International Classification of Diseases, 11th Revision (ICD-11)

This presentation introduces the International Classification of Diseases, 11th Revision (ICD-11), developed by WHO for global health data standardization. It explains ICD-11’s structure, key differences from ICD-10, and its application in coding morbidity and mortality, especially in maternal and child health contexts. The session also covers the use of ICD-11 digital tools, integration with HMIS and eRCH systems, and practical coding exercises to strengthen public health reporting and interoperability.

1. ICD-11 for Public Health: Training for Morbidity & Mortality Coding Understanding ICD-11 Structure, Coding Process & Use Cases

2. Learning Objectives - Understand the structure and benefits of ICD-11 - Compare ICD-10 and ICD-11 key differences - Learn how to code morbidity and mortality using ICD-11 - Apply examples in maternal and child health (MCH) scenarios

3. What is ICD-11? - Developed by WHO, released in 2018 - Replaces ICD-10, supports global health monitoring - Digital-native, API-ready, post-coordination support

4. ICD-11 Structure Overview - Foundation: Fully digital classification - Code format: Alphanumeric (e.g., JB22.0) - Pre-coordination and Post-coordination - Extension codes (e.g., for time, severity, pregnancy status)

5. ICD-10 vs. ICD-11 Feature | ICD-10 | ICD-11 ---|---|--- Released | 1990 | 2018 Codes | ~14,400 | 55,000+ Digital Readiness | Minimal | Fully API-ready Traditional Medicine | Not Included | Included Coordination | Limited | Supports Post-Coordination

6. Why ICD-11 for Public Health? - Standardized disease tracking - Improved cause-of-death documentation - Supports better program design & evaluation - Aligned with HMIS, ABDM, eRCH systems

7. Coding Morbidity in ICD-11 - Start with diagnosis: e.g., 'Pre-eclampsia' - Search in ICD-11 Browser or Coding Tool - Use main code + extensions (if needed) - Example: JB22.1 (Pre-eclampsia)

8. Coding Maternal Mortality - Underlying Cause of Death (UCOD) first - Postpartum hemorrhage: JB43.0 - Use extension codes if needed - Always based on medical records

9. ICD-11 Coding Tools - ICD-11 Browser: https://icd.who.int - Coding Tool: https://icd.who.int/ct11 - Implementation Guide: WHO Docs

10. Practice Examples (MCH) - Case 1: Eclampsia death → Code: JB22.0 - Case 2: Iron-deficiency anemia in pregnancy → Code: 3A70.0 & XM0G - Case 3: Unsafe abortion complications → Code: KA43.0

11. Common Mistakes to Avoid - Using ICD-10 codes in ICD-11 systems - Missing extension codes - Not documenting UCOD correctly - Incomplete information in death certificates

12. Integration with Digital Health Systems - Aligns with ABDM (FHIR, SNOMED, LOINC) - Can be embedded in eRCH, HMIS, hospital EMRs - Ensures interoperability and better analytics

13. Summary and Next Steps - Start applying ICD-11 in ANC, delivery, PNC reporting - Use digital tools to support coding - Encourage capacity building across all health cadres

14. Q&A and Resources - Open floor for queries - Share additional WHO links and resources