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TRANSCRIPT
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
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
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
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