ICD-11 implementation

Introduction

ICD-11, the latest revision of the International Classification of Diseases (ICD), is the global standard for health information developed by WHO, together with its siblings ICHI (interventions) and ICF (functioning). It is designed to integrate with digital health systems, ensuring accuracy, efficiency, and improved patient care.

ICD-11 is more than a classification update—it is an opportunity to modernize healthcare data management and improve clinical documentation worldwide.

Key Advantages of ICD-11

  • Digital-First Approach: Seamless integration with health information system (HIS) and electronic health records (EHR).
  • Improved Accuracy: Supports NLP, reducing errors and improving efficiency.
  • Scientifically up-to-date: Aligns with the latest medical advancements.
  • Greater Detail: More specific coding improves health data quality for policymaking and research.
  • Global Interoperability: Aligns with international standards like ICHI and ICF, and several terminologies.
  • Annual Updates: Ensures continuous alignment with medical advancements.
  • Multilingual: Easily translatable or already available in your language.
  • User-friendly: Coding and coding training is much easier and faster than with ICD-10.

Key Considerations for Implementation

1. Strategic Planning for Transition

  • Establish an ICD-11 Steering Committee, including ministries, hospitals, coders, IT experts, and data managers
  • Assess current system readiness.
  • Align and update national health policies, legal frameworks and digital transformation with ICD-11.

2. Engaging Stakeholders and Workforce Training

  • Develop targeted training programs for different stakeholders.
  • Use WHO’s ICD-FIT training platform.
  • Implement change management strategies and structured communication.

3. Technical and IT Infrastructure Preparation

  • Integrate ICD-11 APIs into EHR systems and HIS.
  • Ensure compatibility with existing health IT systems.
  • Pilot implementation in selected hospitals and clinics.

4. Data Integrity and Continuity

  • WHO provides mapping tools for seamless transition.
  • Conduct dual coding studies to assess impact of differences in classification.
  • Implement a phased adoption plan, allowing organizations to compare and validate ICD-10 and ICD-11 coding practices.
  • Utilize DORIS (Digital Open Rule Integrated System) for automated mortality coding.
  • Implement audits and monitoring frameworks to ensure high-quality data collection and reporting.

ICD-11 Implementation Roadmap for Decision-Makers

Year 1: Governance & System PreparationYear 2: Pilot Implementation & EvaluationYear 3: Full Implementation & Optimization
  • Establish governance committees.
  • Develop a transition plan.
  • Identify key pilot hospitals.
  • Conduct dual coding studies.
  • Test ICD-11 API integrations.
  • Refine training materials.
  • Officially transition to ICD-11.
  • Ensure full integration in the health information system (HIS) and electronic health records (EHR).
  • Refine coding guidelines in line with ICD-11 rules and provide feedback about needs to WHO.

Learn More
FAQ
WHO-FIC Network