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The International Classification of Diseases for Mortality and Morbidity Statistics, 11th revision (ICD-11 MMS) includes new codes to identify harm or injury and the events or actions leading to the adverse events. However, it is difficult to choose the correct codes without in-depth understanding of which event may be classified as an injury or harm. A 3-part model will be available in the ICD-11 MMS to cluster the codes for the harm or injury that occurred, the causal factors, and the mode (mechanism) involved. While field testing coding of adverse events, our team developed a decision tree (algorithm), which guides when to use the 3-part model. The decision tree now resides in the ICD-11 Reference Guide. This paper is part of a special ICD-11 paper series and outlines the steps used in the decision-tree (algorithm) and provides examples to help understand the process.<\/jats:p><jats:p>While it may take coders some time to gain experience to use the 3-part model and decision-tree, the ICD-11 Reference Guide and this paper can be helpful resources to help clarify the process.<\/jats:p>","DOI":"10.1186\/s12911-022-01887-6","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T08:05:45Z","timestamp":1654589145000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Decision algorithm for when to use the ICD-11 3-part model for healthcare harms"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4569-8014","authenticated-orcid":false,"given":"Cathy A.","family":"Eastwood","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahreen","family":"Khair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle A.","family":"Southern","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"key":"1887_CR1","unstructured":"Kelvin TW. 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[Available at: https:\/\/icd.who.int\/icd11refguide\/en\/index.html#2.25.17.1CodesetPSQ%7Coverview-of-codeset-in-icd11-for-quality-and-patient-safety%7Cc2-25-5, last accessed March 21, 2022]."},{"key":"1887_CR5","doi-asserted-by":"publisher","DOI":"10.1177\/18333583211038633","author":"CA Eastwood","year":"2021","unstructured":"CA Eastwood DA Southern C Doktorchik S Khair D Cullen A Boxill M Maciszewski L Otero Varela W Ghali L Moskal H Quan 2021 Training and experience of coding with WHO\u2019s International Classification of Diseases Eleventh Revision (ICD-11) Health Inform Manag J https:\/\/doi.org\/10.1177\/18333583211038633","journal-title":"Health Inform Manag J"},{"key":"1887_CR6","doi-asserted-by":"publisher","unstructured":"Eastwood CA, Southern DA, Khair S, Doktorchik C, Ghali WA, Quan H. The ICD-11 Field trial: creating a large dually coded database, 13 (May 2021), PREPRINT (Version 1). 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