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<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no"> <meta name="description" content=""> <meta name="author" content=""> <meta name="commithash" content="15e5bdfd61c1a07af9b7a34f87f95cfc28a5a209" /> <title>ICD-11 Reference Guide</title>  <link href="bootstrap.min.css" rel="stylesheet">  <link href="style.css?v=2" rel="stylesheet"> <link href="font.css" rel="stylesheet">  <script src="jquery-3.5.1.min.js"></script> <script src="lunr.js"></script> <script src="jquery.mark.min.js"></script> <script> /* global variables*/ var commithash = "15e5bdfd61c1a07af9b7a34f87f95cfc28a5a209"; var forceOpenHierarchy = false; var indexJSON; var indexLunr; var caveats = ""; /* sidebar and load page */ function onload() { forceOpenHierarchy = true; loadCaveats().done(function () { $(".lb").click(function () { var anchor = ($(this).attr("id")).substring(3); showChildren(anchor); }); $(".db").click(function () 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{ searchString = searchString.trim(); var searchArray = searchString.split(' ').filter(function (element) { if (element != '') return element; // remove empty elements (repeated space char) }); return searchArray; } </script> <style> em { margin-right: 4px; } </style> </head> <body onhashchange="moveToHash()" onload="onload()"> <div id="wrapper" class="toggled">  <div id="title"><a href="index.html">ICD-11 Reference Guide <span class="draft">- DRAFT</span></a></div> <div id="searchbox-wrapper"> <form> <input type="text" id="searchbox" title="Type search terms here and press enter" autocomplete="off" disabled /> <span id="search-clear" onclick="clearSearch()" title="Clear the searchbox">❌ </span> </form> </div> <div id="search-results" style="display: none;"></div> <div id="sidebar-wrapper"> <ul id='ul-root' class="sidebar-nav"> <div class='childof chb-0' id='childof-ROOT'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-icd11-reference-guide'>▶</span><span class='db' id='db-icd11-reference-guide'>▼</span><a href='#icd11-reference-guide'>0 ICD-11 Reference Guide</a> </div></div> <div class='childof chb-1' id='childof-icd11-reference-guide'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#copyright-page'>0.1 Copyright page</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#how-to-use-this-reference-guide'>0.2 How to use this Reference Guide</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#table-of-acronyms-and-abbreviations'>0.3 Table of Acronyms and Abbreviations</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#glossary'>0.4 Glossary</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-1-an-introduction-to-icd11'>▶</span><span class='db' id='db-part-1-an-introduction-to-icd11'>▼</span><a href='#part-1-an-introduction-to-icd11'>1 Part 1 - An Introduction to ICD-11</a> </div></div> <div class='childof chb-1' id='childof-part-1-an-introduction-to-icd11'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-international-classification-of-diseases-icd'>▶</span><span class='db' id='db-international-classification-of-diseases-icd'>▼</span><a href='#international-classification-of-diseases-icd'>1.1International Classification of Diseases (ICD)</a> </div></div> <div class='childof chb-2' id='childof-international-classification-of-diseases-icd'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#intended-uses'>1.1.1 Intended uses</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#classification'>1.1.2 Classification</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#icd-in-the-context-of-the-who-family-of-international-classifications-whofic'>1.1.3 ICD in the context of the WHO Family of International Classifications (WHO-FIC)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-whofic-reference-classifications'>▶</span><span class='db' id='db-whofic-reference-classifications'>▼</span><a href='#whofic-reference-classifications'>1.1.4 WHO-FIC: Reference Classifications</a> </div></div> <div class='childof chb-3' id='childof-whofic-reference-classifications'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#international-classification-of-functioning-disability-health-icf'>1.1.4.1 International Classification of Functioning, Disability & Health (ICF)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-international-classification-of-health-interventions-ichi'>1.1.4.2 The International Classification of Health Interventions (ICHI)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#whofic-derived-classifications'>1.1.4.3 WHO-FIC: Derived classifications</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#related-classifications'>1.1.4.4 Related classifications</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-icd-use-in-health-information-systems'>▶</span><span class='db' id='db-icd-use-in-health-information-systems'>▼</span><a href='#icd-use-in-health-information-systems'>1.1.5 ICD use in health information systems</a> </div></div> <div class='childof chb-3' id='childof-icd-use-in-health-information-systems'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#use-of-icd11-in-a-digital-setting-and-with-web-services'>1.1.5.1 Use of ICD–11 in a digital setting and with web services</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#use-of-icd11-in-an-analogue-paperbased-setting'>1.1.5.2 Use of ICD–11 in an analogue paper-based setting</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#electronic-version'>1.1.5.3 Electronic version</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-links-with-other-classifications-and-terminologies'>▶</span><span class='db' id='db-links-with-other-classifications-and-terminologies'>▼</span><a href='#links-with-other-classifications-and-terminologies'>1.1.6 Links with other Classifications and Terminologies</a> </div></div> <div class='childof chb-3' id='childof-links-with-other-classifications-and-terminologies'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#integrated-use-with-terminologies'>1.1.6.1 Integrated use with Terminologies</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#functioning-in-icd-and-joint-use-with-icf-overview'>1.1.6.2 Functioning in ICD and joint use with ICF overview</a> </div></div> </li> </ul></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-structure-and-taxonomy-of-the-icd'>▶</span><span class='db' id='db-structure-and-taxonomy-of-the-icd'>▼</span><a href='#structure-and-taxonomy-of-the-icd'>1.2 Structure and taxonomy of the ICD</a> </div></div> <div class='childof chb-2' id='childof-structure-and-taxonomy-of-the-icd'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-taxonomy'>▶</span><span class='db' id='db-taxonomy'>▼</span><a href='#taxonomy'>1.2.1 Taxonomy</a> </div></div> <div class='childof chb-3' id='childof-taxonomy'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#content-model-and-definition-of-disease'>1.2.1.1 Content model and definition of disease</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#icd-chapter-structure'>1.2.2 ICD Chapter structure</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#guiding-principles-for-classification-of-special-concepts'>1.2.3 Guiding principles for classification of special concepts</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-general-features-of-icd11'>▶</span><span class='db' id='db-general-features-of-icd11'>▼</span><a href='#general-features-of-icd11'>1.2.4 General features of ICD-11</a> </div></div> <div class='childof chb-3' id='childof-general-features-of-icd11'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#code-structure'>1.2.4.1 Code structure</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#uniform-resource-identifiers'>1.2.4.2 Uniform resource identifiers</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#block-codes'>1.2.4.3 Block codes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#stem-codes'>1.2.4.4 Stem codes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#extension-codes-and-postcoordination'>1.2.4.5 Extension codes and postcoordination</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#other-general-features'>1.2.4.6 Other general features</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-foundation-component-and-tabular-lists-of-icd11'>▶</span><span class='db' id='db-foundation-component-and-tabular-lists-of-icd11'>▼</span><a href='#foundation-component-and-tabular-lists-of-icd11'>1.2.5 Foundation Component and Tabular lists of ICD–11</a> </div></div> <div class='childof chb-3' id='childof-foundation-component-and-tabular-lists-of-icd11'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#precoordination-and-postcoordination-in-icd11'>1.2.5.1 Precoordination and Postcoordination in ICD-11</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#multiple-parenting'>1.2.5.2 Multiple parenting</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#language-independent-icd-entities'>1.2.6 Language independent ICD entities</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-main-uses-of-the-icd-mortality'>▶</span><span class='db' id='db-main-uses-of-the-icd-mortality'>▼</span><a href='#main-uses-of-the-icd-mortality'>1.3 Main uses of the ICD: Mortality</a> </div></div> <div class='childof chb-2' id='childof-main-uses-of-the-icd-mortality'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#what-is-coded-causes-of-death'>1.3.1 What is coded: Causes of death</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-main-uses-of-the-icd-morbidity'>▶</span><span class='db' id='db-main-uses-of-the-icd-morbidity'>▼</span><a href='#main-uses-of-the-icd-morbidity'>1.4 Main uses of the ICD: Morbidity</a> </div></div> <div class='childof chb-2' id='childof-main-uses-of-the-icd-morbidity'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#what-is-coded-patient-conditions'>1.4.1 What is coded: patient conditions</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#traditional-medicine'>1.5 Traditional Medicine</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-icd-maintenance'>▶</span><span class='db' id='db-icd-maintenance'>▼</span><a href='#icd-maintenance'>1.6 ICD maintenance</a> </div></div> <div class='childof chb-2' id='childof-icd-maintenance'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#guiding-principles-of-authoring-process'>1.6.1 Guiding principles of authoring process</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#improving-user-guidance'>1.6.2 Improving user guidance</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#introduction-to-the-icd11-update-process'>1.6.3 Introduction to the ICD–11 Update Process</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#national-modifications-for-morbidity-coding'>1.6.4 National Modifications for morbidity coding</a> </div></div> </li> </ul></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-2-using-icd11'>▶</span><span class='db' id='db-part-2-using-icd11'>▼</span><a href='#part-2-using-icd11'>2 Part 2 - Using ICD-11</a> </div></div> <div class='childof chb-1' id='childof-part-2-using-icd11'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#basic-coding-and-reporting-guidelines'>2.1 Basic coding and reporting guidelines</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#tabular-list-special-tabulation-lists-qualifiers-and-modifiers'>2.2 Tabular List, Special Tabulation Lists, Qualifiers, and Modifiers</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#index'>2.3 Index</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#reference-guide'>2.4 Reference Guide</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#browser-and-coding-tool'>2.5 Browser and coding tool</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-step-by-step-clinical-term'>2.6 Coding step by step – clinical term</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-icd11-conventions'>▶</span><span class='db' id='db-icd11-conventions'>▼</span><a href='#icd11-conventions'>2.7 ICD–11 conventions</a> </div></div> <div class='childof chb-2' id='childof-icd11-conventions'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#inclusions'>2.7.1 Inclusions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-exclusions'>▶</span><span class='db' id='db-exclusions'>▼</span><a href='#exclusions'>2.7.2 Exclusions</a> </div></div> <div class='childof chb-3' id='childof-exclusions'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#code-also-and-use-additional-code-if-desired-instructions'>2.7.2.1 'Code also' and 'Use additional code, if desired' instructions</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-nec-and-nos'>▶</span><span class='db' id='db-nec-and-nos'>▼</span><a href='#nec-and-nos'>2.7.3 ‘NEC’ and ‘NOS’</a> </div></div> <div class='childof chb-3' id='childof-nec-and-nos'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#nec'>2.7.3.1 ‘NEC’</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#nos'>2.7.3.2 ‘NOS’</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#certain'>2.7.4 ‘Certain’</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#residual-categories-other-and-unspecified'>2.7.5 Residual categories – ‘Other’ and ‘Unspecified’</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#use-of-and-and-or'>2.7.6 Use of ‘And’ and ‘Or’</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#due-to-and-associated-with'>2.7.7 ‘Due to’ and ‘Associated with’</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#spelling-parentheses-grammar-and-other-conventions'>2.7.8 Spelling, parentheses, grammar and other conventions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#general-features'>2.7.9 General features</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-stem-codes'>2.8 Stem codes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#extension-codes'>2.9 Extension codes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-precoordination-and-postcoordination'>▶</span><span class='db' id='db-precoordination-and-postcoordination'>▼</span><a href='#precoordination-and-postcoordination'>2.10 Precoordination and postcoordination</a> </div></div> <div class='childof chb-2' id='childof-precoordination-and-postcoordination'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#adding-detail-postcoordination-and-cluster-coding-with-multiple-stem-codes-and-extension-codes'>2.10.1 Adding detail – postcoordination and cluster coding with multiple stem codes and extension codes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#combining-stem-codes-and-extension-codes-and-how-to-order-these-in-a-complex-code-cluster'>2.10.2 Combining stem codes and extension codes, and how to order these in a complex code cluster</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#diagnosis-timing-present-on-admission-vs-developed-after-admission'>2.10.3 Diagnosis Timing - 'Present on admission' vs. 'Developed after admission'</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-functioning-section'>▶</span><span class='db' id='db-functioning-section'>▼</span><a href='#functioning-section'>2.11 Functioning section</a> </div></div> <div class='childof chb-2' id='childof-functioning-section'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-functioning-assessment'>▶</span><span class='db' id='db-functioning-assessment'>▼</span><a href='#functioning-assessment'>2.11.1 Functioning assessment</a> </div></div> <div class='childof chb-3' id='childof-functioning-assessment'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#who-das-20-features-and-use-cases'>2.11.1.1 WHO DAS 2.0: features and use cases</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#who-das-20-representation-and-coding-structure'>2.11.1.2 WHO DAS 2.0: representation and coding structure</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-generic-functioning-entity'>▶</span><span class='db' id='db-generic-functioning-entity'>▼</span><a href='#generic-functioning-entity'>2.11.2 Generic functioning entity</a> </div></div> <div class='childof chb-3' id='childof-generic-functioning-entity'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#functioning-entities-features-and-use-cases'>2.11.2.1 Functioning entities: features and use cases</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#functioning-entity-representation-and-coding-structure'>2.11.2.2 Functioning entity: representation and coding structure</a> </div></div> </li> </ul></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#electronic-recording-and-reporting'>2.12 Electronic recording and reporting</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#foundation-component-and-tabular-lists'>2.13 Foundation Component and Tabular lists</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-main-uses-of-the-icd-mortality'>2.14 Main uses of the ICD: Mortality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-mortality-statistics'>▶</span><span class='db' id='db-mortality-statistics'>▼</span><a href='#mortality-statistics'>2.15 Mortality statistics</a> </div></div> <div class='childof chb-2' id='childof-mortality-statistics'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#what-is-tabulated-underlying-cause-of-death'>2.15.1 What is tabulated: Underlying cause of death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#data-source-the-international-form-of-medical-certificate-of-cause-of-death-mccd'>2.15.2 Data source: The international form of Medical Certificate of Cause of Death (MCCD)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-routine-use-and-special-cases'>▶</span><span class='db' id='db-routine-use-and-special-cases'>▼</span><a href='#routine-use-and-special-cases'>2.15.3 Routine use and special cases</a> </div></div> <div class='childof chb-3' id='childof-routine-use-and-special-cases'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#routine-cause-of-death-reporting-systems'>2.15.3.1 Routine cause of death reporting systems</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#verbal-autopsy'>2.15.3.2 Verbal autopsy</a> </div></div> </li> </ul></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-basic-concepts'>▶</span><span class='db' id='db-basic-concepts'>▼</span><a href='#basic-concepts'>2.16 Basic concepts</a> </div></div> <div class='childof chb-2' id='childof-basic-concepts'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#terminal-cause-of-death'>2.16.1 Terminal cause of death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#causal-relationship-and-sequence'>2.16.2 Causal relationship and sequence</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#starting-point'>2.16.3 Starting point</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#duration'>2.16.4 Duration</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#firstmentioned-sequence'>2.16.5 First-mentioned sequence</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#underlying-cause-of-death-ucod'>2.16.6 Underlying cause of death (UCOD)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#priority-underlying-condition'>2.16.7 Priority underlying condition</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#modification'>2.16.8 Modification</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-coding-instructions-for-mortality'>▶</span><span class='db' id='db-coding-instructions-for-mortality'>▼</span><a href='#coding-instructions-for-mortality'>2.17 Coding instructions for mortality</a> </div></div> <div class='childof chb-2' id='childof-coding-instructions-for-mortality'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#basic-coding-and-multiple-cause-coding-guidelines'>2.17.1 Basic coding and multiple cause coding guidelines</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#selecting-the-underlying-cause-of-death'>2.17.2 Selecting the underlying cause of death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#find-the-starting-point-steps-sp1-to-sp8'>2.17.3 Find the starting point (Steps SP1 to SP8)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-sp1-single-cause-on-certificate'>2.17.4 Step SP1 – Single cause on certificate</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-sp2-first-condition-on-the-only-line-used'>2.17.5 Step SP2 – First condition on the only line used</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-sp3-first-condition-on-the-lowest-used-line-causing-all-entries-above'>2.17.6 Step SP3 – First condition on the lowest used line causing all entries above</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-sp4-starting-point-of-the-firstmentioned-sequence'>2.17.7 Step SP4 – Starting point of the first-mentioned sequence</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-sp5-terminal-cause-of-death-when-no-sequence'>2.17.8 Step SP5 – Terminal cause of death when no sequence</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-sp6-obvious-cause'>2.17.9 Step SP6 – Obvious cause</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-sp7-illdefined-conditions'>2.17.10 Step SP7 – Ill-defined conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-sp8-conditions-unlikely-to-cause-death'>2.17.11 Step SP8 – Conditions unlikely to cause death</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-check-for-modifications-of-the-starting-point-steps-m1-to-m4'>▶</span><span class='db' id='db-check-for-modifications-of-the-starting-point-steps-m1-to-m4'>▼</span><a href='#check-for-modifications-of-the-starting-point-steps-m1-to-m4'>2.18 Check for modifications of the starting point (Steps M1 to M4)</a> </div></div> <div class='childof chb-2' id='childof-check-for-modifications-of-the-starting-point-steps-m1-to-m4'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-m1-special-instructions'>2.18.1 Step M1 – Special instructions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-m2-specificity'>2.18.2 Step M2 – Specificity</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-m3-recheck-steps-sp6-m1-and-m2'>2.18.3 Step M3 – Recheck Steps SP6, M1 and M2</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#step-m4-instructions-on-medical-procedures-main-injury-poisoning-and-maternal-deaths'>2.18.4 Step M4 - Instructions on medical procedures, main injury, poisoning, and maternal deaths</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-special-instructions-on-selecting-the-underlying-cause-of-death'>▶</span><span class='db' id='db-special-instructions-on-selecting-the-underlying-cause-of-death'>▼</span><a href='#special-instructions-on-selecting-the-underlying-cause-of-death'>2.19 Special instructions on selecting the underlying cause of death</a> </div></div> <div class='childof chb-2' id='childof-special-instructions-on-selecting-the-underlying-cause-of-death'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-special-instructions-on-accepted-and-rejected-sequences-steps-sp3-and-sp4'>▶</span><span class='db' id='db-special-instructions-on-accepted-and-rejected-sequences-steps-sp3-and-sp4'>▼</span><a href='#special-instructions-on-accepted-and-rejected-sequences-steps-sp3-and-sp4'>2.19.1 Special instructions on accepted and rejected sequences (Steps SP3 and SP4)</a> </div></div> <div class='childof chb-3' id='childof-special-instructions-on-accepted-and-rejected-sequences-steps-sp3-and-sp4'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#conflicting-durations'>2.19.1.1 Conflicting durations</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-infectious-diseases-due-to-other-conditions'>▶</span><span class='db' id='db-infectious-diseases-due-to-other-conditions'>▼</span><a href='#infectious-diseases-due-to-other-conditions'>2.19.1.2 Infectious diseases due to other conditions</a> </div></div> <div class='childof chb-4' id='childof-infectious-diseases-due-to-other-conditions'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#cholera-and-certain-infectious-diseases-due-to-other-conditions'>Cholera and certain infectious diseases due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#typhoid-and-certain-infectious-disease-due-to-other-conditions'>Typhoid and certain infectious disease due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#hiv-due-to-other-conditions'>HIV due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#infectious-diseases-not-listed-above-due-to-other-conditions'>Infectious diseases not listed above due to other conditions</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#malignant-neoplasms-due-to-other-conditions'>2.19.1.3 Malignant neoplasms due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#congenital-or-constitutional-haemorrhagic-condition-due-to-other-conditions'>2.19.1.4 Congenital or constitutional haemorrhagic condition due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#anaphylaxis-due-to-external-causes'>2.19.1.5 Anaphylaxis due to external causes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#diabetes-due-to-other-conditions'>2.19.1.6 Diabetes due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#rheumatic-fever-due-to-other-conditions'>2.19.1.7 Rheumatic fever due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#hypertension-due-to-other-conditions'>2.19.1.8 Hypertension due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#certain-ischaemic-heart-disease-due-to-other-conditions'>2.19.1.9 Certain ischaemic heart disease due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#atherosclerosis-due-to-other-conditions'>2.19.1.10 Atherosclerosis due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#developmental-anomalies-due-to-other-conditions'>2.19.1.11 Developmental anomalies due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#unintentional-cause-of-morbidity-or-mortality-due-to-other-conditions'>2.19.1.12 Unintentional cause of morbidity or mortality due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#suicide-due-to-other-conditions'>2.19.1.13 Suicide due to other conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#obstetric-conditions-due-to-other-conditions'>2.19.1.14 Obstetric conditions due to other conditions</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-special-instructions-on-obvious-cause-step-sp6'>▶</span><span class='db' id='db-special-instructions-on-obvious-cause-step-sp6'>▼</span><a href='#special-instructions-on-obvious-cause-step-sp6'>2.19.2 Special instructions on obvious cause (Step SP6)</a> </div></div> <div class='childof chb-3' id='childof-special-instructions-on-obvious-cause-step-sp6'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-complications-of-hiv'>▶</span><span class='db' id='db-complications-of-hiv'>▼</span><a href='#complications-of-hiv'>2.19.2.1 Complications of HIV</a> </div></div> <div class='childof chb-4' id='childof-complications-of-hiv'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#infectious-diseases-and-hiv'>Infectious diseases and HIV</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#malignant-neoplasms-and-hiv'>Malignant neoplasms and HIV</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#immune-deficiency-and-hiv'>Immune deficiency and HIV</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#pneumonia-and-hiv'>Pneumonia and HIV</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#cachexia-and-hiv'>Cachexia and HIV</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#enterocolitis-due-to-clostridium-difficile'>2.19.2.2 Enterocolitis due to Clostridium difficile</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#sepsis'>2.19.2.3 Sepsis</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#complications-of-diabetes'>2.19.2.4 Complications of diabetes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#dehydration'>2.19.2.5 Dehydration</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#dementia'>2.19.2.6 Dementia</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#disorders-of-intellectual-development'>2.19.2.7 Disorders of intellectual development</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#heart-failure-and-unspecified-heart-disease'>2.19.2.8 Heart failure and unspecified heart disease</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#embolism'>2.19.2.9 Embolism</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#oesophageal-varices'>2.19.2.10 Oesophageal varices</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#pneumonia'>2.19.2.11 Pneumonia</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#pulmonary-oedema'>2.19.2.12 Pulmonary oedema</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#nephritic-syndrome'>2.19.2.13 Nephritic syndrome</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#pyelonephritis'>2.19.2.14 Pyelonephritis</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#acute-renal-failure'>2.19.2.15 Acute renal failure</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#primary-atelectasis-of-newborn'>2.19.2.16 Primary atelectasis of newborn</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#premature-rupture-of-membranes-and-oligohydramnios'>2.19.2.17 Premature rupture of membranes and oligohydramnios</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#haemorrhage'>2.19.2.18 Haemorrhage</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#aspiration-and-inhalation'>2.19.2.19 Aspiration and inhalation</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#surgery-and-other-invasive-medical-procedures'>2.19.2.20 Surgery and other invasive medical procedures</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#common-secondary-conditions'>2.19.2.21 Common secondary conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#secondary-peritonitis'>2.19.2.22 Secondary peritonitis</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-special-instructions-on-linkages-and-other-provisions-step-m1'>▶</span><span class='db' id='db-special-instructions-on-linkages-and-other-provisions-step-m1'>▼</span><a href='#special-instructions-on-linkages-and-other-provisions-step-m1'>2.19.3 Special instructions on linkages and other provisions (Step M1)</a> </div></div> <div class='childof chb-3' id='childof-special-instructions-on-linkages-and-other-provisions-step-m1'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-special-instructions-on-chapter-01-certain-infectious-or-parasitic-diseases'>▶</span><span class='db' id='db-special-instructions-on-chapter-01-certain-infectious-or-parasitic-diseases'>▼</span><a href='#special-instructions-on-chapter-01-certain-infectious-or-parasitic-diseases'>2.19.3.1 Special instructions on Chapter 01 Certain infectious or parasitic diseases</a> </div></div> <div class='childof chb-4' id='childof-special-instructions-on-chapter-01-certain-infectious-or-parasitic-diseases'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#human-immunodeficiency-virus-disease'>**Human immunodeficiency virus disease**</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-02-neoplasms'>2.19.3.2 Special instructions on Chapter 02 Neoplasms</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-03-diseases-of-the-blood-or-bloodforming-organs'>2.19.3.3 Special instructions on Chapter 03 Diseases of the blood or blood-forming organs</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-04-diseases-of-the-immune-system'>2.19.3.4 Special instructions on Chapter 04 Diseases of the immune system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-05-endocrine-nutritional-or-metabolic-diseases'>2.19.3.5 Special instructions on Chapter 05 Endocrine, nutritional or metabolic diseases</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-06-mental-behavioural-or-neurodevelopmental-disorders'>2.19.3.6 Special instructions on Chapter 06 Mental, behavioural or neurodevelopmental disorders</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-07-sleepwake-disorders'>2.19.3.7 Special instructions on Chapter 07 Sleep-wake disorders</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-08-diseases-of-the-nervous-system'>2.19.3.8 Special instructions on Chapter 08 Diseases of the nervous system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-09-diseases-of-the-visual-system'>2.19.3.9 Special instructions on Chapter 09 Diseases of the visual system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-10-diseases-of-the-ear-or-mastoid-process'>2.19.3.10 Special instructions on Chapter 10 Diseases of the ear or mastoid process</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-11-diseases-of-the-circulatory-system'>2.19.3.11 Special instructions on Chapter 11 Diseases of the circulatory system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-12-diseases-of-the-respiratory-system'>2.19.3.12 Special instructions on Chapter 12 Diseases of the respiratory system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-13-diseases-of-the-digestive-system'>2.19.3.13 Special instructions on Chapter 13 Diseases of the digestive system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-14-diseases-of-the-skin'>2.19.3.14 Special instructions on Chapter 14 Diseases of the skin</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-15-diseases-of-the-musculoskeletal-system-or-connective-tissue'>2.19.3.15 Special instructions on Chapter 15 Diseases of the musculoskeletal system or connective tissue</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-16-diseases-of-the-genitourinary-system'>2.19.3.16 Special instructions on Chapter 16 Diseases of the genitourinary system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-17-conditions-related-to-sexual-health'>2.19.3.17 Special instructions on Chapter 17 Conditions related to sexual health</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-18-pregnancy-childbirth-or-the-puerperium'>2.19.3.18 Special instructions on Chapter 18 Pregnancy, childbirth or the puerperium</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-19-certain-conditions-originating-in-the-perinatal-period'>2.19.3.19 Special instructions on Chapter 19 Certain conditions originating in the perinatal period</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-20-developmental-anomalies'>2.19.3.20 Special instructions on Chapter 20 Developmental anomalies</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-21-symptoms-signs-or-clinical-findings-not-elsewhere-classified'>2.19.3.21 Special instructions on Chapter 21 Symptoms, signs or clinical findings, not elsewhere classified</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-22-injury-poisoning-or-certain-other-consequences-of-external-causes'>2.19.3.22 Special instructions on Chapter 22 Injury, poisoning or certain other consequences of external causes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-chapter-23-external-causes-of-morbidity-or-mortality'>2.19.3.23 Special instructions on Chapter 23 External causes of morbidity or mortality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#codes-not-to-be-used-for-underlying-cause-of-death'>2.19.3.24 Codes not to be used for underlying cause of death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#codes-not-to-be-used-if-the-underlying-cause-is-known-or-other-specific-conditions-apply'>2.19.3.25 Codes not to be used if the underlying cause is known or other specific conditions apply</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-special-instructions-on-surgery-and-other-medical-procedures-step-m4'>▶</span><span class='db' id='db-special-instructions-on-surgery-and-other-medical-procedures-step-m4'>▼</span><a href='#special-instructions-on-surgery-and-other-medical-procedures-step-m4'>2.19.4 Special instructions on surgery and other medical procedures (Step M4)</a> </div></div> <div class='childof chb-3' id='childof-special-instructions-on-surgery-and-other-medical-procedures-step-m4'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#reason-for-the-surgery-or-procedure-stated'>2.19.4.1 Reason for the surgery or procedure stated</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#reason-for-the-surgery-or-procedure-not-stated-complication-reported'>2.19.4.2 Reason for the surgery or procedure not stated, complication reported</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#reason-for-the-surgery-or-procedure-not-stated-no-complication-reported'>2.19.4.3 Reason for the surgery or procedure not stated, no complication reported</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#medical-devices-associated-with-adverse-incidents-due-to-external-causes'>2.19.4.4 Medical devices associated with adverse incidents due to external causes</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-main-injury-in-deaths-from-external-causes-step-m4'>2.19.5 Special instructions on main injury in deaths from external causes (Step M4)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-special-instructions-on-poisoning-by-drugs-medications-and-biological-substances-step-m4'>▶</span><span class='db' id='db-special-instructions-on-poisoning-by-drugs-medications-and-biological-substances-step-m4'>▼</span><a href='#special-instructions-on-poisoning-by-drugs-medications-and-biological-substances-step-m4'>2.19.6 Special instructions on poisoning by drugs, medications and biological substances (Step M4)</a> </div></div> <div class='childof chb-3' id='childof-special-instructions-on-poisoning-by-drugs-medications-and-biological-substances-step-m4'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-drug-most-likely-to-have-caused-death-is-specified'>2.19.6.1 The drug most likely to have caused death is specified</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-drug-most-likely-to-have-caused-death-is-not-specified'>2.19.6.2 The drug most likely to have caused death is not specified</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#identification-of-the-drug-most-likely-to-have-caused-death'>2.19.6.3 Identification of the drug most likely to have caused death</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-maternal-mortality-step-m4'>2.19.7 Special instructions on maternal mortality (Step M4)</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-instructions-for-mortality-multiple-cause-coding-and-other-specific-instructions'>2.20 Coding instructions for mortality: multiple cause coding and other specific instructions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-mortality-rules-knowledgebase'>▶</span><span class='db' id='db-mortality-rules-knowledgebase'>▼</span><a href='#mortality-rules-knowledgebase'>2.21 Mortality Rules – Knowledgebase</a> </div></div> <div class='childof chb-2' id='childof-mortality-rules-knowledgebase'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-uncertain-diagnosis'>▶</span><span class='db' id='db-uncertain-diagnosis'>▼</span><a href='#uncertain-diagnosis'>2.21.1 Uncertain diagnosis</a> </div></div> <div class='childof chb-3' id='childof-uncertain-diagnosis'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#either-or'>2.21.1.1 Either … or</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#one-condition-either-one-site-or-another'>2.21.1.2 One condition, either one site or another</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#one-site-or-system-either-one-condition-or-another-condition'>2.21.1.3 One site or system, either one condition or another condition</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#either-one-condition-or-another-different-anatomical-systems'>2.21.1.4 Either one condition or another, different anatomical systems</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#either-disease-or-injury'>2.21.1.5 Either disease or injury</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-effect-of-connecting-terms'>▶</span><span class='db' id='db-effect-of-connecting-terms'>▼</span><a href='#effect-of-connecting-terms'>2.21.2 Effect of connecting terms</a> </div></div> <div class='childof chb-3' id='childof-effect-of-connecting-terms'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-connecting-terms-implying-a-causal-relationship'>▶</span><span class='db' id='db-connecting-terms-implying-a-causal-relationship'>▼</span><a href='#connecting-terms-implying-a-causal-relationship'>2.21.2.1 Connecting terms implying a causal relationship</a> </div></div> <div class='childof chb-4' id='childof-connecting-terms-implying-a-causal-relationship'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#due-to-written-or-implied-by-a-similar-term'>‘Due to’ written or implied by a similar term</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#resulting-in-written-or-implied-by-a-similar-term'>‘Resulting in’ written or implied by a similar term</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-connecting-terms-not-implying-a-causal-relationship'>▶</span><span class='db' id='db-connecting-terms-not-implying-a-causal-relationship'>▼</span><a href='#connecting-terms-not-implying-a-causal-relationship'>2.21.2.2 Connecting terms not implying a causal relationship</a> </div></div> <div class='childof chb-4' id='childof-connecting-terms-not-implying-a-causal-relationship'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#and-written-or-implied-by-a-similar-term-first-or-last-on-a-line'>‘And’ written or implied by a similar term first or last on a line</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#and-written-or-implied-by-a-similar-term-but-not-first-or-last-on-a-line'>‘And’ written or implied by a similar term but not first or last on a line</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#diagnostic-terms-that-do-not-stop-at-the-end-of-the-line'>Diagnostic terms that do not stop at the end of the line</a> </div></div> </li> </ul></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-duration-of-conditions'>▶</span><span class='db' id='db-duration-of-conditions'>▼</span><a href='#duration-of-conditions'>2.21.3 Duration of conditions</a> </div></div> <div class='childof chb-3' id='childof-duration-of-conditions'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#single-duration-stated-for-multiple-conditions'>2.21.3.1 Single duration stated for multiple conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#modifying-temporality-of-conditions-by-stated-duration'>2.21.3.2 Modifying temporality of conditions by stated duration</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#code-also-instructions-in-mortality-use-case'>2.21.4 'Code also' instructions in mortality use case</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-malignant-neoplasms'>▶</span><span class='db' id='db-malignant-neoplasms'>▼</span><a href='#malignant-neoplasms'>2.21.5 Malignant neoplasms</a> </div></div> <div class='childof chb-3' id='childof-malignant-neoplasms'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-behaviour-malignant-in-situ-benign-uncertain-or-unknown-behaviour'>▶</span><span class='db' id='db-behaviour-malignant-in-situ-benign-uncertain-or-unknown-behaviour'>▼</span><a href='#behaviour-malignant-in-situ-benign-uncertain-or-unknown-behaviour'>2.21.5.1 Behaviour: malignant, in situ, benign, uncertain or unknown behaviour</a> </div></div> <div class='childof chb-4' id='childof-behaviour-malignant-in-situ-benign-uncertain-or-unknown-behaviour'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-term-itself-indicates-behaviour'>The term itself indicates behaviour</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#other-information-on-the-certificate-indicates-behaviour'>Other information on the certificate indicates behaviour</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-malignant-neoplasms-primary-or-secondary'>▶</span><span class='db' id='db-malignant-neoplasms-primary-or-secondary'>▼</span><a href='#malignant-neoplasms-primary-or-secondary'>2.21.5.2 **Malignant neoplasms: primary or secondary?**</a> </div></div> <div class='childof chb-4' id='childof-malignant-neoplasms-primary-or-secondary'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#common-sites-of-metastases'>**Common sites of metastases**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#malignant-neoplasm-reported-as-primary'>**Malignant neoplasm reported as primary**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#other-indication-of-primary-malignant-neoplasm'>**Other indication of primary malignant neoplasm**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#malignant-neoplasm-reported-as-secondary'>**Malignant neoplasm reported as secondary**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#other-indication-of-secondary-malignant-neoplasm'>**Other indication of secondary malignant neoplasm**</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#more-than-one-primary-malignant-neoplasm'>2.21.5.3 **More than one primary malignant neoplasm**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#site-not-clearly-indicated'>2.21.5.4 **Site not clearly indicated**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#primary-site-unknown'>2.21.5.5 **Primary site unknown**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-metastatic-cancer'>▶</span><span class='db' id='db-metastatic-cancer'>▼</span><a href='#metastatic-cancer'>2.21.5.6 **‘Metastatic’ cancer**</a> </div></div> <div class='childof chb-4' id='childof-metastatic-cancer'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#malignant-neoplasm-metastatic-from-a-specified-site'>**Malignant neoplasm ‘metastatic from’ a specified site**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#malignant-neoplasm-metastatic-to-a-specified-site'>**Malignant neoplasm ‘metastatic to’ a specified site**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#malignant-neoplasm-metastatic-of-site-a-to-site-b'>**Malignant neoplasm metastatic of site A to site B**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#metastatic-neoplasm-of-a-specific-histopathology'>**‘Metastatic’ neoplasm of a specific histopathology**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#metastatic-malignant-neoplasm-on-the-list-of-common-sites-of-metastases'>**‘Metastatic’ malignant neoplasm on the list of common sites of metastases**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#metastatic-malignant-neoplasm-not-on-the-list-of-common-sites-of-metastases'>**‘Metastatic’ malignant neoplasm not on the list of common sites of metastases**</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#metastatic-malignant-neoplasm-some-on-the-list-of-common-sites-of-metastases-and-some-not'>**‘Metastatic’ malignant neoplasm, some on the list of common sites of metastases and some not**</a> </div></div> </li> </ul></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-sequelae'>▶</span><span class='db' id='db-sequelae'>▼</span><a href='#sequelae'>2.21.6 Sequelae</a> </div></div> <div class='childof chb-3' id='childof-sequelae'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#conditions-considered-to-be-sequelae'>2.21.6.1 Conditions considered to be sequelae</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#sequelae-of-tuberculosis'>2.21.6.2 Sequelae of tuberculosis</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#sequelae-of-trachoma'>2.21.6.3 Sequelae of trachoma</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#sequelae-of-viral-encephalitis-diphtheria-or-other-specified-infectious-diseases'>2.21.6.4 Sequelae of viral encephalitis, diphtheria or other specified infectious diseases</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#sequelae-of-malnutrition-or-certain-specified-nutritional-deficiencies'>2.21.6.5 Sequelae of malnutrition or certain specified nutritional deficiencies</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#late-effects-of-chapter-22-and-chapter-23'>2.21.6.6 Late effects of Chapter 22 and Chapter 23</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#sequelae-of-leprosy'>2.21.6.7 Sequelae of leprosy</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#sequelae-of-poliomyelitis'>2.21.6.8 Sequelae of poliomyelitis</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#consistency-between-sex-of-patient-and-diagnosis'>2.21.7 Consistency between sex of patient and diagnosis</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-specific-instructions-on-other-icd-categories'>▶</span><span class='db' id='db-specific-instructions-on-other-icd-categories'>▼</span><a href='#specific-instructions-on-other-icd-categories'>2.21.8 Specific instructions on other ICD categories</a> </div></div> <div class='childof chb-3' id='childof-specific-instructions-on-other-icd-categories'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#acute-or-chronic-rheumatic-heart-diseases'>2.21.8.1 Acute or chronic rheumatic heart diseases</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#obstetric-death-of-unspecified-cause-obstetric-deaths-42-days1-year-after-delivery-sequelae-of-obstetric-causes'>2.21.8.2 Obstetric death of unspecified cause, Obstetric deaths 42 days–1 year after delivery, sequelae of obstetric causes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-deaths-due-to-certain-conditions-originating-in-the-perinatal-period'>▶</span><span class='db' id='db-deaths-due-to-certain-conditions-originating-in-the-perinatal-period'>▼</span><a href='#deaths-due-to-certain-conditions-originating-in-the-perinatal-period'>2.21.8.3 Deaths due to Certain conditions originating in the perinatal period</a> </div></div> <div class='childof chb-4' id='childof-deaths-due-to-certain-conditions-originating-in-the-perinatal-period'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#fetus-or-newborn-affected-by-maternal-factors-or-by-complications-of-pregnancy-labour-or-delivery'>Fetus or newborn affected by maternal factors or by complications of pregnancy, labour or delivery</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#special-instructions-on-fetal-deaths'>2.21.8.4 Special instructions on fetal deaths</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#developmental-anomalies'>2.21.8.5 Developmental anomalies</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#multiple-injuries-in-the-same-body-region-and-injuries-involving-multiple-body-regions'>2.21.8.6 Multiple injuries in the same body region and Injuries involving multiple body regions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#complications-of-surgical-and-medical-care'>2.21.8.7 Complications of surgical and medical care</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-intent-of-external-causes'>▶</span><span class='db' id='db-intent-of-external-causes'>▼</span><a href='#intent-of-external-causes'>2.21.8.8 Intent of external causes</a> </div></div> <div class='childof chb-4' id='childof-intent-of-external-causes'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#undetermined-intent'>Undetermined intent</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-of-transport-injury-events'>2.21.8.9 Coding of transport injury events</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#factors-influencing-health-status-or-contact-with-health-services'>2.21.8.10 Factors influencing health status or contact with health services</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#infectious-agents-reported-alone-on-a-death-certificate'>2.21.8.11 Infectious agents reported alone on a death certificate</a> </div></div> </li> </ul></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#mortality-digital-end-to-end-solution-forms-tools-and-training-modules'>2.22 Mortality digital end to end solution (forms, tools and training modules)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-main-uses-of-the-icd-morbidity'>▶</span><span class='db' id='db-part-0-main-uses-of-the-icd-morbidity'>▼</span><a href='#part-0-main-uses-of-the-icd-morbidity'>2.23 Main uses of the ICD: Morbidity</a> </div></div> <div class='childof chb-2' id='childof-part-0-main-uses-of-the-icd-morbidity'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#icd-use-in-clinical-care'>2.23.1 ICD use in clinical care</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#icd-use-for-epidemiological-purposes'>2.23.2 ICD use for epidemiological purposes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-icd-use-in-quality-and-patient-safety'>▶</span><span class='db' id='db-icd-use-in-quality-and-patient-safety'>▼</span><a href='#icd-use-in-quality-and-patient-safety'>2.23.3 ICD use in quality and patient safety</a> </div></div> <div class='childof chb-3' id='childof-icd-use-in-quality-and-patient-safety'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-quality-and-safety-use-case-for-icd11'>2.23.3.1 The quality and safety use case for ICD–11</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#reporting-on-indicators-of-quality-of-care-and-patient-safety'>2.23.3.2 Reporting on indicators of quality of care and patient safety</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#functionality'>2.23.3.3 Functionality:</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#additional-information'>2.23.3.4 Additional information:</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#recommendations-for-use-and-interpretation-of-coded-data'>2.23.3.5 Recommendations for use and interpretation of coded data</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#icd-use-for-research-purposes'>2.23.3.6 ICD use for research purposes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#icd-use-in-primary-care'>2.23.3.7 ICD use in primary care</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#icd-use-in-casemix-groupings'>2.23.3.8 ICD use in Casemix groupings</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-what-is-coded-patient-conditions'>▶</span><span class='db' id='db-part-0-what-is-coded-patient-conditions'>▼</span><a href='#part-0-what-is-coded-patient-conditions'>2.23.4 What is coded: Patient conditions</a> </div></div> <div class='childof chb-3' id='childof-part-0-what-is-coded-patient-conditions'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#main-condition'>2.23.4.1 Main condition</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#multiple-conditions-contributing-to-need-for-admission'>2.23.4.2 Multiple conditions contributing to need for admission</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#other-conditions'>2.23.4.3 Other conditions</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-health-care-practitioner-documentation-guidelines-for-morbidity-coding'>▶</span><span class='db' id='db-health-care-practitioner-documentation-guidelines-for-morbidity-coding'>▼</span><a href='#health-care-practitioner-documentation-guidelines-for-morbidity-coding'>2.23.5 Health care practitioner documentation guidelines for morbidity coding</a> </div></div> <div class='childof chb-3' id='childof-health-care-practitioner-documentation-guidelines-for-morbidity-coding'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#documentation-guidelines-involving-the-term-multiplefor-single-condition-reporting'>2.23.5.1 Documentation guidelines involving the term 'Multiple'-For Single condition reporting</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#specificity-and-detail'>2.23.5.2 Specificity and detail</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#unconfirmed-diagnoses'>2.23.5.3 Unconfirmed diagnoses</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#documentation-of-a-ruled-out-condition'>2.23.5.4 Documentation of a ruled out condition</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#contact-with-health-services-for-reasons-other-than-illness'>2.23.5.5 Contact with health services for reasons other than illness</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#conditions-due-to-external-causes'>2.23.5.6 Conditions due to external causes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#documentation-of-sequelae'>2.23.5.7 Documentation of sequelae</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-coder-guidelines-for-selecting-main-condition-and-other-conditions-for-coding-purposes'>▶</span><span class='db' id='db-coder-guidelines-for-selecting-main-condition-and-other-conditions-for-coding-purposes'>▼</span><a href='#coder-guidelines-for-selecting-main-condition-and-other-conditions-for-coding-purposes'>2.23.6 Coder guidelines for selecting ‘main condition’ and ‘other conditions’ for coding purposes</a> </div></div> <div class='childof chb-3' id='childof-coder-guidelines-for-selecting-main-condition-and-other-conditions-for-coding-purposes'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#mb1-several-conditions-recorded-as-main-condition'>2.23.6.1 MB1 - Several conditions recorded as ‘main condition’</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#mb2-condition-recorded-as-main-condition-is-presenting-symptom-of-diagnosed-treated-condition'>2.23.6.2 MB2 - Condition recorded as ‘main condition’ is presenting symptom of diagnosed, treated condition</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#mb3-signs-and-symptoms-recorded-as-main-condition-with-alternative-conditions-recorded-as-the-cause'>2.23.6.3 MB3 - Signs and symptoms recorded as 'main condition' with alternative conditions recorded as the cause</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-coding-using-postcoordination-in-morbidity'>▶</span><span class='db' id='db-coding-using-postcoordination-in-morbidity'>▼</span><a href='#coding-using-postcoordination-in-morbidity'>2.23.7 Coding using postcoordination in morbidity</a> </div></div> <div class='childof chb-3' id='childof-coding-using-postcoordination-in-morbidity'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coder-rule-for-use-of-extension-codes'>2.23.7.1 Coder rule for use of extension codes</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-from-health-care-practitioner-documentation-of-causal-relationships'>2.23.8 Coding from health care practitioner documentation of 'causal relationships'</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-of-suspected-conditions-or-symptoms-abnormal-findings-and-nonillness-situations'>2.23.9 Coding of suspected conditions or symptoms, abnormal findings and non-illness situations</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-using-combination-categories'>2.23.10 Coding using combination categories</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-using-external-causes-of-morbidity'>2.23.11 Coding using external causes of morbidity</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-of-acute-and-chronic-conditions-recorded-as-main-condition'>2.23.12 Coding of acute and chronic conditions recorded as main condition</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-of-injuries-or-harm-arising-from-surgical-or-medical-care'>2.23.13 Coding of injuries or harm arising from surgical or medical care</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-of-adverse-events-and-circumstances-in-health-care-that-do-not-cause-actual-injury-or-harm'>2.23.14 Coding of adverse events and circumstances in health care that do not cause actual injury or harm</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-of-chronic-postprocedural-conditions'>2.23.15 Coding of chronic postprocedural conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-history-of-and-family-history-of'>2.23.16 Coding 'History of' and 'Family history of'</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-a-ruled-out-condition'>2.23.17 Coding a "ruled out" condition</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-of-conditions-documented-as-sequela-late-effect'>2.23.18 Coding of conditions documented as sequela (late effect)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-standards-and-coding-instructions-for-injury-events'>▶</span><span class='db' id='db-standards-and-coding-instructions-for-injury-events'>▼</span><a href='#standards-and-coding-instructions-for-injury-events'>2.23.19 Standards and coding instructions for injury events</a> </div></div> <div class='childof chb-3' id='childof-standards-and-coding-instructions-for-injury-events'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#descriptions-related-to-transport-injury-events'>2.23.19.1 Descriptions related to transport injury events</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#classification-and-coding-instructions-for-unintentional-injury-caused-by-transport'>2.23.19.2 Classification and coding instructions for unintentional injury caused by transport</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-conceptual-model-for-quality-and-patient-safety'>▶</span><span class='db' id='db-conceptual-model-for-quality-and-patient-safety'>▼</span><a href='#conceptual-model-for-quality-and-patient-safety'>2.23.20 Conceptual model for quality and patient safety</a> </div></div> <div class='childof chb-3' id='childof-conceptual-model-for-quality-and-patient-safety'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#overview-of-codeset-in-icd11-for-quality-and-patient-safety'>2.23.20.1 Overview of code-set in ICD–11 for quality and patient safety</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#causation-in-the-context-of-quality-and-safety'>2.23.20.2 Causation in the context of quality and safety</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chronic-postprocedural-conditions'>2.23.20.3 Chronic postprocedural conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#adverse-events-and-circumstances-in-health-care-that-do-not-cause-actual-injury-or-harm'>2.23.20.4 Adverse events and circumstances in health care that do not cause actual injury or harm</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#recommendations-for-data-capture-and-organisation'>2.23.20.5 Recommendations for data capture and organisation</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapterspecific-notes'>▶</span><span class='db' id='db-chapterspecific-notes'>▼</span><a href='#chapterspecific-notes'>2.23.21 Chapter-specific notes</a> </div></div> <div class='childof chb-3' id='childof-chapterspecific-notes'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-1-infectious-and-parasitic-diseases'>2.23.21.1 Chapter 1: Infectious and parasitic diseases</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-2-neoplasms'>2.23.21.2 Chapter 2: Neoplasms</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-3-diseases-of-the-blood-or-bloodforming-organs'>2.23.21.3 Chapter 3: Diseases of the blood or blood-forming organs</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-5-endocrine-nutritional-or-metabolic-diseases'>2.23.21.4 Chapter 5: Endocrine, nutritional or metabolic diseases</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-6-mental-behavioural-or-neurodevelopmental-disorders'>2.23.21.5 Chapter 6: Mental, behavioural or neurodevelopmental disorders</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-8-diseases-of-the-nervous-system'>2.23.21.6 Chapter 8: Diseases of the nervous system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-9-diseases-of-the-visual-system'>2.23.21.7 Chapter 9: Diseases of the visual system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-10-diseases-of-the-ear-or-mastoid-process'>2.23.21.8 Chapter 10: Diseases of the ear or mastoid process</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-11-diseases-of-the-circulatory-system'>2.23.21.9 Chapter 11: Diseases of the circulatory system</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-15-diseases-of-the-musculoskeletal-system-or-connective-tissue'>2.23.21.10 Chapter 15: Diseases of the musculoskeletal system or connective tissue</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-18-pregnancy-childbirth-or-the-puerperium'>2.23.21.11 Chapter 18: Pregnancy, childbirth or the puerperium</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-21-symptoms-signs-or-clinical-findings-not-elsewhere-classified'>2.23.21.12 Chapter 21: Symptoms, signs or clinical findings, not elsewhere classified</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-22-injury-poisoning-or-certain-other-consequences-of-external-causes'>2.23.21.13 Chapter 22: Injury, poisoning or certain other consequences of external causes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-23-external-causes-of-morbidity-or-mortality'>2.23.21.14 Chapter 23: External causes of morbidity or mortality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-24-factors-influencing-health-status-or-contact-with-health-services'>2.23.21.15 Chapter 24: Factors influencing health status or contact with health services</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#traditional-medicine-conditions-module-1-tm1'>2.23.22 Traditional Medicine Conditions - Module 1 (TM1)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#use-in-traditional-medicine'>2.23.23 Use in Traditional Medicine</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#coding-instructions-for-traditional-medicine-conditions-module-1-tm1'>2.23.24 Coding instructions for Traditional Medicine conditions - Module 1 (TM1)</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-general-statistical-recommendations'>▶</span><span class='db' id='db-general-statistical-recommendations'>▼</span><a href='#general-statistical-recommendations'>2.24 General statistical recommendations</a> </div></div> <div class='childof chb-2' id='childof-general-statistical-recommendations'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#data-quality'>2.24.1 Data quality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#specificity-versus-illdefined-codes'>2.24.2 Specificity versus ill-defined codes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#problems-of-a-small-population'>2.24.3 Problems of a small population</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#empty-cells-and-cells-with-low-frequencies'>2.24.4 ‘Empty cells’ and cells with low frequencies</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#precautions-needed-when-tabulation-lists-include-subtotals'>2.24.5 Precautions needed when tabulation lists include subtotals</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#ethical-aspects'>2.24.6 Ethical Aspects</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#avoidance-of-potential-harm'>2.24.7 Avoidance of Potential Harm</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#security-of-privacy-confidentiality'>2.24.8 Security of Privacy – Confidentiality</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-recommendations-in-relation-to-statistical-tables-for-international-comparison'>▶</span><span class='db' id='db-recommendations-in-relation-to-statistical-tables-for-international-comparison'>▼</span><a href='#recommendations-in-relation-to-statistical-tables-for-international-comparison'>2.25 Recommendations in relation to statistical tables for international comparison</a> </div></div> <div class='childof chb-2' id='childof-recommendations-in-relation-to-statistical-tables-for-international-comparison'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-recommended-special-tabulation-lists'>2.25.1 The recommended Special tabulation lists</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-international-morbidity-reporting'>▶</span><span class='db' id='db-international-morbidity-reporting'>▼</span><a href='#international-morbidity-reporting'>2.25.2 International morbidity reporting</a> </div></div> <div class='childof chb-3' id='childof-international-morbidity-reporting'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#minimum-data-set-and-markup-for-postcoordination'>2.25.2.1 Minimum data set and markup for postcoordination</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-presentation-of-statistical-tables'>▶</span><span class='db' id='db-presentation-of-statistical-tables'>▼</span><a href='#presentation-of-statistical-tables'>2.25.3 Presentation of statistical tables</a> </div></div> <div class='childof chb-3' id='childof-presentation-of-statistical-tables'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#tabulation-of-causes-of-death'>2.25.3.1 Tabulation of causes of death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#injury-mortality'>2.25.3.2 Injury mortality</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-standards-and-reporting-requirements-for-mortality-in-perinatal-and-neonatal-periods'>▶</span><span class='db' id='db-standards-and-reporting-requirements-for-mortality-in-perinatal-and-neonatal-periods'>▼</span><a href='#standards-and-reporting-requirements-for-mortality-in-perinatal-and-neonatal-periods'>2.25.4 Standards and reporting requirements for mortality in perinatal and neonatal periods</a> </div></div> <div class='childof chb-3' id='childof-standards-and-reporting-requirements-for-mortality-in-perinatal-and-neonatal-periods'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#terms-used-in-perinatal-and-neonatal-mortality'>2.25.4.1 Terms used in perinatal and neonatal mortality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-definitions-in-perinatal-and-neonatal-mortality'>▶</span><span class='db' id='db-definitions-in-perinatal-and-neonatal-mortality'>▼</span><a href='#definitions-in-perinatal-and-neonatal-mortality'>2.25.4.2 Definitions in perinatal and neonatal mortality</a> </div></div> <div class='childof chb-4' id='childof-definitions-in-perinatal-and-neonatal-mortality'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#fetal-death-spontaneous-abortion-stillbirth-live-birth-neonatal-death'>Fetal death, spontaneous abortion, stillbirth, live birth, neonatal death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#artificial-termination-of-pregnancy'>Artificial termination of pregnancy</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-other-terminologies-used-in-recording-and-presentation-of-perinatal-or-neonatal-mortality'>▶</span><span class='db' id='db-other-terminologies-used-in-recording-and-presentation-of-perinatal-or-neonatal-mortality'>▼</span><a href='#other-terminologies-used-in-recording-and-presentation-of-perinatal-or-neonatal-mortality'>2.25.4.3 Other terminologies used in recording and presentation of perinatal or neonatal mortality</a> </div></div> <div class='childof chb-4' id='childof-other-terminologies-used-in-recording-and-presentation-of-perinatal-or-neonatal-mortality'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#fetal-death-ie-regardless-of-gestational-age-lower-limit-if-any-should-be-stated'>Fetal death (i.e. regardless of gestational age; lower limit, if any, should be stated)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#stillbirth-ie-22-or-more-completed-weeks'>Stillbirth (i.e. 22 or more completed weeks)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#period-of-gestation'>Period of gestation</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#birthweight'>Birthweight</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#neonatal-death'>Neonatal death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#total-birth'>Total birth</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-certification-of-stillbirth-and-live-births-in-the-neonatal-period'>▶</span><span class='db' id='db-certification-of-stillbirth-and-live-births-in-the-neonatal-period'>▼</span><a href='#certification-of-stillbirth-and-live-births-in-the-neonatal-period'>2.25.4.4 Certification of stillbirth and live births in the neonatal period</a> </div></div> <div class='childof chb-4' id='childof-certification-of-stillbirth-and-live-births-in-the-neonatal-period'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-international-form-of-medical-certificate-of-cause-of-death-and-additional-details'>The international form of medical certificate of cause of death and additional details</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#level-of-details-for-recording'>Level of details for recording</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-reporting-criteria-for-fetal-death-stillbirth-and-live-birth'>▶</span><span class='db' id='db-reporting-criteria-for-fetal-death-stillbirth-and-live-birth'>▼</span><a href='#reporting-criteria-for-fetal-death-stillbirth-and-live-birth'>2.25.4.5 Reporting criteria for fetal death, stillbirth and live birth</a> </div></div> <div class='childof chb-4' id='childof-reporting-criteria-for-fetal-death-stillbirth-and-live-birth'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#criteria-for-international-reporting'>Criteria for international reporting</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-statistical-presentation-of-perinatal-neonatal-infant-or-underfive-mortality'>▶</span><span class='db' id='db-statistical-presentation-of-perinatal-neonatal-infant-or-underfive-mortality'>▼</span><a href='#statistical-presentation-of-perinatal-neonatal-infant-or-underfive-mortality'>2.25.4.6 Statistical presentation of perinatal, neonatal, infant or under-five mortality</a> </div></div> <div class='childof chb-4' id='childof-statistical-presentation-of-perinatal-neonatal-infant-or-underfive-mortality'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#groupings-of-gestational-age-groups-for-fetal-death-under-22-weeks-stillbirth-and-neonatal-mortality-statistics'>Groupings of gestational age groups for fetal death under 22 weeks, stillbirth and neonatal mortality statistics</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#groupings-of-birthweight-for-fetal-death-under-22-weeks-stillbirth-and-neonatal-mortality-statistics'>Groupings of birthweight for fetal death under 22 weeks, stillbirth and neonatal mortality statistics</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#groupings-by-chronological-age-in-neonatal-mortality-statistics'>Groupings by chronological age in neonatal mortality statistics</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#underfive-mortality'>2.25.4.7 Under-five mortality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#infant-mortality'>2.25.4.8 Infant mortality</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-standards-and-reporting-requirements-related-for-maternal-mortality'>▶</span><span class='db' id='db-standards-and-reporting-requirements-related-for-maternal-mortality'>▼</span><a href='#standards-and-reporting-requirements-related-for-maternal-mortality'>2.25.5 Standards and reporting requirements related for maternal mortality</a> </div></div> <div class='childof chb-3' id='childof-standards-and-reporting-requirements-related-for-maternal-mortality'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#maternal-death'>2.25.5.1 Maternal death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#late-maternal-death'>2.25.5.2 Late Maternal death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#comprehensive-maternal-death'>2.25.5.3 Comprehensive maternal death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#direct-and-indirect-obstetric-deaths'>2.25.5.4 Direct and indirect obstetric deaths</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#death-occurring-during-pregnancy-childbirth-and-puerperium'>2.25.5.5 Death occurring during pregnancy, childbirth and puerperium</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#recording-requirements-of-maternal-mortality'>2.25.5.6 Recording requirements of maternal mortality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#international-reporting-of-maternal-mortality'>2.25.5.7 International reporting of maternal mortality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#numerator-denominator-and-ratios-of-published-maternal-mortality'>2.25.5.8 Numerator, denominator, and ratios of published maternal mortality</a> </div></div> </li> </ul></div> </li> </ul></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-3-new-in-icd11'>▶</span><span class='db' id='db-part-3-new-in-icd11'>▼</span><a href='#part-3-new-in-icd11'>3 Part 3 - New in ICD-11</a> </div></div> <div class='childof chb-1' id='childof-part-3-new-in-icd11'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-icd11-new-conventions-and-terminology'>▶</span><span class='db' id='db-icd11-new-conventions-and-terminology'>▼</span><a href='#icd11-new-conventions-and-terminology'>3.1 ICD-11 new conventions and terminology</a> </div></div> <div class='childof chb-2' id='childof-icd11-new-conventions-and-terminology'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#short-description'>3.1.1 Short Description</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-additional-information'>3.1.2 Additional Information</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-code-structure'>3.1.3 Code Structure</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-structure-of-icd11'>▶</span><span class='db' id='db-chapter-structure-of-icd11'>▼</span><a href='#chapter-structure-of-icd11'>3.2 Chapter Structure of ICD-11</a> </div></div> <div class='childof chb-2' id='childof-chapter-structure-of-icd11'><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-01-certain-infectious-or-parasitic-diseases'>▶</span><span class='db' id='db-chapter-01-certain-infectious-or-parasitic-diseases'>▼</span><a href='#chapter-01-certain-infectious-or-parasitic-diseases'>3.2.1 Chapter 01 – Certain infectious or parasitic diseases</a> </div></div> <div class='childof chb-3' id='childof-chapter-01-certain-infectious-or-parasitic-diseases'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-01-structure-of-chapter-01'>3.2.1.1 Chapter 01 – Structure of chapter 01</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-01-rationale-for-chapter-01'>3.2.1.2 Chapter 01 – Rationale for chapter 01</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#antimicrobial-resistance'>3.2.1.3 Antimicrobial resistance</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-02-neoplasms'>▶</span><span class='db' id='db-chapter-02-neoplasms'>▼</span><a href='#chapter-02-neoplasms'>3.2.2 Chapter 02 – Neoplasms</a> </div></div> <div class='childof chb-3' id='childof-chapter-02-neoplasms'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-02-structure-of-chapter-02'>3.2.2.1 Chapter 02 – Structure of chapter 02</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-02-rationale-for-chapter-02'>3.2.2.2 Chapter 02 - Rationale for Chapter 02</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-03-diseases-of-the-blood-or-bloodforming-organs'>▶</span><span class='db' id='db-chapter-03-diseases-of-the-blood-or-bloodforming-organs'>▼</span><a href='#chapter-03-diseases-of-the-blood-or-bloodforming-organs'>3.2.3 Chapter 03 – Diseases of the blood or blood-forming organs</a> </div></div> <div class='childof chb-3' id='childof-chapter-03-diseases-of-the-blood-or-bloodforming-organs'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-03-structure-of-chapter-03'>3.2.3.1 Chapter 03 – Structure of chapter 03</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-03-rationale-for-chapter-03'>3.2.3.2 Chapter 03 – Rationale for chapter 03</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-04-diseases-of-the-immune-system'>▶</span><span class='db' id='db-chapter-04-diseases-of-the-immune-system'>▼</span><a href='#chapter-04-diseases-of-the-immune-system'>3.2.4 Chapter 04 – Diseases of the immune system</a> </div></div> <div class='childof chb-3' id='childof-chapter-04-diseases-of-the-immune-system'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-04-structure-of-chapter-04'>3.2.4.1 Chapter 04 – Structure of chapter 04</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-04-rationale-for-chapter-04'>3.2.4.2 Chapter 04 – Rationale for chapter 04</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-05-endocrine-nutritional-or-metabolic-diseases'>▶</span><span class='db' id='db-chapter-05-endocrine-nutritional-or-metabolic-diseases'>▼</span><a href='#chapter-05-endocrine-nutritional-or-metabolic-diseases'>3.2.5 Chapter 05 – Endocrine, nutritional or metabolic diseases</a> </div></div> <div class='childof chb-3' id='childof-chapter-05-endocrine-nutritional-or-metabolic-diseases'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-05-structure-of-chapter-05'>3.2.5.1 Chapter 05 – Structure of Chapter 05</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-05-rationale-for-chapter-05'>3.2.5.2 Chapter 05 – Rationale for Chapter 05</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-06-mental-behavioural-or-neurodevelopmental-disorders'>▶</span><span class='db' id='db-chapter-06-mental-behavioural-or-neurodevelopmental-disorders'>▼</span><a href='#chapter-06-mental-behavioural-or-neurodevelopmental-disorders'>3.2.6 Chapter 06 – Mental, behavioural or neurodevelopmental disorders</a> </div></div> <div class='childof chb-3' id='childof-chapter-06-mental-behavioural-or-neurodevelopmental-disorders'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-06-structure-of-chapter-06'>3.2.6.1 Chapter 06 – Structure of Chapter 06</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-06-rationale-for-chapter-06'>3.2.6.2 Chapter 06 – Rationale for Chapter 06</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-07-sleepwake-disorders'>▶</span><span class='db' id='db-chapter-07-sleepwake-disorders'>▼</span><a href='#chapter-07-sleepwake-disorders'>3.2.7 Chapter 07 – Sleep–wake disorders</a> </div></div> <div class='childof chb-3' id='childof-chapter-07-sleepwake-disorders'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-07-structure-of-chapter-07'>3.2.7.1 Chapter 07 – Structure of Chapter 07</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-07-rationale-for-chapter-07'>3.2.7.2 Chapter 07 – Rationale for Chapter 07</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-08-diseases-of-the-nervous-system'>▶</span><span class='db' id='db-chapter-08-diseases-of-the-nervous-system'>▼</span><a href='#chapter-08-diseases-of-the-nervous-system'>3.2.8 Chapter 08 – Diseases of the nervous system</a> </div></div> <div class='childof chb-3' id='childof-chapter-08-diseases-of-the-nervous-system'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-08-structure-of-chapter-08'>3.2.8.1 Chapter 08 – Structure of Chapter 08</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-08-rationale-for-chapter-08'>3.2.8.2 Chapter 08 – Rationale for Chapter 08</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-09-diseases-of-the-visual-system'>▶</span><span class='db' id='db-chapter-09-diseases-of-the-visual-system'>▼</span><a href='#chapter-09-diseases-of-the-visual-system'>3.2.9 Chapter 09 – Diseases of the visual system</a> </div></div> <div class='childof chb-3' id='childof-chapter-09-diseases-of-the-visual-system'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-09-structure-of-chapter-09'>3.2.9.1 Chapter 09 – Structure of Chapter 09</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-chapter-10-diseases-of-the-ear-or-mastoid-process'>▶</span><span class='db' id='db-part-0-chapter-10-diseases-of-the-ear-or-mastoid-process'>▼</span><a href='#part-0-chapter-10-diseases-of-the-ear-or-mastoid-process'>3.2.10 Chapter 10 - Diseases of the ear or mastoid process</a> </div></div> <div class='childof chb-3' id='childof-part-0-chapter-10-diseases-of-the-ear-or-mastoid-process'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-10-structure-of-chapter-10'>3.2.10.1 Chapter 10 – Structure of Chapter 10</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-chapter-11-diseases-of-the-circulatory-system'>▶</span><span class='db' id='db-part-0-chapter-11-diseases-of-the-circulatory-system'>▼</span><a href='#part-0-chapter-11-diseases-of-the-circulatory-system'>3.2.11 Chapter 11 – Diseases of the circulatory system</a> </div></div> <div class='childof chb-3' id='childof-part-0-chapter-11-diseases-of-the-circulatory-system'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-11-structure-of-chapter-11'>3.2.11.1 Chapter 11 – Structure of Chapter 11</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-11-rationale-for-chapter-11'>3.2.11.2 Chapter 11 – Rationale for Chapter 11</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-12-diseases-of-the-respiratory-system'>▶</span><span class='db' id='db-chapter-12-diseases-of-the-respiratory-system'>▼</span><a href='#chapter-12-diseases-of-the-respiratory-system'>3.2.12 Chapter 12 – Diseases of the respiratory system</a> </div></div> <div class='childof chb-3' id='childof-chapter-12-diseases-of-the-respiratory-system'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-12-structure-of-chapter-12'>3.2.12.1 Chapter 12 – Structure of Chapter 12</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-12-rationale-for-chapter-12'>3.2.12.2 Chapter 12 – Rationale for Chapter 12</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-13-diseases-of-the-digestive-system'>▶</span><span class='db' id='db-chapter-13-diseases-of-the-digestive-system'>▼</span><a href='#chapter-13-diseases-of-the-digestive-system'>3.2.13 Chapter 13 – Diseases of the digestive system</a> </div></div> <div class='childof chb-3' id='childof-chapter-13-diseases-of-the-digestive-system'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-13-structure-of-chapter-13'>3.2.13.1 Chapter 13 – Structure of Chapter 13</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-13-rationale-for-chapter-13'>3.2.13.2 Chapter 13 – Rationale for Chapter 13</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-14-diseases-of-the-skin'>▶</span><span class='db' id='db-chapter-14-diseases-of-the-skin'>▼</span><a href='#chapter-14-diseases-of-the-skin'>3.2.14 Chapter 14 – Diseases of the skin</a> </div></div> <div class='childof chb-3' id='childof-chapter-14-diseases-of-the-skin'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-14-structure-of-chapter-14'>3.2.14.1 Chapter 14 – Structure of Chapter 14</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-14-rationale-for-chapter-14'>3.2.14.2 Chapter 14 – Rationale for Chapter 14</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-chapter-15-diseases-of-the-musculoskeletal-system-or-connective-tissue'>▶</span><span class='db' id='db-part-0-chapter-15-diseases-of-the-musculoskeletal-system-or-connective-tissue'>▼</span><a href='#part-0-chapter-15-diseases-of-the-musculoskeletal-system-or-connective-tissue'>3.2.15 Chapter 15 – Diseases of the musculoskeletal system or connective tissue</a> </div></div> <div class='childof chb-3' id='childof-part-0-chapter-15-diseases-of-the-musculoskeletal-system-or-connective-tissue'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-15-structure-of-chapter-15'>3.2.15.1 Chapter 15 – Structure of Chapter 15</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-15-rationale-for-chapter-15'>3.2.15.2 Chapter 15 – Rationale for Chapter 15</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-16-diseases-of-the-genitourinary-system'>▶</span><span class='db' id='db-chapter-16-diseases-of-the-genitourinary-system'>▼</span><a href='#chapter-16-diseases-of-the-genitourinary-system'>3.2.16 Chapter 16 – Diseases of the genitourinary system</a> </div></div> <div class='childof chb-3' id='childof-chapter-16-diseases-of-the-genitourinary-system'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-16-structure-of-chapter-16'>3.2.16.1 Chapter 16 – Structure of Chapter 16</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-16-rationale-for-chapter-16'>3.2.16.2 Chapter 16 – Rationale for chapter 16</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-17-conditions-related-to-sexual-health'>▶</span><span class='db' id='db-chapter-17-conditions-related-to-sexual-health'>▼</span><a href='#chapter-17-conditions-related-to-sexual-health'>3.2.17 Chapter 17 – Conditions related to sexual health</a> </div></div> <div class='childof chb-3' id='childof-chapter-17-conditions-related-to-sexual-health'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-17-structure-of-chapter-17'>3.2.17.1 Chapter 17 – Structure of Chapter 17</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-17-rationale-for-chapter-17'>3.2.17.2 Chapter 17 – Rationale for Chapter 17</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-chapter-18-pregnancy-childbirth-or-the-puerperium'>▶</span><span class='db' id='db-part-0-chapter-18-pregnancy-childbirth-or-the-puerperium'>▼</span><a href='#part-0-chapter-18-pregnancy-childbirth-or-the-puerperium'>3.2.18 Chapter 18 – Pregnancy, childbirth or the puerperium</a> </div></div> <div class='childof chb-3' id='childof-part-0-chapter-18-pregnancy-childbirth-or-the-puerperium'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-18-structure-of-chapter-18'>3.2.18.1 Chapter 18 – Structure of Chapter 18</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-18-rationale-for-chapter-18'>3.2.18.2 Chapter 18 – Rationale for Chapter 18</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-19-certain-conditions-originating-in-the-perinatal-period'>▶</span><span class='db' id='db-chapter-19-certain-conditions-originating-in-the-perinatal-period'>▼</span><a href='#chapter-19-certain-conditions-originating-in-the-perinatal-period'>3.2.19 Chapter 19 – Certain conditions originating in the perinatal period</a> </div></div> <div class='childof chb-3' id='childof-chapter-19-certain-conditions-originating-in-the-perinatal-period'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-19-structure-of-chapter-19'>3.2.19.1 Chapter 19 – Structure of Chapter 19</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-20-developmental-anomalies'>▶</span><span class='db' id='db-chapter-20-developmental-anomalies'>▼</span><a href='#chapter-20-developmental-anomalies'>3.2.20 Chapter 20 – Developmental anomalies</a> </div></div> <div class='childof chb-3' id='childof-chapter-20-developmental-anomalies'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-20-structure-of-chapter-20'>3.2.20.1 Chapter 20 – Structure of Chapter 20</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-20-rationale-for-chapter-20'>3.2.20.2 Chapter 20 – Rationale for Chapter 20</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-chapter-21-symptoms-signs-or-clinical-findings-not-elsewhere-classified'>▶</span><span class='db' id='db-part-0-chapter-21-symptoms-signs-or-clinical-findings-not-elsewhere-classified'>▼</span><a href='#part-0-chapter-21-symptoms-signs-or-clinical-findings-not-elsewhere-classified'>3.2.21 Chapter 21 – Symptoms, signs or clinical findings, not elsewhere classified</a> </div></div> <div class='childof chb-3' id='childof-part-0-chapter-21-symptoms-signs-or-clinical-findings-not-elsewhere-classified'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-21-structure-of-chapter-21'>3.2.21.1 Chapter 21 – Structure of Chapter 21</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-21-rationale-for-chapter-21'>3.2.21.2 Chapter 21 – Rationale for Chapter 21</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-chapter-22-injury-poisoning-or-certain-other-consequences-of-external-causes'>▶</span><span class='db' id='db-part-0-chapter-22-injury-poisoning-or-certain-other-consequences-of-external-causes'>▼</span><a href='#part-0-chapter-22-injury-poisoning-or-certain-other-consequences-of-external-causes'>3.2.22 Chapter 22 – Injury, poisoning or certain other consequences of external causes</a> </div></div> <div class='childof chb-3' id='childof-part-0-chapter-22-injury-poisoning-or-certain-other-consequences-of-external-causes'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-22-structure-of-chapter-22'>3.2.22.1 Chapter 22 – Structure of Chapter 22</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-22-rationale-for-chapter-22'>3.2.22.2 Chapter 22 – Rationale for Chapter 22</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-chapter-23-external-causes-of-morbidity-or-mortality'>▶</span><span class='db' id='db-part-0-chapter-23-external-causes-of-morbidity-or-mortality'>▼</span><a href='#part-0-chapter-23-external-causes-of-morbidity-or-mortality'>3.2.23 Chapter 23 – External causes of morbidity or mortality</a> </div></div> <div class='childof chb-3' id='childof-part-0-chapter-23-external-causes-of-morbidity-or-mortality'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-23-structure-of-chapter-23'>3.2.23.1 Chapter 23 – Structure of Chapter 23</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-23-rationale-for-chapter-23'>3.2.23.2 Chapter 23 – Rationale for Chapter 23</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-part-0-chapter-24-factors-influencing-health-status-or-contact-with-health-services'>▶</span><span class='db' id='db-part-0-chapter-24-factors-influencing-health-status-or-contact-with-health-services'>▼</span><a href='#part-0-chapter-24-factors-influencing-health-status-or-contact-with-health-services'>3.2.24 Chapter 24 – Factors influencing health status or contact with health services</a> </div></div> <div class='childof chb-3' id='childof-part-0-chapter-24-factors-influencing-health-status-or-contact-with-health-services'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-24-structure-of-chapter-24'>3.2.24.1 Chapter 24 – Structure of Chapter 24</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-24-rationale-for-chapter-24'>3.2.24.2 Chapter 24 – Rationale for Chapter 24</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-chapter-25-codes-for-special-purposes'>▶</span><span class='db' id='db-chapter-25-codes-for-special-purposes'>▼</span><a href='#chapter-25-codes-for-special-purposes'>3.2.25 Chapter 25 – Codes for special purposes</a> </div></div> <div class='childof chb-3' id='childof-chapter-25-codes-for-special-purposes'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-25-structure-of-chapter-25'>3.2.25.1 Chapter 25 – Structure of Chapter 25</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-26-supplementary-chapter-traditional-medicine-conditions-module-1'>3.2.26 Chapter 26 - Supplementary Chapter Traditional Medicine Conditions - Module 1</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#section-v-supplementary-section-for-functioning-assessment'>3.2.27 Section V – Supplementary section for functioning assessment</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-x-extension-codes'>3.2.28 Chapter X - Extension Codes</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-multiple-parenting'>3.3 Multiple Parenting</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-content-model'>3.4 The Content Model</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-language-independent-icd-entities'>3.5 Language independent ICD entities</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#innovation-to-mortality-coding-in-icd11'>3.6 Innovation to mortality coding in ICD-11</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#innovation-to-morbidity-coding-in-icd11'>3.7 Innovation to morbidity coding in ICD-11</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-functioning-section'>3.8 Functioning section</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-general-features-of-icd11'>3.9 General features of ICD–11</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-traditional-medicine-conditions-module-1-tm1'>3.10 Traditional Medicine conditions - Module 1 (TM1)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#preparations-for-the-eleventh-revision'>3.11 Preparations for the Eleventh Revision</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-annex-a-icd11-updating-and-maintenance'>▶</span><span class='db' id='db-annex-a-icd11-updating-and-maintenance'>▼</span><a href='#annex-a-icd11-updating-and-maintenance'>3.12 Annex A: ICD-11 Updating and Maintenance</a> </div></div> <div class='childof chb-2' id='childof-annex-a-icd11-updating-and-maintenance'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#background'>3.12.1 Background</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-updating-cycle'>▶</span><span class='db' id='db-updating-cycle'>▼</span><a href='#updating-cycle'>3.12.2 Updating Cycle</a> </div></div> <div class='childof chb-3' id='childof-updating-cycle'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#types-of-proposals-for-icd11mms-maintenance'>3.12.2.1 Types of proposals for ICD-11-MMS maintenance</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#proposal-completeness'>3.12.3 Proposal completeness</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#proposal-timelines'>3.12.4 Proposal Timelines</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#proposal-workflow'>3.12.5 Proposal Workflow</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#changes-that-cannot-be-done-during-the-normal-updating-process'>3.12.6 Changes that cannot be done during the normal updating process</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#applicability-and-intellectual-property'>3.12.7 Applicability and Intellectual Property</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-annex-b-history-of-the-development-of-the-icd'>▶</span><span class='db' id='db-annex-b-history-of-the-development-of-the-icd'>▼</span><a href='#annex-b-history-of-the-development-of-the-icd'>3.13 Annex B: History of the development of the ICD</a> </div></div> <div class='childof chb-2' id='childof-annex-b-history-of-the-development-of-the-icd'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#early-history'>3.13.1 Early history</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#adoption-of-the-international-list-of-causes-of-death'>3.13.2 Adoption of the International List of Causes of Death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-the-fifth-decennial-revision-conference'>▶</span><span class='db' id='db-the-fifth-decennial-revision-conference'>▼</span><a href='#the-fifth-decennial-revision-conference'>3.13.3 The Fifth Decennial Revision Conference</a> </div></div> <div class='childof chb-3' id='childof-the-fifth-decennial-revision-conference'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#international-lists-of-diseases'>3.13.3.1 International Lists of Diseases</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#previous-classifications-of-diseases-for-morbidity-statistics'>3.13.4 Previous classifications of diseases for morbidity statistics</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#united-states-committee-on-joint-causes-of-death'>3.13.5 United States Committee on Joint Causes of Death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#sixth-revision-of-the-international-lists'>3.13.6 Sixth Revision of the International Lists</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-seventh-and-eighth-revisions'>3.13.7 The Seventh and Eighth Revisions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-ninth-revision'>3.13.8 The Ninth Revision</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-tenth-revision'>3.13.9 The Tenth Revision</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#the-who-family-of-international-classifications'>3.13.10 The WHO Family of International Classifications</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#updating-of-icd-between-revisions'>3.13.11 Updating of ICD between revisions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#major-steps-in-the-icd11-revision'>3.13.12 Major Steps in the ICD-11 Revision</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#part-0-preparations-for-the-eleventh-revision'>3.13.13 Preparations for the Eleventh Revision</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#references-for-history-of-icd'>3.13.14 References for history of ICD</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-annex-c-annexes-for-mortality-coding'>▶</span><span class='db' id='db-annex-c-annexes-for-mortality-coding'>▼</span><a href='#annex-c-annexes-for-mortality-coding'>3.14 Annex C: Annexes for Mortality Coding</a> </div></div> <div class='childof chb-2' id='childof-annex-c-annexes-for-mortality-coding'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#international-form-of-medical-certificate-of-cause-of-death'>3.14.1 International form of medical certificate of cause of death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#quick-reference-guide-for-the-international-form-of-medical-certificate-of-cause-of-death-mccd-flyer'>3.14.2 Quick reference guide for the International form of medical certificate of cause of death (MCCD flyer)</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#suggested-additional-details-of-perinatal-deaths'>3.14.3 Suggested additional details of perinatal deaths</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#workflow-diagram-for-mortality-coding'>3.14.4 Workflow diagram for mortality coding</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#priority-ranking-of-natureofinjury-codes'>3.14.5 Priority ranking of Nature-of-Injury codes</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#list-of-illdefined-conditions'>3.14.6 List of ill-defined conditions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#list-of-conditions-that-can-cause-hiv-disease'>3.14.7 List of conditions that can cause HIV disease</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#list-of-conditions-that-can-cause-diabetes-mellitus'>3.14.8 List of conditions that can cause diabetes mellitus</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-list-of-conditions-to-be-considered-obvious-consequences-of-surgery-and-other-invasive-medical-procedures'>▶</span><span class='db' id='db-list-of-conditions-to-be-considered-obvious-consequences-of-surgery-and-other-invasive-medical-procedures'>▼</span><a href='#list-of-conditions-to-be-considered-obvious-consequences-of-surgery-and-other-invasive-medical-procedures'>3.14.9 List of conditions to be considered obvious consequences of surgery and other invasive medical procedures</a> </div></div> <div class='childof chb-3' id='childof-list-of-conditions-to-be-considered-obvious-consequences-of-surgery-and-other-invasive-medical-procedures'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#list-of-conditions-to-be-considered-direct-consequences-of-surgery'>3.14.9.1 List of conditions to be considered direct consequences of surgery</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#list-of-conditions-to-be-considered-direct-consequences-of-other-invasive-medical-procedures'>3.14.9.2 List of conditions to be considered direct consequences of other invasive medical procedures</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#list-of-conditions-unlikely-to-cause-death'>3.14.10 List of conditions unlikely to cause death</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#list-of-categories-limited-to-or-more-likely-to-occur-in-female-persons'>3.14.11 List of categories limited to, or more likely to occur in, female persons</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#list-of-categories-limited-to-or-more-likely-to-occur-in-male-persons'>3.14.12 List of categories limited to, or more likely to occur in, male persons</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#collection-of-instructions-with-coding-examples-related-maternal-mortality'>3.14.13 Collection of instructions with coding examples related maternal mortality</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#target-list-of-causes-of-death-for-verbal-autopsy'>3.14.14 Target list of causes of death for verbal autopsy</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='lb' id='lb-annex-d-differences-between-icd10-and-icd11'>▶</span><span class='db' id='db-annex-d-differences-between-icd10-and-icd11'>▼</span><a href='#annex-d-differences-between-icd10-and-icd11'>3.15 Annex D: Differences between ICD-10 and ICD-11</a> </div></div> <div class='childof chb-2' id='childof-annex-d-differences-between-icd10-and-icd11'><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-01-differences-between-icd10-and-icd11-in-chapter-01'>3.15.1 Chapter 01 – Differences between ICD–10 and ICD–11 in Chapter 01</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-02'>3.15.2 Differences between ICD–10 and ICD–11 in Chapter 02</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-03'>3.15.3 Differences between ICD–10 and ICD–11 in Chapter 03</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-04'>3.15.4 Differences between ICD–10 and ICD–11 in Chapter 04</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-05'>3.15.5 Differences between ICD–10 and ICD–11 in Chapter 05</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-06'>3.15.6 Differences between ICD–10 and ICD–11 in Chapter 06</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-07-is-a-new-addition-to-icd11-and-was-not-found-in-past-editions'>3.15.7 Chapter 07 is a new addition to ICD–11 and was not found in past editions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-08'>3.15.8 Differences between ICD–10 and ICD–11 in Chapter 08</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-09'>3.15.9 Differences between ICD–10 and ICD–11 in Chapter 09</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-10'>3.15.10 Differences between ICD–10 and ICD–11 in Chapter 10</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-11'>3.15.11 Differences between ICD–10 and ICD–11 in Chapter 11</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-12'>3.15.12 Differences between ICD–10 and ICD–11 in Chapter 12</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-13'>3.15.13 Differences between ICD–10 and ICD–11 in Chapter 13</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-14'>3.15.14 Differences between ICD–10 and ICD–11 in Chapter 14</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-15'>3.15.15 Differences between ICD–10 and ICD–11 in Chapter 15</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-16'>3.15.16 Differences between ICD–10 and ICD–11 in Chapter 16</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#chapter-17-is-a-new-addition-to-icd11-and-was-not-found-in-past-editions'>3.15.17 Chapter 17 is a new addition to ICD–11 and was not found in past editions</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-18'>3.15.18 Differences between ICD–10 and ICD–11 in Chapter 18</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-19'>3.15.19 Differences between ICD–10 and ICD–11 in Chapter 19</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-20'>3.15.20 Differences between ICD–10 and ICD–11 in Chapter 20</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-21'>3.15.21 Differences between ICD–10 and ICD–11 in Chapter 21</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-22'>3.15.22 Differences between ICD–10 and ICD–11 in Chapter 22</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-23'>3.15.23 Differences between ICD–10 and ICD–11 in Chapter 23</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-24'>3.15.24 Differences between ICD–10 and ICD–11 in Chapter 24</a> </div></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#differences-between-icd10-and-icd11-in-chapter-25'>3.15.25 Differences between ICD–10 and ICD–11 in Chapter 25</a> </div></div> </li> </ul></div> </li> </ul><ul><li><div class='oitem'><div class='item'><span class='nb'></span><a href='#annex-e-referred-value-sets'>3.16 Annex E: Referred Value Sets</a> </div></div> </li> </ul></div> </li> </ul></div> </ul> </div>   <div id="page-content-wrapper"> <div id="contento"> <div id="content"> <div id='refguide'> <h1 class='large'>ICD-11</h1> <h2 class='subtitle'>International Classification of Diseases for</h2> <h2 class='subtitle'>Mortality and Morbidity Statistics</h2> <h2 class='subtitle2'>Eleventh Revision</h2> <h2 class='booktitle'>Reference Guide <span class="draft">- DRAFT</span></h2> <img class='logo' alt='who logo' src='who.png' /> </div> </div> <a class="downloadlink" href="../refguide.pdf"><img id="download" alt="download as PDF" title="Download the Reference Guide as a single PDF" src="downloadaspdf.png" /></a> <div id="timestamp">12-02-2025 11:13 UTC</div> </div> </div>  </div>   <script> // {"Anchor" : "FileName"} var dictionary = { 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"#step-m2-specificity":"02.18.02_step-m2-specificity", "#step-m3-recheck-steps-sp6-m1-and-m2":"02.18.03_step-m3-recheck-steps-sp6-m1-and-m2", "#step-m4-instructions-on-medical-procedures-main-injury-poisoning-and-maternal-deaths":"02.18.04_step-m4-instructions-on-medical-procedures-main-injury-poisoning-and-maternal-deaths", "#special-instructions-on-selecting-the-underlying-cause-of-death":"02.19_special-instructions-on-selecting-the-underlying-cause-of-death", "#special-instructions-on-accepted-and-rejected-sequences-steps-sp3-and-sp4":"02.19_special-instructions-on-selecting-the-underlying-cause-of-death", "#conflicting-durations":"02.19_special-instructions-on-selecting-the-underlying-cause-of-death", "#infectious-diseases-due-to-other-conditions":"02.19_special-instructions-on-selecting-the-underlying-cause-of-death", "#cholera-and-certain-infectious-diseases-due-to-other-conditions":"02.19_special-instructions-on-selecting-the-underlying-cause-of-death", 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"#disorders-of-intellectual-development":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#heart-failure-and-unspecified-heart-disease":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#embolism":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#oesophageal-varices":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#pneumonia":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#pulmonary-oedema":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#nephritic-syndrome":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#pyelonephritis":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#acute-renal-failure":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#primary-atelectasis-of-newborn":"02.19.02_special-instructions-on-obvious-cause-step-sp6", "#premature-rupture-of-membranes-and-oligohydramnios":"02.19.02_special-instructions-on-obvious-cause-step-sp6", 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"#special-instructions-on-chapter-03-diseases-of-the-blood-or-bloodforming-organs":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-04-diseases-of-the-immune-system":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-05-endocrine-nutritional-or-metabolic-diseases":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-06-mental-behavioural-or-neurodevelopmental-disorders":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-07-sleepwake-disorders":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-08-diseases-of-the-nervous-system":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", 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"#special-instructions-on-chapter-15-diseases-of-the-musculoskeletal-system-or-connective-tissue":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-16-diseases-of-the-genitourinary-system":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-17-conditions-related-to-sexual-health":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-18-pregnancy-childbirth-or-the-puerperium":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-19-certain-conditions-originating-in-the-perinatal-period":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-20-developmental-anomalies":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-21-symptoms-signs-or-clinical-findings-not-elsewhere-classified":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-22-injury-poisoning-or-certain-other-consequences-of-external-causes":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-chapter-23-external-causes-of-morbidity-or-mortality":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#codes-not-to-be-used-for-underlying-cause-of-death":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#codes-not-to-be-used-if-the-underlying-cause-is-known-or-other-specific-conditions-apply":"02.19.03_special-instructions-on-linkages-and-other-provisions-step-m1", "#special-instructions-on-surgery-and-other-medical-procedures-step-m4":"02.19.04_special-instructions-on-surgery-and-other-medical-procedures-step-m4", "#reason-for-the-surgery-or-procedure-stated":"02.19.04_special-instructions-on-surgery-and-other-medical-procedures-step-m4", "#reason-for-the-surgery-or-procedure-not-stated-complication-reported":"02.19.04_special-instructions-on-surgery-and-other-medical-procedures-step-m4", "#reason-for-the-surgery-or-procedure-not-stated-no-complication-reported":"02.19.04_special-instructions-on-surgery-and-other-medical-procedures-step-m4", "#medical-devices-associated-with-adverse-incidents-due-to-external-causes":"02.19.04_special-instructions-on-surgery-and-other-medical-procedures-step-m4", "#special-instructions-on-main-injury-in-deaths-from-external-causes-step-m4":"02.19.05_special-instructions-on-main-injury-in-deaths-from-external-causes-step-m4", "#special-instructions-on-poisoning-by-drugs-medications-and-biological-substances-step-m4":"02.19.06_special-instructions-on-poisoning-by-drugs-medications-and-biological-substances-step-m4", 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