Dr Ha Thai Son,Administration of Medical Service – MoH Vietnam

ICD-10 IMPLEMENTATION AND CHALLENGES OF VIETNAM

312 Groups Reporting 

Medical Record Volume 1,2

translation ICD10 Mental Health

UpdateICD10 ver 2012

Details of activity here. 

Details of activity here Details of 

activity here

Details of activity here

Details of  activity here

1998 2000 2002 2004 2015

ICD10 Website

Implementation of ICD-10 in Hospital Managment

• Out patient morbidity• Inpatient morbidity &

mortality• MoH reporting• Mostly 3 digits codes• Dop-down list coding• 70% coded by Doctors,

30% by Nurses.• 50-80 % accuracy• Lack of co-morbidities

and complications, external causes

ICD-10 in Hospital morbidity and mortality

Training ICD-10 in Public Health School

Medical Procedures Classification

National Medical Procedures coding system

Chapters ID Principles name01 Emergency and toxicology02 Paediatrics03 Internal medicine04 Traditional medicine05 Psychiatry06 Rehabilitation medicine07 Dermatology08 Surgery09 Endoscopic surgery10 Microsurgery11 Oncology12 Obstetrics and gynaecology13 Ear nose and throat medicine (ENT)14 Odonto‐maxillo‐facial medicine15 Ophthalmology16 Burns17 Tuberculosis and respiratory medicine18 Anaesthetics 19 Endoscopy for diagnosis and therapy20 Endocrinology (rheumatology)21 Functional testing (ECG, EMG, FVC)22 Biochemistry (no procedures)23 Microbiology (no procedurs)24 Haematology and blood transfusion 

medicine25 Radiology26 Nuclear medicine27 Pathology28 Plastic surgery

ICD-9 CM Vol 3 structuresChapter ID Code Procedures name

0 00Procedures and interventions, not elsewhere 11 classified

1 01‐ 05 Operations on the nervous system 222 06‐ 07 Operations on the endocrine system 323 '08‐ 16 Operations on the eye 37

3a 17Other miscellaneous diagnostic and therapeutic 51 procedures

4 18‐ 20 Operations on the ear 54

5 21‐ 29 Operations on the nose, mouth, and pharynx 60

6 30‐ 34 Operations on the respiratory system 72

7 35‐ 39 Operations on the cardiovascular system 82

8 40‐ 41 Operations on the hemic and lymphatic system 1139 42‐ 54 Operations on the digestive system 11610 55‐ 59 Operations on the urinary system 153

11 60‐ 64 Operations on the male genital organs 166

12 65‐ 71 Operations on the female genital organs 17313 72‐ 75 Obstetrical procedures 188

14 76‐ 84 Operations on the musculoskeletal system 193

15 85‐ 86 Operations on the integumentary system 223

16 87‐ 99Miscellaneous diagnostic and therapeutic 233 procedures

Mapping ICD-9 CM Vol3 vs Local list for DRG costing

Implimentation of ICF and ICPC2

Posbility and Challenges• Highly appriciate APN Simplify

version• Better merging with mortality

list• Start with simple version but

high accurary better than full version but low accuracy.

• Language issues (Vietnamese) • Not translate ICD-10 Volume 3

• Trial of ICD-10 Simplify version

• Hosting next APN meeting in Hanoi

Approach to ICD-11 and ICHI

2007

2018

Thank you for attention !