{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T04:51:14Z","timestamp":1770699074681,"version":"3.49.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2021,9,2]],"date-time":"2021-09-02T00:00:00Z","timestamp":1630540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study investigated how well-suited the International Classification of Diseases, 11th Revision, for Mortality and Morbidity Statistics, (ICD-11 MMS) is for 2 morbidity use cases, patient safety and quality, examining the level of detail captured, and evaluating the necessity for the development of a US clinical modification (CM).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Utilizing the 5 NCVHS-specified perspectives plus the consumer perspective, a framework was created of International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) use cases. Analysis yielded candidate source criteria for use in case evaluation. Patient safety and quality were chosen because they are relevant across all perspectives.<\/jats:p>\n                  <jats:p>Granularity differences and content coverage of ICD-11 MMS entities were assessed pre- and post-coordination to determine suitability for the 2 use cases. Pressure ulcers, a common condition across 3 patient safety applications, became the focus for comparing ICD-10-CM codes to ICD-11 MMS codes. For 3 electronic clinical quality measures (eCQMs), the evaluation centered on specified value sets for ischemic stroke, hypertension, and diabetes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>For pressure ulcers, the ICD-11 MMS was found to exceed ICD-10-CM capabilities via post-coordinated extension codes. For the 3 eCQM value sets explored, the ICD-11 MMS fully represented the disease concepts when post-coordinated code clusters were used.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The examples from the patient safety and quality use cases evaluated in this study are appropriate for ICD-11 MMS. It captures greater detail than ICD-10-CM, and ICD-11 MMS specificity would benefit both use cases. The authors believe this preliminary study indicates the US should invest resources to explore adopting the WHO ICD-11 MMS and tooling and guidelines to implement post-coordination.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocab163","type":"journal-article","created":{"date-parts":[[2021,7,25]],"date-time":"2021-07-25T11:06:50Z","timestamp":1627211210000},"page":"2346-2353","source":"Crossref","is-referenced-by-count":6,"title":["Preliminary study of patient safety and quality use cases for ICD-11 MMS"],"prefix":"10.1093","volume":"28","author":[{"given":"Susan H","family":"Fenton","sequence":"first","affiliation":[{"name":"The University of Texas Health Science Center School of Biomedical Informatics, Houston, Texas, USA"}]},{"given":"Kathy L","family":"Giannangelo","sequence":"additional","affiliation":[{"name":"Kathy Giannangelo Consulting, Llc, Springfield, Illinois, USA"}]},{"given":"Mary H","family":"Stanfill","sequence":"additional","affiliation":[{"name":"UASI, Health Information Department, Pocatello, Idaho, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,9,2]]},"reference":[{"key":"2021101218240645200_ocab163-B1","year":"2021"},{"key":"2021101218240645200_ocab163-B2","year":"2021"},{"key":"2021101218240645200_ocab163-B3","year":"2021"},{"key":"2021101218240645200_ocab163-B4","year":"2021"},{"key":"2021101218240645200_ocab163-B5","year":"2021"},{"issue":"6","key":"2021101218240645200_ocab163-B6","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1093\/intqhc\/mzt074","article-title":"ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group","volume":"25","author":"Ghali","year":"2013","journal-title":"Int J Qual Health Care"},{"issue":"1","key":"2021101218240645200_ocab163-B7","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1093\/intqhc\/mzv096","article-title":"Opportunities and challenges for 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