Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 May 17;21(Suppl 6):379.
doi: 10.1186/s12911-022-01876-9.

Postcoordination of codes in ICD-11

Affiliations

Postcoordination of codes in ICD-11

Kristy Mabon et al. BMC Med Inform Decis Mak. .

Abstract

A new coding feature introduced with ICD-11, the 11th revision of the International Classification of Diseases (ICD), is postcoordination, which supports combining (linking) two or more codes into a cluster that describes a clinical concept. Postcoordination allows for coded data to be reported to a greater level of specificity than was possible in previous version of ICD. The linked codes are kept together in a cluster when submitted for reporting. This article presents background detail on the postcoordination feature in ICD and the postcoordination tool. Also presented are several examples that demonstrate the flexibility that ICD-11 provides for enriching coded health information.

Keywords: Classification; ICD11; International classification of diseases; Postcoordination.

PubMed Disclaimer

Conflict of interest statement

CGC served as the Revision Steering Group chair in the ICD-11 revision process, and presently co-chairs the Medical Scientific Advisory Committee at WHO for the ICD classification. He received travel support—airline tickets and per diem payments to cover accommodation and other costs—from the WHO to allow attendance at some committee meetings. CGC is faculty at Johns Hopkins and previously worked at Mayo Clinic. His work has been supported by multiple grants from the National Institutes of Health. University discretionary funds have supported his WHO work in part. He is the Bloomberg Distinguished Professor of Health Informatics and Chief Research Information Officer at Johns Hopkins. CC is employed by the WHO.

Figures

Fig. 1
Fig. 1
Stem codes and clusters
Fig. 2
Fig. 2
An example of how postcoordination works in ICD-11

References

    1. Southern DA, Harrison JE, Romano PS, et al. The three-part model for coding causes and mechanisms of healthcare-related adverse events. BMC Med Inform Decis Mak. 2021;21:376. doi: 10.1186/s12911-022-01786-w. - DOI - PMC - PubMed
    1. Drösler SE, Weber S, Chute CG. ICD-11 extension codes support detailed clinical abstraction and comprehensive classification. BMC Med Inform Decis Mak. 2021;21:278. doi: 10.1186/s12911-021-01635-2. - DOI - PMC - PubMed
    1. Chute C.G. Overview of ICD-11 architecture and structure. BMC Med Inform Decis Mak. 2021;21:378. - PMC - PubMed
    1. World Health Organization. ICD-11 Reference Guide. https://icd11files.blob.core.windows.net/refguide/html/index.html. Accessed 13 October 2020.
    1. World Health Organization. ICD-11 browser. https://icd.who.int/dev11/l-m/en. Accessed 3 September 2020.

Publication types

MeSH terms

LinkOut - more resources