2018 Volume 67 Issue 5 Pages 491-498
In Japan, diagnoses of diseases documented in hospital medical records are coded by the Health Information Manager (formerly known as the Medical Record Manager) by using the International Statistical Classification of Diseases and Related Health Problems (ICD). These data are utilized not only in hospitals but also in other environments.
ICD is used for Morbidity statistics in hospitals as well as for the DPC/PDPS (Diagnosis Procedure Combination/Per-Diem Payment System: Japan’s version of DRG), in which diagnoses of diseases for medical fee claims are coded by ICD. When ICD-11 is adopted, giving immediate education and proper guidance to Halth Information Managers is essential. That is a common challenge both in countries where ICD has been already implemented and in those where ICD is expected to be introduced. At the World Health Organization (WHO), the Education and Implementation Committee (EIC) of the WHO Family of International Classifications (WHO-FIC) is considering how we can address the challenge at the international level.
The ICD-11 version is an unprecedented major revision in terms of both its volume and contents. It has been achieved 28 years after the launch of ICD-10; adopts information technology for the first time in the 100-year history of the ICD; has 26 chapters, with four new chapters, including one part of the International Classification of Functioning, Disability and Health (ICF) as a chapter that had been treated as a different classification. There is a high possibility that other classifications, such as ICHI, will be digitized and integrated into ICD-11 in the future to be utilized. This article presents approaches and future challenges related to domestic implementation of ICD-11.
