National Register of Reproduction Health (NRRZ)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

This register was created by fusion of existing National register of mothers at childbirth, register of newborns, National register of congenital malformations, National register of abortions and National register of assisted reproduction into one system that will simplify administration and increase the added value of information in the united register. This fusion improves coordination and coherence and will facilitate evaluation of quality of provided care in the field of reproduction health.

ESTABLISHMENT OF NATIONAL REGISTER OF REPRODUCTIVE HEALTH

According to section 127, par. 6 of Act no. 372/2011 Coll. data kept according to legal regulation in wording in force before the day of entry into force of this Act in National register of mothers at childbirth, register of newborns, National register of congenital malformations, National register of abortions and National register of assisted reproduction maintained by Institute of Health Information and Statistics of the Czech republic according to Act on care for health of the population will be transferred by the Institute at the latest on the day of establishment of National register of reproduction health into that register.

National Register of Abortions (NRPOT)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is to secure data for assessment of quality of care for reproduction health. Collection of data concerning abortions in the Czech Republic became a longtime tradition and an indispensable component of demographic and perinatologic  information on Czech population. Anonymised data are transmitted with monthly periodicity to Czech Statistical Office for the needs of demographic statistics.

Analysis of the data provides a series of internationally recognised criteria of quality of care and quality of health and provides an indispensable complement to other perinatologic data without which it is not possible to make complex assessment of the quality of the care for reproduction health.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRPOT

National Register of Abortions is a nationwide population register that builds on the information system Abortions maintained in IHIS CR since 1960. The file registers all kinds of abortions, spontaneous abortions, menstrual regulations, artificially (legally) induced abortions (up to 12 gestation weeks) and other abortions, including cases of ectopic pregnancy, performed in gynaecologic departments in health establishments in the CR.

1. Data on patient

  • Identification number of establishment (IČO/PČZ) where the performance was performed
  • Identification number of establishment (IČO/PČZ) which performed the performed
  • personal identification number
  • municipality of place of residence
  • number of municipality of residence
  • number of municipality with extended competence
  • occupation
  • marital status
  • citizenship in EU
  • education
  • number of births
  • number of live born children
  • number of previous legally induced abortions (further only LIA)
  • number of previous spontaneous abortions
  • data on abortion
  • kind of abortion
  • LIA for reasons of health
  • diagnosis of reasons of health for LIA (dg. from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10))
  • date of performance of abortion (day, month, year)
  • age of fetus (weeks)
  • for fetus older than 17 weeks – weight in grams
  • for fetus older than 17 weeks – length in cm
  • contraception
  • fee for LIA

STATISTICAL UNIT OF INVESTIGATION

Statistical unit is termination of pregnancy (including ectopic).

The following abortions are subject to mandatory notification:

  • spontaneous
  • menstrual regulation (vacuum aspiration)
  • other LIA
  • other abortion
  • cases of termination of ectopic pregnancy

National Register of Assisted Reproduction (NRAR)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of the register is registration of all women in whom ovarial stimulation was started or monitoring with the purpose of therapy of sterility (their own sterility or sterility of another woman in case of oocyte donation) was started by method of extracorporal fertilisation (IVF) or by related technique. Monitoring of IVF cycles secures necessary information on the method, progress, results and possible complications for the needs of professional health care workers, Ministry of Health of the CR, health insurance companies and also for international presentation of data. Information thus obtained allows evaluation f therapeutic procedures and are used for management and qualitative improvement of care for infertile couples and for realisation of state policy in the field of assisted reproduction and therapy of sterility. National register of assisted reproduction ()NRAR is a nationwide population register.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRAR

Since 2007, NRAR is operated as a web application with central database. Assisted reproduction centres insert data into the register by means of internet connection via secure https protocol. Access to the register and assignment of user roles is authorised by the administrator of the register.

Identification of cycle

  • number of record
  • assisted reproduction centre
  • control ending of cycle

Identification of woman

  • personal identification number
  • date of birth
  • citizenship in EU

Initial health data

  • woman has been pregnant before
  • primary woman identification
  • secondary woman identification
  • identification of man
  • previous effort (or possibility) for pregnancy with this partner

Course of cycle

  • date of beginning of cycle
  • intended aim of cycle
  • intended number of embrya for ET
  • stimulation of ovaria/endometium KET
  • method of sperm acquisition

Oocyte collection from ovaria

  • date of collection
  • number of oocytes found
  • number of deep-frozen oocytes
  • oocytes originating from donor
  • embya originating from donor
  • oocytes or embya from own earlier cycles (KRYO)
  • oocytes or embya originating from next own cycl

Impregnation and evolution 

  • impregnation by IVF method (report number of oocytes)
  • impregnation by ICSI method (report number of oocytes)
  • number of zygotes total
  • of that with polyploidia
  • number of deep-frozen zygotes/embrya
  • date of embryotransfer

Complications

  • hyperstimulation sy III. degrees
  • infection
  • hemorrhage

PGD

  • preimplantation diagnostics – type of biopsy
  • preimplantation diagnostics – type of examination

Summary and conclusion of cycle

  • cycle covered by
  • ZP performance codes
  • actually performed in cycle
  • date of termination of cycle

Results of cycle

  • result of hCG test 10-20 days after embryotransfer
  • date of 1st ultrasonics
  • number of fetal eggs
  • number of fetuses with heart action
  • number of extraurine nested fetal eggs
  • clinical gravidity was achieved
  • artificial reduction of multiple gravidity – date
  • artificial reduction of multiple gravidity – by how many fetuses

Result of gravidity

  • result of gravidity
  • date of termination of gravidity
  • number of fetuses birthed

Supplementary data

  • number of donated embrya
  • termination of zygote/embrya storage – date
  • termination of zygote/embrya storage – number

STATISTICAL UNIT OF INVESTIGATION

Statistical unit is therapy or monitoring of a woman with the aim of artificial impregnation.

National Register of Congenital Malformations (NRVV)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is registration of congenital malformations diagnosed in prenatal and postnatal screening; this is presently one of the basic necessary factors for evaluation of the health status of the population and an inseparable component of evaluation of prenatal, perinatal and postnatal health care.

Monitoring of prevalence of congenital malformations serves for evaluation of timely detection of congenital malformations. The obtained information is used for evaluation of the health status and quality of new population.

This information is also used as reference for conceptions of state health policy in this field. It is also used in international presentation of the monitored data, particularly in databases of World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD).

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRVV

National Register of Congenital Malformations is a nationwide population register that builds on the Information system Congenital Malformations maintained in IHIS CR since 1965. NRVV registers all congenital malformations detected in children up to 15 years, in fetuses in the course of pregnancy and also malformations in stillbirths.

1. Data on fetus

  • Identification number of establishment (IČO/PČZ), department
  • pregnancy
  • completed gestation week at detection of congenital malformation
  • detection of congenital malformation (year, month, day)
  • termination of pregnancy (year, month, day)

2. Data on child

  • personal identification number
  • citizenship in EU
  • health insurance company
  • birth data – weight (g)
  • birth data – length (cm)
  • birth weight (g)
  • birth length (cm)
  • detection of congenital malformation (year, month, day)
  • date of death (year, month, day)

3. Additional joint data on child

  • assisted reproduction
  • reason of detailed examination
  • prenatal diagnostics
  • prenatal diagnostics performed beyond the framework of biochem. and ultrasound screening – method
  • reason of absence of prenatal diagnostics
  • result of pregnancy
  • sex
  • congenital malformation – diagnosis (dg. from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10)
  • data on mother
  • personal identification number
  • citizenship in EU
  • municipality of residence of mother
  • number of municipality of residence of mother
  • number of municipality with extended competence
  • marital status
  • occupation in 1st trimester
  • sector in 1st trimester
  • completed gestation week – of fetus – of child
  • multiplicity of pregnancy
  • congenital malformations in family – who afflicted
  • congenital malformations in family – diagnosis of congenital malformation in afflicted person (ICD-10)
  • diabetes mell. in 1st trim.- diagnosis (dg. from ICD-10)
  • infectious disease in 1st trim. – in gestation week
  • infectious disease in 1st trim. – diagnosis (dg. from ICD-10)
  • other disease in 1st trim. – diagnosis (dg. from ICD-10)
  • medication in 1st trim.
  • order of gravidity
  • order of parity
  • number of previous spontaneous abortions
  • number of previous artificially induced abortions (LIA)
  • data on father
  • year of birth
  • occupation
  • sector

STATISTICAL UNIT OF INVESTIGATION

Diagnosed congenital malformation (further only CM)

  • in fetuses, when CM was detected in prenatal diagnostics and in spontaneous abortions over 500 gram
  • in children up to completed 15th year of life
  • in stillbirths

National Register of Mothers at Childbirth (NRROD)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is to secure basic data on the reproduction anamnesis of the woman, on the course of her pregnacy, childbirth and on the newborn. Monitoring of mothers serves for evaluation of her state of health from the viewpoint of quality of care. The obtained information is a valuable source of information for gynaecologic and obstetric care and an important instrument for improvement of the care for pregnant and parturient women. Information of the register is used for determination of conceptions and realisations of the state health policy in the field of gynaecologic and obstetric care and at the same time it is used tor databases World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD) and other international organisations according to contract obligations.

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRROD

National Register of Mothers at Childbirth is a nationwide population register that builds on the information system on mothers at childbirth maintained in IHIS CR since 1991. NRROD registers all mothers at childbirth subject to the notification duty.

1. Data on mother

  • number of medical record
  • Identification number of establishment (IČO/PČZ), department
  • personal identification number
  • health insurance company
  • municipality of residence
  • number of municipality of residence
  • number of municipality with extended competence
  • citizenship in EU
  • date of admission (year, month, day, hour)
  • marital status
  • education
  • previous pregnancies – births – total
  • previous pregnancies – births – of that preterm
  • previous pregnancies – births – of that caesarean section (SC)
  • previous pregnancies – died – stillbirths
  • previous pregnancies – died – early newborn’s death
  • previous pregnancies – died – late newborn’s death
  • previous pregnancies – abortions – spontaneous
  • previous pregnancies – abortions – artificial (LIA)
  • previous pregnancies – abortions – ectopic

2. Data on pregnancy

  • prenatal care – beginning (week) – number of controls
  • number of all institutional care (hospitalisations) and total of concluded weeks of stay in establishments for institutional care
  • increase of weight (kg)
  • addictive substances (smoking, alcohol, drugs)
  • ultrasonic examination – first – week, last – week
  • ultrasonic examination – detection lf congenital malformation – week
  • ultrasonic examination – multiple pregnancy – week
  • diabetes
  • serious complications of pregnancy and delivery – diagnoses (dg. from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10))
  • presumed date of birth (year, month, day) according to stated method of determination of term of birth

3. Data on delivery

  • date of birth (year, month, day, hr.)
  • date of rupture of membranes (amniotic fluid) (year, month, day, hr.)
  • multiplicity of pregnancy
  • gestation age
  • induction – indication (diagnosis for induction after ICD-10 states reason for induction of birth)
  •   status of fetus A, B, C (order of newborns in delivery of multiple pregnancy)
  • symptoms of risk
  • cardiotocographic monitoring of fetal heart frequency and uterine action (CTG)
  • indication for SC (diagnosis of indication for SC 1, for SC 2, after ICD-10)
  • anesthesia
  • termination vaginal A, B, C
  • termination per SC
  • termination per SC – of that breech delivery
  • complications during delivery
  • medication during delivery
  • delivery conducted by
  • evaluation of delivery
  • date of conclusion of Report on mother at childbirth (ZR)–year, month, day, hr.
  • reason of conclusion of ZR
  • complications in puerperium – dg. from ICD-10

4. Data on child

  • sex A, B, C
  • vitality A, B, C
  • birth weight (g) A, B, C
  • Apgar scores A, B, C (after 1, 5, 10 minutes)
  • pH (pH values of umbilical cord blood in newborns A, B, C)
  • status of child A, B, C at discharge of mother

STATISTICAL UNIT OF INVESTIGATION

Information on mother at childbirth, pregnancy, delivery and child obtained in hospitalisation of the mother in connection with childbirth or puerperium.

National Register of Newborns (NRNAR)

National Health Registers

PURPOSE OF DETECTION OF REQUESTED DATA

The purpose of detection of the requested data is to secure indispensable information from the field of perinatal care for the needs of professional health care workers, Ministry of Health and for international data reporting. The obtained information is an important source of data for evaluation of the health status of newborns and it is also used for management, evaluation and improvement of the care for newborns.

National Register of Newborns (further only NRNAR) contains basic data in the immediate state of he newborn after birth, the subsequent state of health, complications, therapy.

The obtained information also serves for databases of World Health Organisation (WHO) and the Organisation for Economic Cooperation and Development (OECD).

RANGE OF DATA PROVIDED BY HEALTH ESTABLISHMENTS TO NRNAR

NRNAR is a nationwide population register that builds on the information system on newborns operated by IHIS CR since 1991.

NRNAR registers all newborns including stillbirths.

1. Data on newborn

  • number of report
  • number of child (medical record)
  • identification of establishment: IČO/PČZ/department
  • personal identification numbers (of newborn, mother)
  • citizenship in EU
  • multiplicity of pregnancy
  • order (X; multiple pregnancy A, B, C)
  • health insurance company
  • year of birth of father
  • municipality of residence of mother
  • number of municipality of residence of mother
  • number of municipality with extended competence

2. Data from delivery form

  • delivery
  • mode of delivery
  • mode of delivery – vaginal – use of forceps
  • position of fetus
  • date of birth (year, month, day, hr., min.)
  • vitality
  • sex
  • birth data – weight (g)
  • birth data – length (cm)
  • birth data – gestation age
  • therapy in delivery room
  • Apgar scores (action, breath, tonus, reflex, colour, total)

3. Data from department

  • date of admission of child to department (year, month, day, hr., min.)
  • therapy
  • therapy – artificial lung ventilation (ALV) number of days of ALV
  • therapy – operation – operation diagnosis (dg. from International statistical classification of diseases and related health problems in wording of the 10th revision (ICD-10)
  • in the first 12 hours of life of children up to 1500 g – min. basal excess (BE)
  • in the first 12 hours of life of children up to 1500 g – maximum O2 in % 
  • in the first 12 hours of life of children up to 1500 g – minimum O2 in % 
  • selected diseases and complications
  • TB patch test
  • screening performed
  • congenital malformation
  • diagnoses of congenital malformations (dg. from ICD-10)

4. Information on discharge of child

  • date and hour of conclusion of Report on Newborn (ZN) - year, month, day, hr., min.
  • values at discharge – weight (g)
  • values at discharge – head circumference (cm)
  • nutrition
  • reason of conclusion of Report on Newborn (ZN)
  • reason of conclusion of ZN – transfer – identification numbers of establishment and department (IČO, PČZ)
  • reason of conclusion of ZN – death – cause
  • other diagnoses (ICD-10) – at discharge, transfer, death

STATISTICAL UNIT OF INVESTIGATION

Information on newborn and mother, course of delivery, therapy during and after birth and status of newborn.