Preparing for ICD-11: Exploring the Current Use of ICD-10 in Dutch Hospital Mortality and Morbidity Coding

The healthcare sector uses the International Classification of Diseases (ICD) to record and analyze mortality and morbidity, as well as to monitor public health, reimbursement, quality measurement, and clinical decision support. This paper explores the use of ICD-10 in Dutch hospital care and discusses how this could inform the transition to ICD-11. The study conducts a rapid literature review along semi-structured interviews with key stakeholders. A model is created to visualize the current use of ICD-10 mortality and morbidity data streams in hospitals. The results indicate that ICD-10 serves an important function for clinical, financial, and epidemiological purposes in the Netherlands. To ensure a smooth transition to ICD-11, stakeholder collaboration, investment in AI-tools, training of users, technical integration with Electronic Health Record (EHR) systems, improved hospital registration, and alignment with SNOMED CT are important. This paper emphasizes the need for further research into the practical implementation of ICD-11 in the Netherlands and its impact on patient-related outcome measures.