Social Protection of Georgia "On the approval of the national calendar of preventive vaccinations".
5. The Order shall enter into force upon publication.
L. Chipashvili
Annex 1
Annual forms of departmental statistical observation to be submitted by medical institutions, district, city and regional public health centres
Departmental statistical observation
[The data submitted by you are confidential
in accordance with the Law of Georgia "On Statistics"]
Agreed with the State Sub-Departmental Institution of the Ministry of Economic Development of Georgia - Department of Statistics by letter No. 3/1-03/02 of 02.02.2005
Form IV-01
(annual)
Approved by Order No. ___ of the year of the Minister of Labour, Health and Social Protection of Georgia
Report of the medical-prophylactic institution
Submitted by: medical-prophylactic institutions.
Within the deadline determined by the Order of the Ministry of Labour, Health and Social Protection of Georgia.
Name of the respondent (enterprise and other)
Actual address
Form of ownership (state or non-state) code
Organisational-legal form
Main type of economic activity
Telephone
Observation period – 200...... year
Licence series of the institution ---------------------------- No. -------------------
Divisions of institutions, units
(0001)
1. Divisions (rooms)
Adolescents'
1._____
Phthisiatric
33.____
Pulmonological
2._____
Artificial pneumothorax
34.____
Rheumatological
3._____
Neurological
35.____
Cardiological
4._____
Psychiatric
36.____
Gastroenterological
5._____
Psychotherapeutic
37.____
Endocrinological
6._____
Narcological
38.____
Allergological
7._____
Narcological on self-financing accounting
39.____
Infectious for adults
8._____
Narcological for adolescents
40.____
Infectious for children
9._____
Anonymous treatment of narcological patients
41.____
Physiotherapeutic
10.____
Examination of alcohol intoxication and psychoactive substance intoxication
42.____
Reflexotherapy with needles
11.____
Dermato-venereological
43.____
Therapeutic physical training for adults
12.____
Rehabilitation treatment
44.____
Therapeutic physical training for children
13.____
Prevention (prophylaxis)
45.____
Medical control of those engaged in physical training and sports
14.____
Roentgenological
46.____
Traumatological (orthopaedic)
15.____
Computed tomography
47.____
Urological
16.____
Fluorographic
48.____
Oncological
17.____
Electrocardiography and functional diagnostics
49.____
Radiological (radiation therapy)
18.____
Remote diagnostic room
50.____
Stomatological (dental medical)
19.____
Endoscopy
51.____
Dental prosthetics
20.____
Ultrasound diagnostics
52.____
Orthodontic
21.____
Hyperbaric oxygenation
53.____
Women's consultation
22.____
Blood transfusion
54.____
Obstetric-
gynecological
23.____
Hemodialysis
55.____
Visiting
24.____
Hemosorption
56.____
Consultation (family and marriage)
25.____
Pathological-anatomical
57.____
Medical genetics (medical genetic consultation)
26.____
Point (department) of medical aid for adults at home
58.____
Children's polyclinic (department, office)
27.____
Point (department) of medical aid for children at home
59.____
For vaccination
28.____
Statistics
60.____
Anti-rabies
29
Statistics (within the organizational-method department)
61.____
Ophthalmological
30.____
Social law
62.____
Otorhinolaryngological
31.____
Emergency aid
63.____
Audiology
32.____
Surgical
64.____
Nuclear-magnetic resonance tomography
65.____
(0002)
2. Laboratories
Radioisotope diagnostics
Clinical-diagnostic
Bacteriological
Serological
Biochemical
Cytological
1._____________
2._____________
3._____________
4._____________
5._____________
6._____________
3. Other remaining subdivisions
(0003)
Pharmacy
Dairy kitchen
Mother's milk collection point
Medical health point
Feldsher health point
Feldsher-narcological point
Feldsher-midwifery point
Incoming outpatient clinics
Indicate villages
1._____________
2._____________
3._____________
4._____________
5._____________
6._____________
7._____________
8._____________
Name
Name
4. Dental offices
(0004)
Existing at higher, secondary specialized educational institutions and vocational-technical
schools
1._____________
In general education schools
2._____________
In industrial institutions
3._____________
5. Capacity of the polyclinic or polyclinic department
(possible number of patient admissions per shift)
(0005)
Total
1._____________
Of the polyclinic
2._____________
Of the children's polyclinic
3._____________
Of the dental polyclinic
4._____________
Of the women's consultation
5._____________
Of the dispensary department 6._____________
(of the hospital, dispensary)
I. Number of contractual positions
1. Number of employees working under contract in the institution by the end of the reporting year
(1100)
Name
Line No.
Total number of positions occupied in the institution
Of which in the polyclinic, outpatient clinic, dispensary, consultation
Total number of main workers in positions occupied in the institution
a
b
1
2
3
Doctors-total
1
Of which: specialists, heads of institutions and their deputies
2
Therapist-total
3
Of which district therapist: urban
4
rural
5
shop
6
Therapist of the adolescent office
7
*
Family doctor
8
Pulmonologist
9
Rheumatologist
10
Cardiologist
11
Gastroenterologist
12
Dietitian
13
Nephrologist
14
Endocrinologist
15
Allergologist
16
Hematologist
17
Infectious disease specialist
18
Physiotherapist
19
Therapeutic physical training doctor
20
Doctor of medical control of physical training and sports participants
21
Doctor of the functional diagnostics and electrocardiography office
22
Surgeon
23
Cardiovascular surgeon
24
Thoracic surgeon
25
Proctologist
26
Traumatologist-
orthopedist
27
Urologist
28
Neurosurgeon
29
Anesthesiologist-
resuscitator
30
Endoscopist
31
Oncologist
32
Radiologist
33
Dentist
34
Dental
prosthetist
35
Obstetrician-gynecologist
36
Of which: shop obstetrician-gynecologist
37
Pediatrician-total
38
Of which district pediatrician: urban
39
rural
40
Pediatrician-
neonatologist
41
Children's cardiorheumatologist
42
Ophthalmologist
43
Otorhinolaryngologist
44
Phthisiologist
45
Neuropathologist
46
Psychiatrist-
psychoneurologist
47
Psychiatrist-
narcologist
48
Psychotherapist
49
Sexopathologist
50
Forensic-
psychiatric expert
51
Dermato-
venereologist
52
Pathological anatomist
53
Bacteriologist
54
Toxicologist
55
Epidemiologist
56
Doctor-laboratory assistant
57
Of which: laboratory assistant-geneticist
58
Geneticist
59
Ultrasound diagnostics doctor
60
Radiologist
61
Admitting doctor
62
General profile doctor
63
Statistician
64
Methodologist
65
*
Resident
66
*
Junior doctor
67
Other remaining
68
Specialist with higher non-medical education
69
Dental doctor
70
Total number of secondary medical personnel
71
Of which: of medicine and
72
Of which: nurse-vaccinator
73
Midwife
74
Feldsher
75
Feldsher-narcologist
76
Dental technician
77
Clinical laboratory laboratory assistant
78
Laboratory assistant-
histologist
79
X-ray laboratory assistant
80
Nurse of the physiotherapy office
81
Medical statistician
82
Other remaining medical personnel
83
Pharmacist
84
Pharmaceutical worker
85
Junior med. personnel
86
Other remaining personnel
87
Total number of positions
88
(1101)
From the total number of doctor-laboratory assistants (line 57, col. 1), statisticians (line 64, col. 1), therapeutic physical training doctors (line 20, col. 1), persons with higher non-medical education who occupy:
doctor-laboratory assistant 1. ___________
doctor-statistician 2. ___________
therapeutic physical training doctor 3. ___________ positions
(1102)
From the total number of secondary medical personnel
(line 71, col. 1) - work
in feldsher-midwifery points 1. ____________
* In table (1100), in lines 8, 66, 67, new medical specialties have been added
II. Activity of the polyclinic (outpatient clinic), dispensary, consultation
(2100) 1. Work of doctors of the polyclinic (outpatient clinic), dispensary, consultation
Name
Line No.
Number of patient visits to doctors (including for preventive purposes)
Number of visits due to illness, from the total number of visits
Visits to patients at home by doctors
Of adults and adolescents
Children (0-14 years inclusive)
Total
including: children
(14 years inclusive)
Total
due to
illness
a
b
1
2
3
4
5
6
Total
1
including: federal
2
municipal
3
by internal standard
4
(2101) Total number of visits to feldsher-midwife stations, to mid-level medical personnel (including home visits) 1. ----------------------------------------
(2200) 2. Midwifery assistance at home (2201) Childbirth without subsequent hospitalisation:
Designation
Line No.
Number of childbirths attended by doctors and mid-level medical personnel
a
b
1
Total
1
including: without subsequent hospitalisation
2
Of the total number of
births, were born
alive 1._____________
of whom died
aged 7-28 days 2. _____________
of age 3. _____________
stillborn 4. _____________
vaccinated with anti-tuberculosis vaccine 5. _____________
Number of pregnant women, women in labour and
postpartum women who died at home 6. ___________
(2202) Died at home
Total 1. _____________
l.y. children 0-14 years inclusive 2._____________
of whom 0-1 years inclusive 3. _____________
(2300) 3. Registration of persons with limited abilities, including war invalids and participants
Designation
Line No.
Total
including
war participants (excluding invalids)
war invalids
internationally listed
a
b
1
2
3
4
Under observation at the beginning of the reporting year
1
Newly taken under observation in the reporting year
2
Removed from observation during the reporting year
3
including: left
4
died
5
Under dispensary observation (at the end of the reporting year)
6
l.y. Limitation of ability by groups: I severe
7
II significant
8
III moderate
9
Admitted as a result of comprehensive medical examination (from line 6)
10
Needed inpatient treatment
11
of whom received inpatient treatment
12
Received sanatorium-resort treatment
13
(2400) 4. Dispensary observation of the decreed contingent and persons equated thereto,
as well as of persons working in harmful and dangerous conditions
Designation
Line No.
Level I*
Level II*
Level III*
Level IV*
a
b
1
2
3
4
Under dispensary observation (at the beginning of the reporting year)
1
Newly taken under observation in the reporting year
2
Removed from observation during the reporting year
3
including: left
4
died
5
Under dispensary observation (at the end of the reporting year)
6
Needed inpatient treatment
7
including received inpatient treatment
8
Needed change of profession or temporary transfer from work
9
*) The decreed contingent by individual professions is given in Order No. 34/o of the Minister of Health of Georgia of 10 September 1997
(2500) 5. Work of the dental (dental surgery) office
Designation
Line
No.
Number of visits to dentists and dental surgeons*
Teeth filled
Course of treatment carried out
Teeth extracted
Operations carried out
Total
including primary
Total
including
periodontal diseases
oral mucosa
deciduous
permanent
due to caries
due to complications of caries
a
b
1
2
3
6
7
8
9
10
Total
1
including children 14 years inclusive
2
adolescents 15-17 years inclusive
3
* In the reporting year, a visit for dental assistance is counted as a primary visit
(2501) Number of persons who received dental prostheses: (2502) Number of persons who
Total 1. _________________ received orthodontic assistance
including: rural
residents 2. _________________ Total 1._______
single crown 3. __________________ including: children 2. ______
including crown
bridge prosthesis 4. __________________
removable prostheses 5. __________________
removable prostheses 6. __________________
unit of metal-ceramic and porcelain 7. _____________
(2600) Surgical work of the outpatient-polyclinic institution (subdivision)
Name of operation
Group No.
Line No.
Number of operations carried out
a
b
c
1
Total
1.0
1
including
operations on the eye and its appendages
2.0
2
of which microsurgical
2.1
3
operations on the eyelids with tissue excision
2.1.1
4
operations on the eyebrows with tissue excision
2.1.2
5
of the operations carried out on the eye and its appendages, the cause was:
glaucoma
2.0-1
6
cataract
2.0-2
7
operations on the organs of the throat, ear, nose
3.0
8
including:
on the nose with tissue excision
3.1
9
on the ear with tissue excision
3.2
10
adenoidectomy
3.3
11
operations on the organs of the lip and oral cavity
4.0
12
including:
on the lips with tissue excision
4.1
13
on the gums with tissue excision
4.2
14
on the palate with tissue excision
4.3
15
on the tongue with tissue excision
4.4
16
operations on blood vessels
5.0
17
including:
on the veins with tissue excision
5.1
18
operations on the organs of the abdominal cavity
6.0
19
including:
hernioplasty for non-strangulated hernia
6.1
20
obstetric-gynaecological operations
7.0
21
including:
operations on the female genital organs
7.1
22
including: on the female external genital organs with tissue excision
7.1.2
23
curettage of the uterus (without abortion)
7.2
24
regulation of the menstrual cycle by vacuum aspiration method (mini-abortion)
7.3
25
abortion (artificial)
7.4
26
abortion (incomplete)
7.5
27
operations on the musculoskeletal system
8.0
28
including:
Excision of tissue on bone
8.1
29
Excision of tissue on joint
8.2
30
Excision of tissue on muscles
8.3
31
Operations on mammary gland
9.0
32
Including excision of tissue
9.1
33
Operations on skin and subcutaneous tissues
10.0
34
Including:
Excision of tissue on skin
10.1
35
Excision of tissue on subcutaneous cellular tissue
10.2
36
Excision of lymphatic nodes (in isolation)
11.0
37
(2701) At the end of the reporting year under observation:
Total number of women who have an inserted
intrauterine device 1. _______________
Including those who had an intrauterine device inserted in the current year
(on an outpatient basis and in hospital) 2. _______________
Number of women using hormonal contraception 3. ______________
8. In the service area of medical-prophylactic institutions
(2800)
Report on diseases of registered patients residing
Name of disease classes and individual diseases
Gr. No.
Code ICD IX according to
revision
Page
No.
Adults
Adolescents up to and including 15-17 years
Children up to and including 14 years
At the beginning of the year under observation
and
patients registered with a diagnosis established for the first time in life
At the end of the year under observation
At the beginning of the year under observation
patients registered with a diagnosis established for the first time in life
At the end of the year under observation
At the beginning of the year under observation
patients registered with a diagnosis established for the first time in life
At the end of the year under observation
a
b
c
d
1
2
3
4
5
6
7
8
9
Total
1.0
001-999
1
Including: Infectious and parasitic diseases
2.0
001-139
2
Neoplasms
3.0
140-239
3
Diseases of the endocrine system, nutritional, metabolic and immune disorders
4.0
240-279
4
Including: Thyrotoxicosis with and without goitre
4.1
242
5
Enlargement of thyroid gland and unspecified goitre
4.2
240.0-240.9
6
Non-toxic nodular goitre
4.3
241
7
Diabetes mellitus insulin-dependent
4.4
250
8
Diabetes mellitus insulin-independent
4.5
250
9
Obesity
4.6
278.0
10
Diseases of the blood and blood-forming organs
5.0
280-289
11
Including anaemias
5.1
280-285
12
Mental and behavioural disorders
6.0
290-319
13
Diseases of the nervous system and sense organs
7.0
320-389
14
Including cerebral palsy in children
7.1
343
15
Epilepsy without psychosis and mental retardation
7.2
345
16
Diseases of the peripheral nervous system
7.3
350-359
17
Glaucoma
7.4
365
18
Cataract
7.5
366
19
Myopia
7.6
367.1
20
Chronic otitis
7.7
381.1-4 382.1-4.9
21
Diseases of the circulatory system
8.0
390-459
22
Including rheumatism-total
8.1
390-398
23
Including acute rheumatic fever
8.2
390-392
24
Including rheumatic fever without heart involvement
8.3
390
25
Rheumatic fever with heart involvement
8.4
391
26
Rheumatic chorea
8.5
392
27
Chronic rheumatic heart diseases
8.6
393-398
28
Hypertensive disease
8.7
401-404
29
Ischaemic heart disease
8.8
410-4149 (401-404)
30
Including acute myocardial infarction
8.9
410
31
Other acute and subacute forms of ischaemic heart disease
8.10
411
32
Angina pectoris
8.11
413
33
Cerebrovascular diseases
8.12
430-438 (401-404)
34
Endarteritis thromboangiitis obliterans
8.13
440.2 443.0,1
35
Nodular periarteritis and similar conditions
8.14
446
36
Diseases of the respiratory organs
9.0
460-519
37
Including chronic pharyngitis, nasopharyngitis, sinusitis
9.1
472-473
38
Chronic disease of tonsils and adenoids
9.2
474
39
Allergic rhinitis (pollinosis)
9.3
477
40
Pneumonia
9.4
480-483 485,486
41
Chronic and unspecified bronchitis, emphysema
9.5
490-492
42
Bronchial asthma
9.6
493
43
Other chronic obstructive diseases of the lungs
9.7
494-496
44
Other diseases of the respiratory organs
9.8
510-516
45
Diseases of the digestive organs
10.0
680-709
46
Including ulcer of the stomach and duodenum
10.1
531-533
47
Gastritis, duodenitis
10.2
535
48
Gallstone disease, cholecystitis, cholangitis
10.3
574 575.0,1 576.1
49
Diseases of the pancreas
10.4
577
50
Diseases of the genitourinary system
11.0
580-629
51
Including nephritis, nephritic syndrome, nephrosis
11.1
580-589
52
Infections of the kidneys
11.2
590
53
Stones of the kidneys and ureters
11.3
592
54
Diseases of the prostate gland
11.4
600-602
55
Infertility in men
11.5
606
56
Salpingitis, oophoritis
11.6
614.0-2
57
Endometriosis
11.7
617
58
Erosion and ectropion of the cervix uteri
11.8
622.0
59
Disorders of the menstrual cycle
11.9
626
60
Disorders of menopause and postmenopause
11.10
627
61
Infertility in women
11.11
628
62
Complications of pregnancy, childbirth and the puerperium
12.0
630-648 651-676
63
Diseases of the skin and subcutaneous cellular tissue
13.0
680-709
64
Including: atopic dermatitis and related conditions
13.1
691
65
Contact dermatitis and other forms of eczema
13.2
692
66
Diseases of the osteoarticular system and connective tissue
14.0
710-739
67
Including systemic diseases of connective tissue
14.1
710
68
Including systemic lupus erythematosus
14.2
710.0
69
Systemic scleroderma
14.3
710.1
70
Dermatomyositis
14.4
710.3
71
a
b
c
d
1
2
3
Arthropathy in Reiter's disease and other similar conditions
14.5
711.1
72
Podagric arthritis
14.6
712-0
73
Rheumatoid arthritis
14.7
714
74
Ankylosing spondylitis
14.8
720.0
75
Congenital anomalies (developmental defects)
15.0
740-759
76
Including congenital anomalies of the heart and circulatory system
15.1
745=747
77
Certain conditions originating in the perinatal period
16.0
760=779
78
X
X
X
Symptoms, signs and imprecisely designated conditions
17.0
780-799
79
Traumas and poisonings
18.0
800-999
80
Including: fracture of the skull, spine and bones of the body
18.1
800-809
81
Fracture of the bones of the upper limbs
18.2
810-819
82
Fracture of the bones of the lower limbs
18.3
820-829
83
Dislocation (without bone fracture), sprain, deformation of joints and adjacent muscles
18.4
830-848
84
Intracranial traumas (without fracture of the skull)
18.5
850-854
85
Traumas of the internal organs of the thoracic, abdominal and pelvic cavities
18.6
860-869
86
Wounds, injuries to blood vessels, superficial traumas, contusions and abrasions
18.7
870-897 900-904 910-939
87
Burns
18.8
940-949
88
Traumas of the nerves and spinal cord
18.9
950-957
89
Poisonings by medicinal substances, medications and biological substances, toxic effect of substances predominantly of non-medical purpose, as well as the effect of other external unspecified causes
18.10
960-999
90
(2801) Of the total number of those registered in the medical-prophylactic institution:
Forcibly displaced person 1. ______________ including died 2. ____________
Refugee 3. _____________ including died 4. ___________
(2802) Temporary incapacity for work:
Number of cases 1. _____________ Number of days of incapacity for work 2. ____________
9. Report on the treatment of sick conscripts
(2900)
Name of disease
Code according to ICD IX revision
Line No.
Number of sick conscripts
at the beginning of the year
newly attached during the reporting period
removed from observation during the reporting period
under observation at the end of the reporting period
total
including after completion of treatment
a
b
d
1
2
3
4
5
Tuberculosis of the lungs and other respiratory organs
011,012
1
Remote consequences of infectious diseases
138, 139
2
Nervous and other mental disorders of non-psychogenic nature (including neurocirculatory dystonia)
300, 306, 308
3
Enuresis
307.6
4
Diseases of the peripheral nervous system
350-359
5
Diseases of the eye and its adnexa (except for disorders of refraction and accommodation)
360-366 368-379
6
Disorders of refraction and accommodation
367
7
Diseases of the ear and mastoid process
380-389
8
Chronic rheumatic heart diseases
393-398
9
Essential hypertension, hypertensive disease
401
10
Diseases of the upper respiratory tract
470-478
11
Including chronic diseases of the tonsils and adenoids
474
12
Diseases of the teeth
521-526
13
Ulcer of the stomach and duodenum
531,532
14
Gastritis and duodenitis, functional disorder of the stomach
535, 536
15
Hernias of the inguinal and other types of the abdominal cavity without gangrene and obstruction
550.9-553
16
Diseases of the liver, gallbladder and pancreas
570-577
17
Nephritis, nephritic syndrome and nephrosis
580-589
18
Hydrocele of the testicle
603
19
Diseases of the skin and subcutaneous tissue
680-709
20
Traumas of the nervous system and their remote consequences
907 907. 0-3
21
Other diseases not included in the list
22
Total
23
In addition, those physically underdeveloped
24
(2901)
(2902)
Needed vision correction
including provided with corrective glasses
Needed surgical intervention
including underwent surgery
Did not report for treatment
1. ______________
2.______________
3.______________
4.______________
5______________
Number of conscripts who
underwent a medical examination in the reporting year
1._____________
III. Work of the inpatient facility
1. Bed fund and its use
(3100)
Bed profile
Line No.
Number of actually deployed and beds under repair
in the reporting year
bed-days spent by patients in the reporting year
at the end of the reporting year
average annual
patients admitted total
including children up to 14 years inclusive
patients discharged
died
a
b
1
2
3
4
5
6
7
Total
1
Including: therapeutic
2
cardiological for adults
3
cardiological for children
4
gastroenterological for adults
5
gastroenterological for children
6
allergological for adults
7
allergological for children
8
rehabilitation treatment for adults
9
rehabilitation treatment for children
10
endocrinological for adults
11
endocrinological for children
12
infectious for adults
13
infectious for children
14
haematological for adults
15
haematological for children
16
nephrological for adults
17
nephrological for children
18
surgical for adults
19
surgical for children
20
neurosurgical for adults
21
neurosurgical for children
22
thoracic surgery for adults
23
thoracic surgery for children
24
cardiosurgical
25
vascular surgery
26
traumatological for adults
27
traumatological for children
28
burn
29
orthopaedic for adults
30
orthopaedic for children
31
urological for adults
32
urological for children
33
dental for adults
34
dental for children
35
oncological for adults
36
oncological for children
37
Puerperae and women in childbirth (except pregnancy pathology) total
38
Pregnancy pathology
39
Gynaecological (except abortion beds) total
40
Abortion
41
Tuberculosis for adults total
42
Including: for those with osteoarticular tuberculosis
43
For compulsory treatment of patients with alcoholism
44
Tuberculosis for children total
45
Including for children with osteoarticular tuberculosis
46
Neurological for adults
47
Neurological for children
48
Psychiatric (psychoneurological) for adults
49
Psychiatric (psychoneurological) for children
50
Psychosomatic
51
Narcological
52
Including: those obliged to work in an industrial establishment, at a construction site
53
For compulsory treatment of patients with severe concomitant disease
54
Ophthalmological for adults
55
Ophthalmological for children
56
Otorhinolaryngological for adults
57
Otorhinolaryngological for children
58
Dermato-venereological for adults
59
Dermato-venereological for children
60
Radiological and X-ray
61
Paediatric (somatic) total
62
Including: from 0 to 6 days
63
Infants from 28 days to 1 year
64
Proctology
65
Rheumatological for adults
66
Rheumatological for children
67
Purulent surgery for adults
68
Purulent surgery for children
69
Pulmonological for adults
70
Pulmonological for children
71
Other for adults
72
Other for children
73
Total
74
Resuscitation for adults
75
Resuscitation for children
76
(3101)
Examined serologically *) for the purpose of detecting persons with syphilis 1. _____________
Including on therapeutic and neurological profile beds 2. _____________
Of the number of admitted patients (ref. 3) rural residents were admitted 3. _____________
Of the total number examined, syphilis was detected for the first time in life 4. _____________
*) except patients discharged from dermato-venereological beds
(3102)
Temporary incapacity for work:
number of cases 1. ___________
number of days of incapacity for work granted
2. ___________
(3103)
Of the number of patients discharged from the inpatient facility (ref. 5+6), services were provided under the following programme:
Federal
1. _________
Municipal
2. __________
Internal standard
3. __________
(3200) 2. Composition of patients in the inpatient facility, duration and outcomes of treatment
Designation
Group No.
Code ISC IX revision
Line No.
Adults and adolescents
Children up to and including 14 years
Discharged patients
Bed-days spent by those discharged
Died
Discharged patients
Including those aged up to 1 year
Bed-days spent by those discharged
Died
Including those aged up to 1 year
a
b
c
d
1
2
3
4
5
6
7
8
Total
01.0
001-999
1
Including infectious and parasitic diseases
02.0
001-139
2
Including: intestinal infections
02.1
001-009
3
Tuberculosis of the respiratory organs
02.2
011-012
4
Sepsis
02.3
038
5
Viral hepatitis
02.4
070
6
Neoplasms
03.0
140-239
7
Including: malignant neoplasms (including neoplasms of lymphoid and haematopoietic tissue)
03.1
140-208
8
Diseases of the endocrine system, nutritional, immunity and metabolic disorders
04.0
240-279
9
Including thyrotoxicosis with and without goitre
04.1
242
10
Diabetes mellitus
04.2
250
11
Obesity
04.3
278
12
Diseases of the blood and blood-forming organs
05.0
280-289
13
Including: anaemias
05.1
280-285
14
Mental disorders
06.0
290-319
15
Diseases of the nervous system and sense organs
07.0
320-389
16
Including infantile cerebral palsy
07.1
343
17
Diseases of the peripheral nervous system
07.2
350-359
18
Glaucoma
07.3
365
19
Cataract
07.4
366
20
Diseases of the circulatory system
08.00
390-459
21
Including: rheumatism in the active phase (including chorea)
08.01
390-392
22
Chronic rheumatic heart diseases
08.02
393-398
23
Hypertensive disease (without ischaemic heart disease and cerebrovascular damage)
08.03
401-404
24
Acute myocardial infarction
08.04
410
25
Other acute and subacute forms of ischaemic heart disease
08.05
411
26
Angina pectoris
08.06
413
27
Other forms of chronic ischaemic heart disease
08.07
412.414
28
Cerebrovascular diseases total
08.08
430-438
29
Including: subarachnoid haemorrhage
08.09
430
30
Other intracerebral and intracranial haemorrhages
08.10
431-432
31
Occlusion of cerebral artery (cerebral infarction)
08.11
434
32
Transient cerebral ischaemia
08.12
435
33
Acute ill-defined cerebrovascular diseases
08.13
436
34
Cerebral atherosclerosis
08.14
437.0
35
Diseases of the respiratory organs
09.0
460-519
36
Including acute respiratory infections
09.1
460-466
37
Including acute bronchitis
09.2
466
38
Acute bronchiolitis
09.3
466.1
39
Pneumonias
09.4
480-486
40
Including: bronchopneumonia
09.5
485
41
Chronic and unspecified bronchitis, emphysema
09.6
490-492
42
Bronchial asthma
09.7
493
43
Other chronic obstructive pulmonary diseases
09.8
494-496
44
Other diseases of the respiratory organs
09.9
510-516
45
Diseases of the digestive organs
10.0
520-579
46
Including: ulcer of the stomach and duodenum
10.1
531-532
47
Gastritis and duodenitis
10.2
535
48
Gallstone disease, cholecystitis, cholangitis
10.3
574,575, .576
49
Diseases of the genitourinary system
11.0
580-629
50
Including: nephritis and nephrosis
11.1
582-589
51
Kidney infections
11.2
590
52
Kidney and ureteral stones
11.3
592
53
Diseases of the prostate
11.4
600-602
54
Complications of pregnancy, childbirth and the postpartum period
12.0
630-676
55
Diseases of the skin and subcutaneous tissue
13.0
680-709
56
Diseases of the musculoskeletal system and connective tissue
14.0
710-739
57
Including systemic diseases of connective tissue, rheumatoid arthritis, ankylosing spondylitis
14.1
710,714 720,72
58
Congenital anomalies (malformations)
15.0
740-759
59
Certain conditions originating in the perinatal period
16.0
760-779
60
X
X
X
Symptoms, signs and ill-defined conditions
17.0
780-799
61
Injuries and poisonings
18.0
800-999
62
Including: fracture
18.1
800-829
63
Burns
18.2
940-949
64
Poisoning by medicinal substances, biological and non-medicinal substances
18.3
960-989
65
(3201)
Line
No.
Number
Of those discharged, transferred to other inpatient facilities — total
1
Including newborns — total
2
Including: at the age of 0-6 days
3
7-28 days
4
Postpartum women
5
Persons who were hospitalized for examination and were found healthy
6
(3202) Of the total number of deaths in the inpatient facility, under 0-5 years 1. ________ newborns at the age of 0-6 days 2_________ up to 7_8 days 3. ______
within the first 24 hours after admission 4. ___________________________
(3203) Patients admitted with myocardial infarction within the first day of the onset of the disease 1 _______________
Of the total number of deaths, died from myocardial infarction within the first 24 hours after admission to the inpatient facility 2. _______________
(3204)* Pregnant women, women in childbirth and postpartum women died 1.____________ including due to diseases complicating pregnancy and childbirth 2____________
(3205) Of the total number of patients, discharged from the inpatient facility: internally displaced persons 1__________ refugees 2_______________
Including died internally displaced persons 3.______________________ refugees 4._______________
(3206) Distribution of children aged 0-6 days who died in the inpatient facility by weight (maternity names and departments are not filled in)
Name of disease
Code according to ICD IX revision
Line No.
Total
0-499
500-999
1000-1499
1500-2499
2500-3999
4000 and more
Weight unknown
a
b
c
1
2
3
4
5
6
7
8
Deceased children — total
1
Including: certain conditions originating in the perinatal period
760-779
2
Including: slow growth and inadequate nutrition
764.2
3
Intracranial birth trauma
767.0
4
Other birth traumas
767.4-7
5
Intrauterine hypoxia, asphyxia during childbirth
768
6
Respiratory distress syndrome
769
7
Other respiratory pathologies of the newborn and fetus
770
8
Including: congenital pneumonias
770.0
9
Specific infections of the perinatal period
771.0-7
10
Neonatal sepsis
771.8
11
Hemorrhage of the newborn and fetus
772.1.2
12
Hemolytic disease caused by isoimmunization
773
13
Hematological disorders
776
14
Acute respiratory infections
460-466
15
Pneumonias
480-487
16
Infections of the skin and subcutaneous tissue
680-686
17
Congenital anomalies
740-759
18
Other diseases of newborns
19
*In column 3204, all deceased pregnant women, women in childbirth and postpartum women who were admitted to the inpatient facility with any diagnosis (except injuries and accidents) are recorded, regardless of the term of pregnancy (l.y. abortions and ectopic pregnancy) and women within 42 days after childbirth.
3. Day inpatient facilities
(3300)
Name
Line
No.
Day inpatient facilities of outpatient-polyclinic institutions
Number of institutions with inpatient facilities
Number of beds
Treated patients
Number of institutions with inpatient facilities
Number of beds
Treated patients
Number of institutions with inpatient facilities
Number of beds
Treated patients
Total
Incl. children
of which
Total
Incl. children
a
b
1
2
3
4
5
6
7
8
9
10
11
Total
1
Including: polyclinics
2
Children's polyclinics
3
City hospitals
4
City children's hospitals
5
aa.q.r. and q.r.
6
District hospitals and outpatient clinics
7
Other institutions
8
(3400) 4. Transfusion of blood and blood-substitute fluids
Line No.
Blood
Erythrocyte mass
Plasma
Preparations
Hemodynamic
Detoxifying
Parenteral nutrition
a
b
1
2
3
4
5
6
7
Number of patients (excluding newborns) who underwent transfusion
1
Including children up to 14 years of age inclusive (excluding newborns)
2
Number of transfusions
3
Transfused, L
4
Number of newborns who underwent transfusion
5
Transfused to newborns, L
6
Quantity of transfusion agents received from blood collection stations and blood transfusion departments, L
7
(3401)
Number of patients who developed a complication after transfusion 1. ___________ including died 2. ___________
(3500) 5. Surgical work of the inpatient facility
Name of operation
Group No.
Line No.
Number of operations performed in the inpatient facility, total
including children up to 14 years of age inclusive
Died in the inpatient facility after surgery
Total
including children up to 14 years of age inclusive
a
b
c
1
2
3
4
Total operations
01.00
1
Including: operations on the nervous system
02.00
2
Including: on the brain
02.01
3
on the spinal cord
02.02
4
on the meninges
02.03
5
on the peripheral nervous system
02.04
6
on intervertebral discs
02.05
7
Operations on the organs of the endocrine system
03.00
8
Including: on the pituitary gland
03.01
9
on the epiphysis
03.02
10
on the thyroid gland
03.03
11
parathyroidectomy
03.04
12
adrenalectomy
03.05
13
Operations on the eye
04.00
14
Including: for glaucoma
04.01
15
enucleation
04.02
16
for cataract
04.03
17
Operations on the ear, nose
05.00
18
Including on the ear
05.01
19
adenoidectomy
05.02
20
Operations on the organs of the oral cavity
06.00
21
on the tongue
06.01
22
tonsillectomy
06.03
23
Operations on the heart
07.00
24
Including: on the open heart
07.01
25
for congenital heart defects
07.02
26
implantation of a cardiac pacemaker
07.03
27
endovascular balloon dilatation
07.04
28
pericardectomy
07.05
29
Operations on blood vessels
08.00
30
Including: operations on arteries
08.01
31
operations on veins
08.02
32
operations on lymphatic ducts
08.03
33
endovascular operation (dilatation, embolization, stenting)
08.04
34
Operations on the respiratory organs
09.00
35
Including: on the tonsils
09.01
36
pulmonectomy
09.02
37
resection of a lung lobe
09.03
38
resection of a lung segment
09.04
39
on the larynx
09.05
40
resection of the trachea
09.06
41
resection of the bronchus
09.07
42
resection of the pleura
09.08
43
Operations on the digestive and abdominal organs
10.00
44
Including: on the oesophagus
10.01
45
for peptic ulcer disease
10.02
46
for perforation of the stomach and duodenum
10.03
47
gastric resection
10.04
48
gastrectomy
10.05
49
for gastrointestinal bleeding
10.06
50
for acute intestinal obstruction
10.07
51
for acute appendicitis
10.08
52
for strangulated hernia
10.09
53
resection of the small intestine
10.10
54
resection of the large intestine
10.11
55
hemicolectomy
10.12
56
for acute cholecystitis
10.13
57
for acute pancreatitis
10.14
58
appendectomies for chronic appendicitis
10.15
59
for non-strangulated hernia
10.16
60
cholecystectomies for chronic cholecystitis
10.17
61
including by laparoscopic method
10.17.1
62
diagnostic laparotomies
10.18
63
splenectomy
10.19
64
other operations on the abdominal organs
10.20
65
Operations on the organs of the urogenital system
11.00
66
Including operations on the kidneys and ureters
11.01
67
including kidney transplantation
11.01.01
68
kidney resection
11.01.02
69
nephrectomy
11.01.03
70
on the ureters
11.01.04
71
on the bladder
11.01.05
72
on the urethra
11.01.06
73
Operations on the prostate gland
11.02
74
orchiectomy
11.03
75
Operations on the female genital organs
11.04
76
Including: for uterine curettage
11.04.01
77
female sterilization
11.04.02
78
amputation of the uterus
11.04.03
79
extirpation of the uterus
11.04.04
80
ovarian resection
11.04.05
81
ovariectomy
11.04.06
82
on the female external genital organs with tissue excision
11.04.07
83
obstetric-gynaecological operations
11.05
84
Including: for ectopic pregnancy
11.05.01
85
Including: of the fallopian tube
11.05.01.01
86
of the ovary
11.05.01.02
87
of the pelvic cavity
11.05.01.03
88
insertion of a mesh
11.05.02
89
vacuum extraction
11.05.03
90
caesarean section
11.05.04
91
minor caesarean section
11.05.05
92
destructive operation on the foetus
11.05.06
93
abortion
11.05.07
94
Including: abortion (incomplete)
11.05.07.01
95
abortion (artificial)
11.05.07.02
96
other operations on the urogenital system
11.05.08
97
Operations on the musculoskeletal system
12.00
98
Including: transplantation (reimplantation)
12.01
99
amputation of a limb or part thereof
12.02
100
Including: amputation of a limb or part thereof due to diabetes
12.02.01
101
Operations on the mammary glands
13.00
102
Operations on the skin and subcutaneous tissue
14.00
103
Operations on soft tissues (subcutaneous tissue, muscles, retroperitoneal tissue)
14.01
104
Operations on the organs of the immune system
15.00
105
(3501)
Operation performed 1. _________________ on patient
including children under 14 years of age 2. _________________
of the total number of operations (col. 1)
operations performed using a laser 3. _________________
cryogenic 4. _________________
endoscopic 5. _________________
including female sterilization 6. _________________
of the number of those operated on under general anaesthesia 7. _________________
died as a result of general anaesthesia 8. _________________
(3502)
Of the total number of operations:
on the eye (line 7) - microsurgical 1. _______________
on the ear (line 17) - hearing-improving 2. _______________
on the stomach for peptic ulcer disease
(line 28) - organ-preserving 3. _______________
(3503)
Of the total number of operations:
forcibly displaced 1. _________including died 2.________
refugee 3. _________including died 4. ________
(3510) 5.1 Data on surgical operations involving tissue excision and on autopsies of deceased non-operated patients
Name of operation
Group No.
Line No.
Examined histopathologically
Excised
Total
including children up to 14 years of age
Total
including children up to 14 years of age
by pathologist
by forensic expert
by pathologist
by forensic expert
a
b
c
1
2
3
4
5
6
Operations involving tissue excision, total
01.00
1
including: operations on the nervous system
02.00
2
including: tissue excision on the brain
02.01
3
tissue excision on the spinal cord
02.02
4
tissue excision on the meninges
02.03
5
tissue excision on nerves
02.04
6
tissue excision on intervertebral discs
02.05
7
operations on organs of the endocrine system
03.00
8
including: tissue excision on the pituitary gland
03.01
9
tissue excision on the epiphysis
03.02
10
tissue excision on the thyroid gland
03.03
11
parathyroidectomy
03.04
12
adrenalectomy
03.05
13
operations on the eye and orbit
04.00
14
including: tissue excision on the eyelids
04.01
15
tissue excision on the eyebrows
04.02
16
operations on the ear and nose
05.00
17
including: tissue excision on the nose
05.01
18
adenoidectomy
05.02
19
operations on the paranasal sinuses
05.03
20
including: tissue excision
05.04
21
operations on the lips and organs of the oral cavity
06.00
22
including: tissue excision on the lips
06.01
23
tissue excision on the gums
06.02
24
tissue excision on the palate
06.03
25
tissue excision on the tongue
06.04
26
tonsillectomy
06.05
27
operations on the heart
07.00
28
including: tissue excision
07.01
29
pericardectomy
07.02
30
operations on blood vessels and lymphatic ducts
08.00
31
including: tissue excision on arteries
08.01
32
tissue excision on veins
08.02
33
tissue excision on lymphatic ducts
08.03
34
operations on the respiratory organs
09.00
35
including: tissue excision on the larynx
09.01
36
resection of the trachea
09.02
37
resection of the bronchus
09.03
38
resection of the pleura
09.04
39
operations on the digestive and abdominal organs
10.00
40
including: tissue excision on the salivary glands
10.01
41
tissue excision on the oesophagus
10.02
42
resection of the stomach
10.03
43
gastrectomy
10.04
44
resection of the small intestine
10.05
45
resection of the large intestine
10.06
46
hemicolectomy
10.07
47
hemorrhoidectomy
10.08
48
resection of the liver
10.09
49
tissue excision on the pancreas
10.10
50
other operations on the abdominal organs involving tissue excision
10.11
51
operations on the urogenital organs
11.00
52
including: resection of the kidney
11.01
53
nephrectomy
11.02
54
tissue excision on the ureters
11.03
55
tissue excision on the urinary bladder
11.04
56
tissue excision on the urethra
11.05
57
tissue excision on the prostate gland
11.06
58
orchiectomy
11.07
59
tissue excision on the penis
11.08
60
amputation of the uterus
11.09
61
extirpation of the uterus
11.10
62
conservative myomectomy
11.11
63
resection of the ovary
11.12
64
ovariectomy
11.13
65
salpingectomy (without pregnancy)
11.14
66
tissue excision on the cervix
11.15
67
tissue excision on the female external genital organs
11.16
68
due to extrauterine pregnancy
11.17
69
including: of the fallopian tube
11.17.1
70
of the ovary
11.17.2
71
of the pelvic cavity
11.17.3
72
abortion (incomplete)
11.17.4
73
abortion (artificial)
11.17.5
74
operations on the mammary glands
12.00
75
including: resection of the mammary gland
12.01
76
mastectomy
12.02
77
operations on bones and joints
13.00
78
operations on the skin and subcutaneous tissue
14.00
79
including: operations on the skin involving tissue excision
14.01
80
operations on soft tissues (subcutaneous tissue, muscles, retroperitoneal tissue) involving tissue excision
14.02
81
operations on organs of the immune system
15.00
82
including: thymectomy
15.01
83
excision of a lymph node (in isolation)
15.02
84
(3600) 6. Emergency surgical care
Name
Line No.
of patients admitted to the inpatient facility
not operated on
of whom died
were operated on
of whom died
a
b
1
2
3
4
acute intestinal obstruction - total
1
of whom later than 24 hours
2
acute appendicitis - total
3
of whom later than 24 hours
4
perforated ulcer of the stomach and duodenum - total
5
of whom later than 24 hours
6
gastrointestinal bleeding - total
7
of whom later than 24 hours
8
strangulated hernia - total
9
of whom later than 24 hours
10
acute cholecystitis - total
11
of whom later than 24 hours
12
acute pancreatitis - total
13
of whom later than 24 hours
14
splenectomy - total
15
of whom later than 24 hours
16
other operations on the abdominal organs - total
17
of whom later than 24 hours
18
resection of the lung - total
19
of whom later than 24 hours
20
nephrectomy - total
21
of whom later than 24 hours
22
orchiectomy - total
23
of whom later than 24 hours
24
ovariectomy - total
25
of whom later than 24 hours
26
other operations on the urogenital system - total
27
of whom later than 24 hours
28
amputation of a limb or part thereof - total
29
of whom later than 24 hours
30
extrauterine pregnancy - total
31
of whom later than 24 hours
32
7. Report on abortions
Completed by inpatient and polyclinic institutions
(3700)
Name
Code according to DSK IX revision
Line No.
Total
including by age
14 years
inclusive
15-19 years
20-24 years
25-29 years
30-34 years
35-39 years
40-44 years
45-49 years
50 years and above
a
b
c
1
2
3
4
5
6
7
8
9
10
Total abortions (excluding mini-abortion)
1
including: spontaneous (spontaneous) up to 12 weeks
634
2
spontaneous (spontaneous) late abortion 12-22 weeks
3
artificial legal up to 12 weeks
635-part.
4
criminal abortion
636
5
termination of pregnancy for medical indications 12 - 22 weeks
635-part.
6
termination of pregnancy for social indications 12 - 22 weeks
7
regulation of the menstrual cycle by vacuum aspiration method (mini-abortion)
V25.3
8
medication abortion
9
abortions during first pregnancy out of the total number
10
post-abortion complication
11
including post-criminal abortion complication
12
(4101)
IV. Work of auxiliary departments, offices
1. Work of the radiological department (radiotherapy office)
Number of patients who completed radiotherapy
including
focused
distant gamma therapy
were treated with radioactive preparations: closed
short
1. _____________
2. _____________
3. ______________
4. _______________
open type
including: patients with non-oncological disease
5. _______________
6________________
2. Work of the physiotherapy department (office)
(4201)
Number of persons who completed treatment - total
1
including in polyclinic and at home
2
out of the total number of treated persons, children up to 14 years inclusive
3
including in polyclinic and at home
4
Number of procedures performed - total
5
including: for outpatient patients in polyclinic
6
at home
7
3. Work of the therapeutic physical training office
(4301)
Number of persons who completed treatment - total
1
including in polyclinic and at home
2
out of the total number of treated persons, children up to 14 years inclusive
3
including in polyclinic and at home
4
Number of procedures performed - total
5
including: for outpatient patients in polyclinic
6
at home
7
4. Work of the reflexotherapy office
(4401)
Number of persons who completed treatment
1
Number of procedures performed
2
5. Work of the hemodialysis department
(4501)
Number of places for dialysis
1
Number of hemodialyses performed
2
6. Work of the hemosorption department
(4601)
Number of places in the department
1
Number of procedures performed
2
7. Work of the hyperbaric oxygenation department
(4701)
Barochamber - total
1
including operational
2
Number of sessions performed
3
8. Logopedic assistance
(4801)
Number of patients who completed sessions with logopedists
1
including children up to 14 years inclusive
2
V. Work of the diagnostic department
1. X-ray work (including preventive examinations)
(5100)
Chest organs
Digestive organs
Bone-articular system
a
b
1
2
3
4
X-ray examinations
1
Performed: imaging
2
Radiography
3
Electroradiography
4
Diagnostic fluorography
5
Special examination (method)
6
(5101)
out of the total number of examined persons, examinations were performed on outpatient patients
1. _______________
(5102)
Number of dental radiographs
1. _______________
Mammographies
2. _______________
(5103)
out of the number of special examinations, the following were performed:
Angiography
1. _______________
Cholecystography
2. _______________
Urography
3. _______________
Computed tomography
4. _______________
Conventional tomography
5. _______________
Examination of genitalia
6. _______________
Salpingography
7. _______________
(5104)
Chest fluorography total
1. _______________
including children up to 14 years inclusive
2. _______________
2. Ultrasound examinations
(5201)
Number of examinations of the cardiovascular system
1. _______________
of abdominal organs
2. _______________
of female genital organs
3. _______________
including during pregnancy
4. _______________
of newborns and children of early age
5. _______________
of mammary glands
6. _______________
of thyroid gland
7. _______________
of bone-articular system
8. _______________
Doppler examination of peripheral vessels
9. _______________
Echoscopy of the brain
10._______________
Functional biopsy and drainage by ultrasound beam
11. ______________
Intraoperative ultrasound examination
12. ______________
Nuclear-magnetic resonance tomography
(5202)
Number of departments (offices)
1. ______________
Number of examinations performed
2. ______________
3. Work of the remote-diagnostic office
(5301)
Number of remote-diagnostic offices
1. ______________
Number of examinations performed
2. ______________
4. Work of the radioisotope diagnostics laboratory
(5401)
Radio-diagnostic examinations performed
1. ______________
including scanning
2. ______________
Functional examinations
3. ______________
5. Work of endoscopic departments (offices)
(5501)
Name
Line No.
Total
including
esophago-gastro-duodenoscopic
colonoscopic
bronchoscopic
a
b
1
2
3
4
Endoscopic examinations total
1
including therapeutic procedures
2
out of the total number of examinations (line 1) with collection of cytomorphological material
3
6. Work of the laboratory
(5600)
Name
Line No.
Number of analyses performed
Total
including
hematological
cytological
biochemical
microbiological
immunological
a
b
1
2
3
4
5
6
Total
1
including outpatient patients (including patients at home)
2
(5601)
out of the number of analyses:
biochemical (from gr.4)
for hormones
1.
for enzymes
2.
for indicators of the coagulation and anticoagulation system
3.
for salt-water metabolism
4.
bacteriological examinations of material for tuberculosis bacilli excretion (from gr.5) bacterioscopy
5.
inoculation
6.
Examinations for diphtheria
7.
Inoculation
8.
Examinations for meningococci - microscopy
9.
Inoculation
10.
Examinations for malaria - microscopy
11.
Complex of serological (from gr.6) reaction
12.
Special reaction for sero- and liquor diagnosis of syphilis
13.
7. Work of the functional diagnostics office
(5701)
Number of examined persons - total
1.
Thereof in polyclinic and at home
2.
Of the total number of examined - children up to 14 years inclusive
3.
Thereof in polyclinic and at home
4.
Total examinations conducted
5.
Thereof for outpatient patients in polyclinic
6.
At home
7.
8. Work of the pathoanatomical service (department)
(5800)
Name
Line No.
Died
Total
Thereof in inpatient
a
b
1
2
Number of pathoanatomical examinations of the deceased
1
Thereof - children 0-14 years inclusive
2
Newborns (aged 0-6 days)
3
Children who died at the age of 7 days, 11 months and 29 days
4
Stillborns
5
Newborn born at 22 - 27 weeks of gestation: alive
6
Stillborn
7
(5801)
1.
Thereof independent polyclinics (outpatient clinics)
2.
Pathohistological examination of sectional material
3.
Number of patients who underwent pathohistological examination of biopsy material with indication of the number of blocks
4.
Thereof from polyclinics (outpatient clinics)
5.
Number of patients who underwent pathohistological examination of surgical material with indication of the number of blocks
6.
Thereof from polyclinics (outpatient clinics)
7.
Number of additional examinations conducted, total
8.
Thereof: histochemical
9.
immunohistochemical
10.
ultrastructural
11.
other
12.
VI. Work of the anti-rabies office (anti-rabies vaccinations)
(6100)
Name
Line
No.
Number of persons who applied for anti-rabies assistance
Received prescription for vaccination
Received anti-rabies immunoglobulin prophylaxis
Of the number of vaccinated (col.2)
Received conditional course of vaccinations
Unconditional course of vaccinations
Independently discontinued vaccinations
a
b
1
2
3
4
5
Total
1
VII. Computer provision
(7100)
Name
Line No.
IBM PS
Thereof
AT-386
AT-486
PENTIUM
a
b
1
2
3
4
Total
1
b. a.
Head
"________"
_________________
200 year
Surname of executor, telephone number
Departmental statistical observation
[The data submitted by you are confidential
in accordance with the Law of Georgia "On Statistics"]
Form IV-01/1
(annual)
Approved by Order No. of the year of the Minister of Labour,
Health and Social Protection of Georgia
Agreed with the State Sub-Departmental Institution of the Ministry of Economic Development of Georgia -
Department of Statistics by letter 3/1-03/02 of 02.02.2005
Financial report of the medical-prophylactic institution
Submitted by: medical-prophylactic institutions.
By order of the Ministry of Labour, Health and Social Protection of Georgia, by 10 April of the reporting year.
Name of respondent (enterprise and other)
Actual address
Form of ownership (state or non-state)
Organizational-legal form
Main type of economic activity
Telephone X X X X X X X X X X
(code)
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Observation period – 200...... year
1. Information on the number of staff units and remuneration
(1103)
Name
Line
No.
Total
Thereof
physicians
secondary medical personnel
junior medical personnel
other remaining personnel
a
b
1
2
3
4
5
Average annual number of staff units: planned
1
actually
2
Average annual number of natural persons
3
Labour remuneration fund planned (in thousand GEL)
4
actually (in thousand GEL)
5
Line 5, column 1 shall be filled in according to the data of line 16 of form No. 03, annex to the balance sheet
2. Information on income and expenses of the medical institution
(1104)
Income
Line
No.
On the basis of contract
Actually received funding (in thousand GEL)
Debt
Expenses (in thousand GEL)
Thereof expenses for medicines
Result (in thousand GEL)
Amounts transferred to the budget and funds including income tax
Balance sheet profit
Loss
Plan (in thousand GEL)
Actually incurred cost of medical services (in thousand GEL)
Total
Thereof coverage of debt of the previous period
Reporting year (in thousand GEL)
Cumulative total (in thousand GEL)
a
b
1
2
3
4
5
6
7
8
9
10
11
1. Under the state programme
1
X
X
x
x
x
Thereof: State Medical Insurance Company
2
X
X
x
x
x
Public health programmes
3
X
X
x
x
x
Other health programmes
4
x
X
x
x
x
2. Health programmes of law enforcement structures
5
x
x
x
x
x
3. Municipal programmes
6
x
x
x
x
x
4. Internal standard *)
7
x
x
x
x
x
5. Other income
8
x
x
x
x
x
Thereof: from the central budget
9
x
x
x
x
x
from the local budget
10
x
x
x
x
x
humanitarian aid
11
x
x
x
x
x
grant
12
x
x
x
x
x
Total
13
*) The programme of assistance to the indigent, which is financed under the internal standard by the State Medical Insurance Company, shall be shown
in the line of the State Medical Insurance Company (line 2)
Line 13, column 3 - shall be filled in according to the data of line 9 of form No. 03, annex to the balance sheet
Line 13, column 7 - shall be filled in according to the data of line 25 of form No. 03, annex to the balance sheet
Line 13, column 10 - shall be filled in according to the data of line 26 of form No. 03, annex to the balance sheet
Line 13, column 11 - shall be filled in according to the data of line 24 of form No. 03, annex to the balance sheet
(1105) 3. Information on fixed assets of medical institutions
Line
Quantity
a
b
1
1. Residual balance sheet value of fixed assets at the beginning of the year
1
2 Fixed assets received
2
l.y. By centralized procedure
3
From own income
4
Humanitarian
5
Grant
6
From the local budget
7
3. Written-off fixed assets
8
4. Balance at the end of the year
9
5. Occupied land area
10
----------------------- Head ------------------------------ Accountant
“------“------------ 200 year
-----------------------------------------------------------------------
Surname of the executor, telephone number
Departmental statistical observation
[The data submitted by you are confidential
in accordance with the Law of Georgia “On Statistics”]
Agreed with the State
Sub-departmental institution of the Ministry of Economic Development
– with the Department of Statistics
by letter No. 3/1-03/02 of 02.02.2005
Form IV-03
(annual)
Approved by Order No. of the Minister of Labour, Health and Social Protection of Georgia
Report on cases of communicable diseases subject to annual reporting
Submitted by: medical-prophylactic institutions.
Within the time period determined by order of the Ministry of Labour, Health and Social Protection of Georgia.
Name of the respondent (enterprise and others)
Actual address
(code)
X
X
X
X
X
X
X
X
X
X
X
X
Form of ownership (state or non-state)
Organizational-legal form
Main type of economic activity
Telephone
Observation period – 200...... year
Disease
ICD-
10ko
di
38 continues for more than 5 days)
R - 50.0; 50.1; 50.9.
X
X
46.
Radiation injuries
W88; 91
X
X
X
47.
Acute occupational poisonings
Z 57.4 -57.5
X
X
48.
Unusual post-vaccination reactions and complications
Y 58 – 59; 64.1
X
X
49.
Nosocomial infections
Y 95
X
X
50.
Isolation of vancomycin-resistant staphylococci
ICD-10 code does not correspond
X
X
X
51.
Severe acute respiratory syndrome
X
X
X
52.
Acute infectious disease. Lethal cases
X
X
53.
Contact with animals (risk of rabies)
X
54.
Group case of infectious disease**
X
X
* ______________________
indicating any identified pathogen
3. Any group case of an infectious disease (except acute respiratory infections and influenza) is also subject to urgent notification. A group disease shall be considered to be 3 or more cases among which there is an epidemiological link or which are detected in a limited/confined geographical area during the period corresponding to the incubation period of the disease. In such a case, one notification card shall be filled out indicating the group case. It shall be accompanied by a list of cases indicating the personal ID number, age and address.
4. In the case of clinical or laboratory diagnosis of particularly dangerous infections subject to international regulations or infections equated thereto, notification shall be made immediately. These diseases are:
1. Plague;
2. Cholera;
3. Yellow fever;
4. Haemorrhagic viral fevers:
4.1 Crimean-Congo haemorrhagic fever;
4.2 Hantavirus infection (haemorrhagic fever with renal syndrome);
4.3 Unspecified viral haemorrhagic fever.
5. Tularaemia;
6. Anthrax;
7. Rabies (rabies in humans);
8. Severe acute respiratory syndrome;
9. Smallpox;
Tick-borne encephalitis
10. A84.0; 84.1; 84.8; 84.9;
5. When transmitting urgent notification of outbreaks at various levels of public health by telephone message, it is permissible for information to be transmitted in brief form (without indicating surname and name), indicating the diagnosis, number of cases, age groups, and required assistance.
6. Information on urgent notification shall be transmitted by any available means (telephone, fax, e-mail, card).
7. In the case of detection of food poisoning related to a public catering facility, acute occupational poisoning, radiation injury and group diseases, the district SJC shall immediately notify the State Inspectorate for Sanitary Control and Supervision and the regional department of the Ministry of Labour, Health and Social Protection thereof.
8. In accordance with paragraph 4.5 of Decree No. 70 of the President of Georgia (28 January 1997), in all cases of diagnosis of rabies in a human, notification shall be immediately transmitted to the veterinary service in order to carry out appropriate measures.
9. Notification shall also be immediately transmitted to the veterinary service upon diagnosis of any zoonotic infection in humans (e.g. anthrax, brucellosis, etc.).
Article 9. Emergency notification card (Form No. 58/1)🔗
1. Emergency notification card No. 58/1 (in a uniform format) shall be used at all levels of the healthcare system. It shall be filled in by:
a) a medical person who has suspected or detected a clinical (presumptive) or confirmed case of any of the above-listed diseases;
b) public health centres, which must send information to the upper levels of the public health epidemiological surveillance system.
Confidential
Emergency notification card - No. 58/1
1. Place of sending the notification ____________________ (institution)
Case detected by (by whom)
_____________________________________ (surname, position,)
Notification sent by (by whom)
____________________________________ (surname, position, institution)
_______________________________ (signature)
Date:
/ / /
day month year
Time:
Sender's registration number
in 60/A or 60/B (strike out as appropriate)
2. Surname
Name
Father's name
3. Sex: male --- female ------
4. Age (for children under 15 years of age indicate the date of birth)
5. Address city/village
district
street, house, apartment No.
6. Name and address of workplace/educational/children's institution
7. Diagnosis:
8. Dates ---
onset of disease
first visit to medical institution
9. Where the patient is currently located
a) in hospital _____________________ (indicate which one)
b) at home _____________________ (indicate exact address)
c) other ___________________________________________
10. Additional data (including potential source of infection, cluster)
2. The data required for filling in the emergency notification card shall be derived from medical histories and the register of infectious diseases (60/A or 60/B). The emergency notification may be effected by telephone message. The information transmitted must correspond to the structure of the emergency notification card; in such case it is not necessary to additionally send the paper version of the card.
3. In large institutions where cases are detected by many different doctors, every doctor shall be obliged to fill in the emergency notification card immediately upon detection of the case. In such institutions it is recommended that the sending of notifications be assigned to one responsible person (e.g. a nurse), who shall collect the individual notifications from all practising doctors and then ensure their transmission to the district PSC in a consolidated manner.
4. In the event of a change of diagnosis, the card must be filled in and sent again, where in box 7 – "Diagnosis" – the new diagnosis shall be entered, indicating that it has changed (regardless of whether the changed diagnosis is subject to emergency notification, e.g. a somatic disease).
Article 10. Laboratory confirmation/notification card (Form No. 58/2)🔗
1. The laboratory confirmation/notification card for communicable diseases No. 58/2 (in a uniform format) shall be used:
a) by laboratories, regardless of their subordination and type of ownership;
b) by public health centres, which shall send information to the upper levels of the public health epidemiological surveillance system.
2. Laboratories that detect/confirm a case of a disease subject to urgent notification (from the list given above) shall be obliged to notify the local public health service of the case urgently (on the same working day, in any event within no later than 24 hours of detection).
3. Notification shall be made by the person responsible for the laboratory response result by means of the standard "Communicable Disease Laboratory Confirmation/Notification Form" (No. 58/2). If notification is made by telegram, the information transmitted must correspond to the structure of the form. (In such a case, the receiving person shall record the information in journal 60/B).
4. In the case of a negative response, sending a notification to the SSC is not required.
5. When during a single episode of a disease more than 1 type of specimen is taken from a patient, or more than 1 test is performed, a single notification card shall be sent, indicating the names of all materials and the test upon which a positive result was obtained.
Confidential
Communicable
Disease
Laboratory
Confirmation
/
Notification
Form
No.
58/2
1. Place of sending the notification ______________________________________ (institution)
The case was detected by:
______________________________________________ (full name, position)
The notification was sent by:
____________________________________________ (full name, position, institution)
____________________________________________ (signature)
Date:
/ / /
day month year
Time:
Surname IName IFather's name I Age I Sex I
Address [house#; street; city(village); country] ITel: I Date of specimen collection [day/month/year]
_____/______/______
ÌÏÌÀÒÈÅÀ
( ÈÅÉÈÌÏÌÀÒÈÅÀ
( ÄØÉÌÉ
( ÓÀÌÄà ÃÀßÄÓ./ÓãÝ
( ËÀÁÏÒÀÔÏÒÉÀ
( ÓáÅÀ_________
ËÀÁÏÒÀÔ-ÛÉ ÂÀÌÂÆÀÅÍÉ ÃÀßÄÓÄÁÖËÄÁÉÓ ÀÍ ÄØÉÌÉÓ ÓÀÊÏÍÔÀØÔÏ ÉÍ×ÏÒÌÀÝÉÀ:
ÃÀÓÀáÄËÄÁÀ (Â.Ó.)______________________________________
ÌÉÓÀÌÀÒÈÉ: ___________________________________________
ÔÄË: ___________________________________
×ÀØÓÉ: ___________________________________
ÄË-×ÏÓÔÀ: ___________________________________
ËÀÁÏÒÀÔÏÒÉÖËÉ ÊÅËÄÅÉÓ ÛÄÃÄÂÉ (ÂÀÌÏÌßÅÄÅÉÓ ÂÀÌÏÚÏ×ÉÓÀÓ ÌÉÖÈÉÈÄÈ ÐÀÈÏÂÄÍÉ):
ÌÀÓÀËÉÓ ÃÀÓÀáÄËÄÁÀ
ÓÉÓáËÉ
ËÉØÅÏÒÉ
ÂÀÍÀÅÀËÉ
ÛÀÒÃÉ
ÍÀáÅÄËÉ
ÓáÅÀ _____
ÍÀÝáÉ:
áÀáÉÓ
ÝáÅÉÒ-áÀáÉÓ
ÓÀÛÏÓ
ÐÉÒÉÓ ÙÒÖÓ
ÊÀÍÉÓ
ÈÅÀËÉÓ
ÓáÅÀ _______
ÜÀÔÀÒÄÁÖËÉ ÔÄÓÔÉ
( ÁÀØÔÄÒÉÏËÏÂÉÖÒÉ
( ÅÉÒÖÓÏËÏÂÉÖÒÉ
( ÐÀÒÀÆÉÔÏËÏÂÉÖÒÉ
ÓáÅÀ _____
( ÓÄÒÏËÏÂÉÖÒÉ (ÌÉÖÈÉÈÄÈ)
_______________________
( ÉÌÖÍÏËÏÂÉÖÒÉ (ÌÉÖÈÉÈÄÈ)
_______________________
( ÌÉÊÒÏÓÊÏÐÉÖËÉ
( äÉÓÔÏËÏÂÉÖÒÉ
( ÌÏËÄÊÖËÖÒÉ
Article 11 Monthly summary notification (Form No. 58/3)🔗
1. Monthly summary notification shall be carried out by medical institutions. Based on the information reflected in the N60/A registration journal for the diseases listed below, medical institutions shall provide notification monthly to the public health district centres by no later than the first day of the following month.
In the event that not even a single case of a specific disease has been registered by a medical institution during the given reporting period, "0" must be entered in the column "Total" next to the respective disease (instead of leaving an empty space), which distinguishes "incompletely recorded cases" from "absence of cases".
Article 12. Notification of HIV infection/AIDS (Form No. 58/4)🔗
1. In the event of confirmation of HIV infection/AIDS, the confirming institution shall be obliged, within 72 hours after the final confirmation, to notify, in the form of a special notification, the public health service in whose territory the person actually resides.
Confidential
Special notification card for HIV infection/AIDS – No. 58/4
Place of sending the notification
_____________________________
(district, institution)
Registration number
60/A
The notification has been sent (by whom)
_______________________________
(full name, position, institution)
________________________________
(signature)
________________________________
Contact address, tel., fax, e-mail
Data on the patient:
Sex:
(cross out)
Female
Male
Unknown
Age group (cross out)
0-1
1-4
5-14
15-19
20-29
30-59
60+
Unknown
Diagnosis: Date of diagnosis: day, month, year
2. The form shall be filled in individually for each confirmed case and sent by any available means: mail, courier, e-mail, telephone, fax, etc., in accordance with the general rule for sending urgent notifications.
3. The personnel of the public health centre receiving the notification shall register the case and use the data for situational analysis. They shall not have the right to request additional information about the HIV-infected/AIDS-affected person from the sending institution.
4. The district/regional public health centre shall conduct the epidemiological investigation of an HIV infection/AIDS case only within the framework of a state programme order (special assignment), in compliance with the existing legislation.
Article 13. Notification of tuberculosis cases (Form No. 58/5)🔗
1. Tuberculosis cases shall be subject to quarterly routine aggregated notification (Form No. 58/5) by the referring specialised institution, according to the patients' actual place of residence, to the district public health centre.
2. The public health centre receiving the notification shall register the aggregated data and use them for situational analysis.
Summary notification of tuberculosis cases, Form 58/5
Place of sending the notification:
District (city) -------------------------------- Institution------------------------------------------
The notification has been sent (by whom):
--------------------------------------- Institution-------------------------------------
(full name, position)
Date of completion ----------------------------------------- 200---------year
1 Pulmonary tuberculosis
New cases
Total registered
Total
0-4
5-14
15-24
25-34
35-44
45-54
55-64
65 +
0-4
5-14
15-24
25-34
35-44
45-54
55-64
65 +
M
F
MBT (+)
MBT (-)
Bacterioscopy
Without copy
2 Extrapulmonary tuberculosis
Tuberculous meningitis
Bone-
joint tuberculosis
Urogenital tuberculosis
Tuberculous pleurisy
Tuberculosis of lymphatic nodes
Tuberculosis of other organs
Miliary tuberculosis
Total
M
F
New
Total registered
Note: * This form shall be filled in by a level I, II, III anti-tuberculosis institution (polyclinic, anti-tuberculosis office, tuberculosis dispensary) and submitted to the district public health service (quarterly)
Person responsible for completion ------------------------ Signature ------------------------------
Article 14. Monthly reporting🔗
1. Monthly reporting shall be carried out by the district public health centres. The monthly report form IV-03/1 contains aggregated numerical data on both the notifiable diseases subject to urgent notification and the monthly notification for certain notifiable diseases (e.g. influenza, g.r.c. infections, amoebiasis, etc.). Data aggregation shall be carried out from the monthly notification form 58/3 submitted by medical institutions. A working book shall be used for data aggregation.
2. All cases whose infection occurred in the territory of a given district shall be included in that district's report. Accordingly, a case that was only detected in another district shall not be included in the report of the district of detection.
3. Monthly reports shall be prepared in accordance with the form presented below and sent to the regional public health centres in 2 copies no later than the 5th day of the following month.
4. In the event that not even a single case of a specific disease has been registered by a medical institution during the given reporting period, the corresponding column for the relevant disease under "Total" shall indicate "0" (instead of leaving an empty space). This distinguishes "incompletely recorded cases" from "absence of cases".
5. A group of nosologies, for example "other bacterial intestinal infections" – A04, unites various diseases. If during the reporting period there were cases of esherichiosis and yersiniosis, as well as other bacterial intestinal infection united by A04, then in the corresponding column – other bacterial intestinal infections – their total number shall be indicated.
6. In the statistical forms of the monthly report, cases that have not yet been finally classified shall be indicated. The diagnosis may change after receiving additional laboratory or epidemiological information. In such a case, the reports of the previous month shall be corrected.
7. Together with the monthly report form, the district public health centre shall send to the regional public health centre, in 2 copies, the case/outbreak epidemiological investigation reports in cases of the specified diseases/conditions subject to urgent notification, and the anti-rabies work report in the standard form.
8. One copy of every statistical report shall remain on site.
9. Of the 2 copies of the monthly reports received from the district public health centres, one shall be sent to the DKSSEC. Along with this, the information received through the report forms shall be entered into the electronic database, an aggregated report for the entire region shall be prepared (with the same structure) and sent to the DKSSEC by the 7th day of the following month.
Article 15. Annual reporting🔗
1. Medical institutions shall not be required to send annual reports. The regional and district public health centres shall report according to form IV-03 through the same procedures indicated in the monthly reporting section (data shall be summarised from the monthly notification submitted by medical institutions. Working books are provided for data summarisation).
2. Rules for completing the monthly summary notification (form N58/3) and the reporting forms (monthly, annual)
a) columns "3-9" – indicate the number of cases recorded in the reporting month/year by age groups;
b) column "10" – indicate the total number of cases, which shall coincide with the sum of the numbers indicated in columns 3-9;
c) column "11" – indicate only the number of cases that are tested in a laboratory;
d) column "12" – indicate only the number of cases that are confirmed in a laboratory;
e) column "13" – indicate the total number of "confirmed" cases (laboratory or epidemiological link), which corresponds to the final classification of cases in accordance with the standard definitions.
Article 16. General provisions🔗
1. The purpose of data analysis is:
a) identification of the causes giving rise to problems;
b) finding the most adequate ways of solving problems;
c) identification of trends;
d) assessment of the quality of disease prevention and control measures/programmes
e) for interim and long-term periods;
f) forecasting of the epidemiological situation for a short-term or long-term period;
g) determination of high-risk areas;
h) identification of high-risk contingents.
2. The essence and scope of the analysis is determined by:
a) the level of the public health system (where the analysis is carried out);
b) the nature of conducting the analysis: routine (monthly or annual) or emergency (e.g. during an outbreak).
3. A high-quality analysis requires the existence of complete and accurate epidemiological surveillance data.
4. Data analysis is usually carried out by time (e.g. multi-year or monthly trend), place (e.g. subordinate district or institution), demographic and medico-biological characteristics (e.g. age group, sex, immunisation status).
5. Data analysis is carried out at all levels of public health, with varying scope and periodicity.
Article 17. Emergency analysis🔗
1. Emergency analysis (during disease outbreaks) is carried out on an extraordinary basis by the SSC upon detection of cases that are subject to emergency notification by the district SSC at the regional and central levels (see Table 1. Diseases subject to emergency notification and notification rules) and includes: determination of the causes of fatal outcome (if such occurred), grouping of diseases and fatal cases (taking into account the characteristics of the diseases/conditions): by date of onset, territorial distribution (usually represented on a map, in a table or by histogram), by age groups, sex, immunisation status, organisation (workplace, educational institution, kindergarten), the level of attendance therein and other known risk factors.
2. The emergency analysis is drawn up in written form, kept on site for 5 calendar years and submitted to the superior requesting organisation in accordance with the applicable legislation and the request.
3. The table below presents the list of types of emergency analysis for each level:
Types of emergency analysis of epidemiological surveillance data
Purpose
Time period
Institu-tion
District/region SSC
Causes of fatal cases (if such occurred)
Establish what deficiencies exist in the process of disease prevention and control
As quickly as possible (within 12-72 hours)
X
X
Grouping of cases by date of disease onset
Establish the area of spread of the disease and the expected time of detection of possible cases, determine the outbreak;
assess incubation periods;
identify carriers of the infection;
verify diagnoses;
determine areas/groups of people at risk.
Upon receipt of emergency notification of cases and when investigating an outbreak
X
Distribution of disease or fatal cases by areas or representation on a map
X
Distribution of disease or fatal cases by age groups, sex*, immunisation status*, place of organisation (workplace, educational institution, kindergarten)*, level of attendance therein*
For the given disease, establish who is at the highest risk and determine potential risk factors
X
* Taking into account the characteristics of the diseases/conditions.
Article 18. Routine analysis🔗
1. Routine analysis – is carried out at all levels of the public health system and relies on the submitted data (monthly and annual report forms, f. 58/1, 58/2, 58/3, 58/4, 58/5, journals 60/A, 60/B, and others).
2. The table below presents the list of types of routine analysis for each level:
Types of routine analysis of epidemiological surveillance data
Purpose
Time period
Medical institution
District PHS
Regional PHS
Case fatality rates,
to determine what deficiencies exist in the process of disease prevention and control
annually
annually
monthly
Disease trends over time
to determine short-term and long-term trends in the spread of diseases
annually
(for those medical institutions that serve more than 5000 people)
once every 6 months,
annually
once every 6 months,
,
annually
Distribution of disease or fatal cases/rates by territory
to identify high-risk territories/locations, with the aim of identifying the population at risk
once every 6 months,
,
annually
once every 6 months,
,
annually
Distribution of disease or fatal cases/rates by age groups and immunisation status
to identify high-risk groups of the population for the given disease and potential risk factors
once every 6 months,
,
annually
once every 6 months,
d,
annually
Morbidity/incidence per 100,000 population, determination of specific indicators (age-sex-vaccination status-workplace and others)*
to identify high-risk groups of the population for the given disease and the main risk factors for the given disease
once every 6 months,
,
annually
once every 6 months,
,
annually
Proportion of laboratory-confirmed cases, case confirmation rates
assessment of the capacity of laboratories (laboratory diagnostics) and clinical diagnosis, determination of the completeness of the epidemiological surveillance system and determination of progress in disease elimination
once every 6 months,
annually
once every 6 months,
annually
Vaccine effectiveness (for vaccine-preventable diseases)
low effectiveness of vaccines requires identification of possible causes
annually
Timeliness of reporting
identification of those institutions that fail to ensure timely reporting
monthly
monthly
Completeness/accuracy of reports
identification of the source of poor-quality reports
monthly
monthly
Case/outbreak investigation indicator
conducting monitoring by the PHS for the purpose of assessing the requirements of outbreak investigation and identifying possible barriers
quarterly,
annually
quarterly,
annually
Case forecasting
determination of short-term and long-term prospects
annually
annually
* taking into account the characteristics of diseases/conditions.
3. Routine analysis is drawn up in written form, kept on site for 5 calendar years and submitted to the superior requesting organisation in accordance with the applicable legislation and the request.
4. Diseases targeted for elimination (e.g. poliomyelitis) require routine analysis of additional information determined by the WHO. As a rule, such analysis relies on the epidemiological investigation of each case, is carried out by national experts and requires the provision of additional information to the NCDC in accordance with the request.
Article 19. Methods of analysis (causes of death)🔗
1. Ensures that the public health services carry out appropriate measures in the future for the purpose of preventing fatal cases. The analysis of causes of death caused by infectious diseases includes the review of information about cases (medical history, notification, records of journals 60/A and 60/B) and the prevention of the following possible cases.
Causes of death
Public health measures
1. The patient sought medical attention at a medical institution too late
Raising the level of awareness of society/the population in matters of health and medical services, explaining the harm of self-treatment and rejecting it
2. The diagnosis was made in a timely manner, but treatment was not carried out
Ensuring compliance with standard disease management schemes,
taking measures against "unofficial" treatment
3. The diagnosis was made in a timely manner, but treatment was delayed
(medicines are unavailable and their timely supply did not occur)
Proper provision of medicines,
informing practitioners that improper communication and cooperation may become the cause of a patient's death
4. Inadequate treatment was carried out (due to an incorrect diagnosis or other reasons)
Improving the knowledge of medical personnel
5. There was resistance to medicines
Updating standard case treatment schemes
6. Ineffective vaccination
Determination of vaccination effectiveness, assessment of compliance with cold chain and vaccination rules
Article 20. Methods of Analysis (Case Fatality Rate)🔗
1. It is an indicator of the severity of a disease and at the same time indirectly indicates the adequacy of case detection and management.
2. Currently in Georgia, due to the improvement of disease control, cases of fatality associated with infectious diseases are few. Accordingly, determining the said indicator is meaningful only at the regional or country level.
3. An increase in the case fatality rate is the basis for reviewing the accessibility of healthcare services, timely treatment, and standard treatment regimens.
Article 21. Methods of Analysis (Morbidity/Incidence Trends)🔗
1. Routine monitoring of morbidity shall be carried out in all public health centres and in those medical institutions that serve 5,000 or more people.
2. Monitoring is usually carried out by the physician(s) who are directly involved in the process of disease detection and treatment, by epidemiologists (NCDC) or statisticians. The data are regularly checked by the chief physician/head of the institution and, for the purpose of decision-making, transmitted in any form to the healthcare heads of the given territory and to other persons interested in the said information in accordance with the existing legislation.
Article 22. Methods of Analysis (Breakdown of Disease/Fatal Cases/Indicators by Territory)🔗
1. Analysis of data by territory provides information on the location of disease cases and makes it possible to determine the causes of the spread of infection (if such occurred). Routine analysis by territory is usually carried out by the NCDC, however, during disease outbreaks it is recommended that individual healthcare institutions carry out such analysis using local maps and mark the places that may be important for the given disease (e.g., schools, markets, water supply systems).
Article 23. Methods of Analysis (Breakdown of Disease/Fatal Cases/Indicators by Age Groups and Immunization Status)🔗
1. Such analysis determines the high-risk group and identifies certain risk factors.
2. With this information, the manager determines the form of response (e.g., improvement of vaccination coverage or preventive educational activity).
Article 24. Methods of Analysis (Morbidity/Incidence by Age-Sex-Immunization Status-Organized Setting and Other Specific Indicators)🔗
1. Incidence enables public health workers to:
a) carry out monitoring of a disease over a defined period of time in different territories;
b) determine groups of people at high risk and identify potential risk factors for the given disease (in this case, sex, age and other characteristics important for the given population group).
2. For a more detailed and clear characterization of the epidemic process, it is sometimes necessary to use more refined indicators, which make it possible to determine specifically which group of the population was affected. The population may be divided into groups by: age, sex, occupation, organized setting, immunization status, and others.
3. Determination of specific morbidity indicators by age, occupation and other factors is possible only if reliable statistical data on the denominator (the size of the specific population group) are available.
Article 25. Methods of Analysis (Case Confirmation Indicators, Proportion of Laboratory-Confirmed Cases)🔗
1. In an effectively functioning epidemiological surveillance system, the disease confirmation rate is higher than 70-80%. For diseases in the elimination phase (polio, measles), this indicator will presumably reach 100%.
2. According to case definitions/case classification, a case is considered confirmed if it is confirmed by means of a laboratory test specific for the given disease and/or an epidemiological link of this case to another laboratory-confirmed case has been established.
3. The proportion of lab-tested and lab-confirmed cases is determined separately. Their comparison (the proportion of confirmation of lab samples) makes it possible to identify improperly functioning medical institutions/laboratories or districts, the potential causes of unsatisfactory performance, and to plan measures to remedy the situation.
Article 26. Analysis methods (vaccine effectiveness)🔗
1. The term "vaccine effectiveness" describes the ability of a vaccine to prevent a disease after vaccination.
2. The goal of vaccination – to prevent a disease – depends on its effectiveness and the proper management of the immunisation process. Since the effectiveness of vaccines is usually below 100% (in some people seroconversion does not occur at the initial stage, while in others immunity wanes rapidly), there will always be cases of the disease among the vaccinated. Field evaluations of vaccine effectiveness are very important, especially when vaccine effectiveness is called into question due to the spread of the disease among the vaccinated.
3. Monitoring this indicator allows for the determination of the long- and short-term prospects of immunisation.
Article 27. Analysis methods (timeliness and completeness/accuracy of reporting)🔗
A report is considered timely if it is received within the deadline established by the higher-level institution;
1. A report is accurate if it is filled out completely, the next-level institution has received explanations in accordance with the request (if necessary), and during verification by comparison with the institution's own records no discrepancy has been identified (e.g., urgent notification, results of case investigation, etc.).
Article 28. Analysis methods (case/outbreak investigation indicator)🔗
Case/outbreak investigation is conducted in accordance with the requirements of Table 1 (requirements for notification, reporting and epidemiological investigation by nosologies), which shall be updated as necessary by the NCDC.
1. If the investigation indicator is low (less than 90%-100%), the causes must be identified and corrective measures taken.
2. Such analysis must be conducted by the district PHS for the purpose of self-assessment.
Table 1 Requirements for notification, reporting and epidemiological investigation by nosologies
Table 2. Frequency and deadlines for submission of notification forms
Name of form
Frequency of submission, number of forms submitted
Deadline for submission
(no later than)
Place of
submission
All persons in medical practice
N58/1
Urgent notification card
Upon detection of a case; standard form (one copy) or relevant information by available means of communication
On the same working day or no later than 24 hours after detection
District
(city) PHS
Laboratory
N58/2
Form for laboratory confirmation/notification of communicable diseases
Upon detection of a case; standard form (one copy) or relevant information by available means of communication
On the same working day or no later than 24 hours after detection
District
(city) PHS
Medical institution
N58/3
Monthly summary notification
Once a month (one copy)
1st day of the following month
District
(city) PHS
N58/4
HIV/AIDS infection special notification card (by the confirming institution)
Upon detection of a case; standard form (one copy) or relevant information by available means of communication
No later than 72 hours after detection
N58/5
Summary notification of tuberculosis cases
Once a quarter (one copy)
1st day of the following month
District (city) PHS
N58/1
Urgent notification card and/or list of cluster cases (in case of cluster cases)
Upon detection of a relevant case; standard form (one copy) or relevant information by available means of communication
On a working day or no later than 24 hours after detection
Regional PHS
NCDC
N58/2
Form for laboratory confirmation/notification of communicable diseases
Upon detection of a case; standard form (one copy) or relevant information by available means of communication
On the same working day or no later than 24 hours after detection
Regional PHS
NCDC
Regional PHS
N58/1
Urgent notification card and/or list of cluster cases
Upon detection of a relevant case; standard form (one copy) or relevant information by available means of communication
On a working day or no later than 24 hours after detection
NCDC