On the issue of transition to the International Classification of Diseases of the 11th revision in occupational pathology

Abstract

The prevalence of occupational diseases and poisoning at work is one of the important indicators of the health of workers engaged in harmful and dangerous jobs. In 2012, the Order of the Ministry of Health and Social Development of the Russian Federation No. 417n dated April 27, 2012 "On approval of the list of occupational diseases" was issued, which implied, when solving issues of examination of the connection of occupational diseases with industrial activity, orientation to the 10th version of the International Classification of Diseases. In 2018, the World Health Organization published the 11th version of the International Classification of Diseases, which officially comes into force on January 1, 2022. Decree of the Government of the Russian Federation No. 2900-r of October 15, 2021, approved an action plan for the implementation of the eleventh revision of the International Statistical Classification of Diseases and Health-Related Problems (ICD-11). To date, the ICD is recognized as a standard for statistical accounting in the healthcare system, the basis for the formulation of clinical diagnosis, as well as the encoding of recorded data obtained during the analysis of morbidity, causes of injuries and harmful effects, cases of rare diseases, anatomical and histopathological data, assessment of the severity of conditions, professional or sports activity, the need to provide medical products, medicines, etc. There is no unequivocal opinion on the adaptation of the ICD-11 codes and this topic requires further study, but the transition of work on the new classification is only a matter of time. Thus, in this article we would like to consider the issues of the ICD-11 codes of occupational diseases, which can be used in relation to the most common diseases associated with the effects of industrial chemical and physical factors, as well as physical overload and functional overstrain of individual organs and systems. The main sections highlighted in the ICD-11 for various occupational diseases, on the one hand, reflect to a greater extent various pathological conditions associated with the effects of physical factors, but on the other hand, they do not fully represent diseases associated with the effects of industrial factors of chemical etiology. When switching to the 11th version of the International Classification of Diseases, occupational Pathology may face difficulties, since not all clinically important syndromes of occupational diseases are presented in the ICD-11. In this regard, it seems important and relevant to discuss this issue. Ethics. In preparing this article, no personal data of patients was used and no studies were conducted on laboratory animals. All used normative documentation is placed in the Garant system. The performed analysis, presented in the materials of the manuscript, corresponds to the generally accepted norms of morality and does not pose a risk.