ICD-11:CHAPTER 26, OPTIONAL DUAL CODING AND INTEGRATIVE REHABILITATION OF CHILDREN WITH CEREBRAL PALSY

Abstract

The article systematizes the methodological grounds for using Chapter 26 of the International Classification of Diseases, 11th Revision (ICD-11), «Traditional medicine conditions», in studies of integrative rehabilitation of children with cerebral palsy (CP). It is shown that the module is intended for optional dual coding and does not replace the primary biomedical diagnosis from Chapters 1–24, is not used for recording causes of death, and is not a sign of recognition of the effectiveness of a particular practice. Based on the dissertation protocol, a logic is proposed for linking the primary diagnosis, the optional Chapter 26 code, the functioning profile according to the International Classification of Functioning, Disability and Health (ICF), and the intervention log. Particular attention is paid to distinguishing between the fact of documenting a traditional medicine model, the clinical decision, the functional outcome and the «7 PGG» research hypothesis. It is concluded that ICD-11 can serve as an infrastructure for data comparability but does not replace clinical validation, safety assessment and evidence-based comparison of interventions.