Table 3.

Challenges and other considerations.

Challenges and Other Considerations
Procedure coding and DRG systems	Only Beta version of ICHI available No ICHI API yet Awaiting DRG system that uses both ICD-11 and ICHI
Physicians as ICD-11 users	Lack of interest and insufficient time for training on guidelines for morbidity coding In case of DRG system, a number of experienced qualified coders are still required
Prior quality of clinical documentation	Not comparable across different countries Affects physicians use of coding tool features (e.g., postcoordination)
IT issues (problems)	Impact physician satisfaction with ICD-11