Hospital discharges, all neoplasms

Albania

Ministry of Health.

Armenia

Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Armenia http://moh.am/?section=static_pages/index&id=625&subID=824,29.
Data collected annually, reference period: 31 December.

Belgium

Source: Federal Public Service of Public Health, Food Chain Safety and Environment. Health Care
Facilities Organisation (DGI), Minimal Clinical Data.

Bosnia and Herzegovina

Public Health Institute of Federation of B&H http://www.zzjzfbih.ba/ Public Health Institute of
Republic of Srpska: http://www.phi.rs.ba/
Law on Health Evidence and Statistical Research in Health-Federation of B&H
Law on Health Evidence and Statistical Research in Health-Republic of Srpska
Department for Health of Brcko District

Bulgaria

Before the year 2000, hospital discharges contained data from general hospitals only. Since the year
2000, data from Onco dispensaries and National Onco Center are added.

Croatia

Codes 140-208 (ICD-9).

Cyprus

General and rural hospitals, public sector only.

Czechia

Source: Institute of Health Information and Statistics of CR (IHIS CR), National Registry of
Hospitalized Patients. Deviation from the definition: Transfers of patients between departments
within a hospital are considered as a discharge. One-day hospitalizations included.

Denmark

From 1994 data excludes transfers to other departments of the same hospital, which was included in
earlier data.
Only patients discharged from public hospitals are included.
Source: National Patient Registry, National Board of Health.
From 1994 Denmark started using ICD-10.

Estonia

Source: Annual reporting, National Institute for Health Development. All malignant neoplasms.

Finland

Source: From 2005 the hospital discharge data is taken from the detailed hospital discharge data
reported separately to WHO. Due to the different coverage, data may not be completely comparable
with previous years.

France

Includes data for French overseas territories. Includes also military hospitals since 2009.

Georgia

Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (http://www.ncdc.ge)

Germany

The number of discharges includes deaths in hospitals, but excludes same-day separations and
transfers to other care units within the same institutions. Up to and including the reporting year
2002, data only include discharges in general hospitals and mental health hospitals. From reporting
year 2003, data include additionally discharges in preventive and rehabilitative hospitals, however
discharges of these institutions with less than 100 beds are not included. The years before 2003 are
therefore not comparable with the years following 2003. From the reporting year 2000, for the first
time, data have been collected according to ICD-10. Source: Federal Statistical Office, Hospital
statistics - diagnostic data of the hospital patients.

Hungary

Source until 2003: Center for Health Care Information (GYOGYINFOK). The data is the case number of
department discharges.
Source from 2004: National Institute for Strategic Health Research (ESKI) and the data is the case
number for hospital discharge, rather than case number for department discharge.

Iceland

Source until 1998: The Ministry of Health. Source from 1999: The Directorate of health. Based on
discharge data from all hospitals. Includes all discharges with a LOS of <90 days. Based on
main/principal diagnosis. When day of discharge is the same as day of admission the length of stay
is 1 day.
Break in series in 2008 due to the fact that data in the National Patient Discharge Register has
been updated /corrected

Ireland

Source: The data presented are derived from the HIPE (Hospital In-Patient Enquiry) data set, which
records data on discharges from all publicly funded acute hospitals. The Economic and Social
Research Institute (ESRI) is contracted by the Health Service Executive (HSE) to manage the HIPE
system. See http://www.esri.ie/health_information/hipe/.

Coverage:
HIPE data covers all in-patients and day cases receiving curative and rehabilitative care in
publicly funded acute hospitals in the State. HIPE data do not include private hospitals. It is
estimated that in excess of 10% of all hospital activity in Ireland is undertaken in private
hospitals.
The data coverage in HIPE exceeds 96%, i.e. overall approximately 4% of activity in publicly funded
acute general hospitals is missing from HIPE.

The definition of day case is a patient who is formally admitted with the intention of discharging
the patient on the same day, and where the patient is in fact discharged as scheduled (i.e.
excluding deaths and emergency transfers) on the same day. All other patients, including those who
are admitted or discharged as emergencies on the same day, are considered in-patients. In accordance
with WHO guidelines, day cases have been excluded from the data presented for discharges. This
definition is the same as that used in submission of data to the OECD and Eurostat. This ensures
consistency in HIPE data reported by international organisations.

Deviation from the definition: None

Break in time series:
Data for 1994-2004 were classified using ICD-9-CM. All HIPE discharges from 2005 are now coded
using ICD-10-AM (the Australian Modification of ICD-10 incorporating the Australian Classification
of Health Interventions). The change from ICD-9-CM to ICD-10-AM has resulted in some minor changes
in the classification of diagnoses and procedures. This means for certain categories comparisons of
data between years can be difficult. For more information on the introduction of ICD-10-AM in
Ireland see http://www.esri.ie/health_information/hipe/clinical_coding/classifications/.

Israel

Discharges from acute care hospitals. Source until 1993: based Diagnostic Statistics of
Hospitalizations, Central Bureau of Statistics and Ministry of Health. Source since 1994: based on
the National Hospital Discharges Database, Department of Health Information, Ministry of Health. Day
treatment cases are not included since 1994.

Italy

Source from 1997: Ministry of Health, National Database of Hospital Discharge. Data refer to all
public and private hospitals. Clinical data gathered in the hospital discharges database are coded
with the following versions: until 2005 with ICD9-CM version 1997, from 2006 to 2008 with ICD9-CM
version 2002, since 2009 with the ICD9-CM version 2007.

Kyrgyzstan

Note: In 2013, the growth in the number of hospital discharges, all cancers was due to the increase
in discharges from tertiary level health organizations (National Cancer Center) due to increased
referrals of patients from regions for further diagnosis.

Latvia

Statistical data includes patients who either returned home or died, and excludes those who were
transferred to another inpatient facility.

Lithuania

Source: Up to 2000:Lithuanian Health Information Centre (LHIC), annual report data. From 2001:HI HIC
data from Compulsory Health Insurance Database (coverage 98% of all discharges). Coverage: Data
excludes: nursing patients, day cases.

Luxembourg

Total number of patients admitted in all hospitals during the given calendar year with the principal
discharge diagnosis falling into the chapter II of ICD-10. Source since 1998: Rapport general de
l'IGSS. Annual report of the General Inspection of Social Security.

Malta

Figures quoted since 2000 include discharges from the main public acute hospitals (SLH). Source:
Hospital Activity Analysis (HAA) which has a 75-80% response rate.
NB: Measures to improve response rate have been implemented successfully in 2003, therefore higher
figures. Hospital activity figures for 2006 are extracted from the combined HAA figures from the 2
main state hospitals: St. Luke's Hospital and Gozo General Hospital.

Montenegro

Source: Institute of Public Health.

Netherlands

Source: Hospital Discharge Register (HDR) of Dutch Hospital Data. The HDR covers only short-stay
hospitals. The hospitals included are all general and university hospitals and specialty hospitals
with the exception of epilepsy clinics and long-stay centres for rehabilitation and asthma
treatment. Discharges in Dutch hospitals of non-residents of the Netherlands are excluded. From 2005
onwards the HDR in the Netherlands suffers from a substantial degree of non-response. The
non-response (as a percentage of all discharges) increased from 1% in 2004 to 3% in 2007. Therefore
the figures were raised by imputation of data for the non-responding hospitals. This results in less
accuracy of the figures from 2005 onwards.

North Macedonia

Source: 10 Centers for Public health for 2008, 2009 and 2010

Poland

For 1980-1996 data estimated from 10% random sample. Since 2003 all discharges have been recorded.
In 2003-2004 total number of patients was estimated to adjust for missing data. Since 2005 data have
been reported as they are (data from ca. 90% of the general hospitals are available). Source:
National Institute of Public Health - National Institute of Hygiene.

Portugal

Source of data: Ministry of Health ? Central Administration of Health System (ACSS). Coverage: Only
the hospitals that belong to the National Health Service (NHS) on the mainland are included. The
data from the hospitals located in the autonomous regions of Azores and Madeira, and the private
hospitals are not included.

Republic of Moldova

Up to 2003 only malignant neoplasms are included (C00-D09). From 2004 all neoplasms are included.

Serbia

Source: Institute of Public Health of Serbia, Hospital discharge reports.

Slovenia

Institute of Public Health of the Republic of Slovenia, Ljubljana 1996

Spain

Source: National Statistics Institute. Hospital Morbidity Survey. Data collected from all hospitals
(public, private, army). Currently the sample covers 85% of all hospitals and 91% of hospital
discharges. A hospital discharge includes one night stay or more in a hospital. The length of stay=0
is not included. For period 1980-2000 ICD-9 coding used. From 2001 the ICD-9 Revision CM is
applied.(www.ine.es/)

Sweden

ICD-10: C00-D48 Source: The National Patient Register, NBHW.

Switzerland

The data is restricted to inpatient cases (exclusion of day cases). Source of data: FSO Federal
Statistical Office, Neuchatel; Medical Statistics of Hospitals; yearly census.
Coverage: Full coverage of hospitals; sufficient (nearly full) coverage of inpatient and day cases
since 2002. Due to a modification of the legislation, day cases are not collected in 2009 anymore.
Deviation from the definition:
Estimation method: Discharges without a valid ICD-code are not accounted for (negligible).
Break in time series: The gradual change of diagnosis classification since 2008 from ICD-10 WHO to
ICD-10 GM (German Modification) may lead to breaks for some categories.

Türkiye

Calculated according to ICD-10 codes (Information Technologies Coordination Unit).

Turkmenistan

Source of data: Administrative medical statistics, forms: 14 ?Report on hospital activity?, 066/y
?Hospital discharge record? and 090-1/y ?Notification of patients with newly diagnosed malignancy?.

Ukraine

From 1995 this includes only malignant neoplasms (ICD9: 140-208, ICD10: C00-C97). Before 1995,
benign neoplasms are also included (ICD9: 140-239). Included only data from public hospitals under
Ministry of Health.
Source: Centre of Health Statistics, Ministry of Health.

United Kingdom

Source of Data: England - NHS Information Centre. Scotland - Information Services Division (ISD) NHS
Scotland.
Wales - NHS Wales Informatics Service (NWIS)c Patient Episode Database.
N. Ireland - Department for Health, Social Services and Public Safety, Hospital Inpatient System
(HIS).

Coverage: Includes UK NHS hospitals only. Based on diagnosis recorded at discharge.
Scotland has revised their time series data due to improvements in data quality.
Deviation from the Definition: Data for Financial years i.e. 01-04-07 to 31-03-08 will be presented
for 2007.
Break in Time Series: 2010 - All data is financial year data with the exception of Scotland who
provided calendar year data.