Coding mechanisms for main condition in ICD-11

Countries have been routinely abstracting health data from hospital charts and coding conditions using ICD-10. A main condition must be assigned to each admission. However, the definition of main condition is inconsistent across countries, and may be based on (1) the initial reason for admission; (2...

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Veröffentlicht in:BMC medical informatics and decision making Jg. 21; H. Suppl 6; S. 387 - 6
Hauptverfasser: Quan, Hude, Steinum, Olafr, Southern, Danielle A., Ghali, William A.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London BioMed Central 10.07.2025
BioMed Central Ltd
Springer Nature B.V
BMC
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ISSN:1472-6947, 1472-6947
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Zusammenfassung:Countries have been routinely abstracting health data from hospital charts and coding conditions using ICD-10. A main condition must be assigned to each admission. However, the definition of main condition is inconsistent across countries, and may be based on (1) the initial reason for admission; (2) the reason for admission, as understood at the end of the hospital stay; and (3) the condition that consumed the most hospital resources or hospital days. Now, ICD-11 standardizes the coding schema for main condition. This paper describes the ICD-11 coding guidelines for main condition and discusses their implications for data comparability.
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ISSN:1472-6947
1472-6947
DOI:10.1186/s12911-025-03069-6