ICD-11 pilot in West China: feasibility evaluation and implications for future implementation
Xingyu Ming, Han Wei, Die Zhou, Jinyuan Tao, Bangfu Qian, Hongying Li, Jinliang Hu · 2026
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Description
Xingyu Ming and six colleagues evaluated in 2026 a pilot switch from ICD-10 to ICD-11 disease coding in West China. ICD codes underpin morbidity and mortality statistics, billing, and research, yet moving to the richer ICD-11 system can strain coders. The team collected dual coding data over two months at a pilot hospital and surveyed and interviewed 20 coders about accuracy, workload, and obstacles, to judge wider adoption.
After the switch, 92.30 percent of primary disease codes stayed in the same chapter, while 41.10 percent used postcoordination, the linking of extra codes for detail, with up to eight codes joined in one case. Coders felt ICD-11 expressed diagnoses more accurately and found preset postcoordination user-friendly, but many cases still needed manual linking, records often lacked the detail ICD-11 demands, and audits were hard. The authors judge the transition feasible, provided record quality, training, and official Chinese textbooks come first.
Catalog record
| CREATOR | Xingyu Ming, Han Wei, Die Zhou, Jinyuan Tao, Bangfu Qian, Hongying Li, Jinliang Hu |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 44 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |