5.6 Evaluation Questions 5

Expected time: 30 minutes

1. It is important to understand and follow a                              coding system, in order to accurately and consistently                    and               the various types of congenital anomalies.

standardized, classify, code

2. What type of supplemental information can help a reviewer assign a proper code to a case?

A detailed description of the congenital anomaly, or copies or excerpts of clinical reports (e.g. surgery, imaging, autopsy report); photographs

3. What is the international standard diagnostic classification system?

International statistical classification of diseases and related health problems, tenth edition (ICD-10)

4. What are some ways in which a surveillance programme can work around the ICD-10 coding system’s lack of specificity for certain congenital anomalies?

Possible answers:

  • Use its own local modification that includes additional codes
  • Add an extra digit for more detailed coding
  • Refer to the RCPCH’s adaptation of the ICD-10

5. True or false: Final coding will always be at the central registry.


6. Which of the following does NOT cause difficulties when coding congenital anomalies?

  1. Prenatal diagnosis
  2. Live births where the neonate dies shortly after birth
  3. Confirmed diagnosis
  4. Possible diagnosis

c. Confirmed diagnosis

7. True or false: Capturing major anomalies should be prioritized over capturing minor anomalies on the data-collection form.


8. True or false: The ICD-10 is developed and maintained by WHO.