WHO’s new International Classification of Diseases (ICD-11) comes into effect

New in ICD-11 2022

• 35 countries are using ICD-11.
• Current implemented uses of ICD-11 include causes of death, primary care, cancer registration, patient safety, dermatology, pain documentation, allergology, reimbursement, clinical documentation, data dictionaries for WHO guidelines*, digital documentation of COVID-19 vaccination status and test results, and more.
• French language is now available alongside Arabic, Chinese, English, & Spanish. Russian and 20 more languages are underway.
• Integration in DHIS2.
• Terminology coding with the coding tool and API.
• Rare diseases coding.
• Support for perinatal and maternal coding.
• 900 proposals were processed based on input from early adopters, translators, scientists, clinicians and partners.
• Grade and stage coding for cancers.
• Clinical Descriptions and Diagnostic Requirements for mental health.

* WHO SMART Guidelines include Antenatal Care (ANC) Family Planning (FP), Sexually Transmitted Infections (STI), Adolescent Sexual Reproductive Health (ASRH), HIV, Immunizations (EIR), Child Health in Emergency Settings (Em Care).

ICD-11 was specifically designed for the following use cases:

• Certification and reporting of causes of death
• Morbidity coding and reporting including primary care
• Casemix and Diagnosis-Related Grouping (DRG)
• Assessing and monitoring the safety, efficacy, and quality of care
• Cancer registries
• Antimicrobial resistance (AMR)
• Researching and performing clinical trials and epidemiological studies
• Assessing functioning
• Coding traditional medicine conditions
• Interoperability standard in  WHO Digital Guidelines and for Digital Documentation of COVID-19 Certificates (DDCC)
• Clinical documentation

ICD-11 highlights

• Conceptual framework independent of language and culture.
• Multilingual.
• Integration of terminology and classification.
• End-to-end digital solution (API, tools, online and offline).
• Up-to-date scientific knowledge.
• ICD-11 is accessible to everybody.
• Open ICD-11 license (distributed under Creative Commons Attribution-NoDerivs 3.0 IGO license).
• ICD-11 enables, for the first time, the counting of traditional medicine encounters.
• Comparable statistics and semantic interoperability – for 150 years.
• Codes for antimicrobial resistance, in line with Global Antimicrobial Resistance and Use Surveillance System (GLASS).
• Codes for full documentation of patient safety, in line with the WHO patient safety framework.
• Integration with functioning and interventions (ICF & ICHI**).

**International Classification of Functioning, Disability and Health (ICF) & International Classification of Health Interventions (ICHI)

ICD-11 key features

• The eleventh revision contains around 17 000 unique codes,  more than 120 000 codable terms and is now entirely digital.
• Smart coding algorithm: Now interprets more than 1.6 million terms.
• State of the art Coding tool: Easily codes all detail.
• Digital reference guide.
• ICD-11 Download area: Include spreadsheets, pdf version, mapping tables, updates, list of codes that should not be used alone and more.
• Multilingual integrated API.
• Multilingual Browser and Coding tool.
• Offline functionality.
• Local deployment options for ICD-API: Docker, Windows or Linux service.
• Technical content model reference guide to define and explain the content model used for the WHO Family of Classifications (ICD-11, ICHI  and ICF).
• Implementation package to facilitate the transition from outdated ICD-10 to ICD-11. This package can be found on ICD-11 page and includes the Transition and Implementation Guide, ICD-11 Fact Sheet, information on ICD-API web services, ICD-11 self-learning training package, training platform, cause of death analysis tool (ANACoD-3), ICD-11 license and more.