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Collection of Morbidity Data
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The morbidity data, which is produced by the diagnoses on the discharge notes of the internal patients of the hospitals and clinics, continuously obtain greater value. These are used for the planning of the strategy and the health programmes, the clinical checking, the quality security, the hospital management, the health monitoring, the epidemic studies, the definition of the high-danger groups and the research.
During the discharge of the patient from the hospital, the doctor selects the diagnosis of the morbidity situation regarding the particular incident and registers it to the patient's folder and the discharge note. It is natural and expected that, in many cases, he will judge that more than one diagnoses must be registered. To ease the statistical research, it is necessary for each incedent of internal medical care, ONE and only diagnosis to be recorded in the final statistical boards, based on which a statistical analysis will be carried out.
Being limited, the statistical analysis to one and only diagnosis for each medical care incident, it has as disadvantage the loss of some useful information. Therefore, it is recommended to, where possible, record, code and analyse multiple diagnoses, which, when needed, will complete the usual data. Naturally, the procedure of the statistical analysis of multiple diagnoses, is very difficult and international rules for the way this should be done have not been established yet.
The ONE and only diagnosis, which is selected for the usual purposes of statistical analysis is defined as the "Main Diagnosis". It is the most significant disease or damage that was healed or investigated during a particular medical care incident.
The rest of the diagnoses or problems, which co-existed and investigated or healed during the same incident, must be recorded on the discharge note under "Other Diagnoses".
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