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National Classifications

Klasifikimi Ndërkombëtar i Sëmundjeve

Country / Area: Albania

Classification category: Other classifications

General information
1 (a)Name of the current national classification (full name in official national languages and in English with acronyms in brackets, should be given)Klasifikimi Ndërkombëtar i Sëmundjeve ICD-IX (International Classification of Diseases ICD-IX)
1 (b)In which language(s) is the classification available?Albanian Language
1 (c)Can the classification (or information about it) be accessed on the Internet? If yes, please provide the URL.Yes in English Language.
Classification structure
2 (a)Please describe the structure of the classification: How many levels does the classification have? (Please provide labels, such as “Division”, “Class”) How many categories exist at each level?International Classification of Diseases ICD-IX include 17 Main groups of the diseases subgroups according to the diagnosis, codes, age-groups, each hospital, districts, morbidity details such us.
2 (b)Please provide examples of the coding system used at each level.Examples:
code 053 herpes zoster first group Infection and parasite diseases.
code 174 breast tumor second group neoplasms diseases
code 250 diabetes melitus third group Endocrine diseases etc for 17 groups diseases classification
Relationship to international standards
3 (a)Is this classification based on (or linked to) an international standard classification? If yes, please describe.Yes based on the standard classification according to the guidelines of WHO (World Health Organization) and International Classification of Diseases.
3 (b)Is the classification structure identical to the international standard or, if not, how does it differ? (e.g. have additional levels been added to the international standard or have changes been made within the level of the international structure, such as aggregations or additional breakdowns)The classification structure is identical to the international standard.
3 (c)Please describe deviations from the international standard (in terms of structure, methodology or application rules). Please use examples, if a general statement is not possible. 
3 (d)At what level of the international standard can data be reported for international comparison? (Please provide examples of programmes / indicators if reporting takes place at different levels of the classification.)The main health indicators are included in the data base of WHO "Health for All" HFA-ALBANIA for international comparison. Europian health for all database. Some of the indicators are;
1. Number of livebirths, infant mortality.
2. Morbidity, disability and hospital discharges.
3. Health care utilization and costs
4. Maternal and child health etc.
3 (e)If no links to international classifications exist or no international standard is used, please state if there are plans to use international norms in the future. 
Classification uses
4 (a)Please state for which statistical purposes (surveys etc.) this classification is used and if there are users outside of the Statistical Office. Please indicate at which level the classification is used for data collection and for data publishing.This classification is used for the surveys, different studies, themes of diploma for the student of medical university, other donators UNICEF, USAID etc that can collaborate in health field, nutritcion program.
4 (b)Please give the names of institutions that use the classification for non-statistical purposes (as opposed to statistical purposes in question 4(a)). Also indicate the kind of use (e.g. tax offices, social security, customs, enterprise register, employment services, work permits etc.)May be Health Insurance Agency.
4 (c)Please indicate if alternative classifications are used by other institutions of the economy. Are these classifications available and useful for the Statistical Office?Yes, nomenclature codes of the economy.
Implementation / revision status
5 (a)Please state the date of the official adoption of the classification. If not yet adopted, please indicate the current state (e.g. in development, sent for approval, in printing, ready to be distributed etc.)ICD-X it is not yet adopted.
5 (b)Please state the date of use of the classification for individual statistical programmes. 
5 (c)Are there existing plans for revision or update of the current classification?Yes, now we have plans to implement ICD-X . ICD-X is transalated in Albanian Language with support of WHO.
5 (d)Name of former (previous) national classification (full name in both national tongue and in English with acronyms in brackets, should be given)"Sëmundshmëria spitalore" (Hospital Morbidity)
5 (e)Please describe the link of the former classification to international classificationsWHO/Publication/International Classification of Diseases/ICD
5 (f)Please describe the structure of the former classification and indicate the number of items at each level of the classification. (similar to question 2(a))International Classification of Diseases ICD-IX include 17 Main groups of the diseases. Subgroups according to the diagnosis, codes, age-groups,each hospital, districts, morbidity details such as:
Infectious & parasitic diseases
Endocrin, metabolic, nutricional
Blood, blood-forming organ diseases
Mental disorders
Nervous system
Circulatory system diseases
Respiratory system diseases
Digestive system diseases
Genitourinary system diseases
Complication of pregnancy
Skin & tissue diseases
Bones, muscle system diseases
Congenital malformations
Certain diseases of early infancy
Ill-defined conditions
External injury & poisoning
5 (g)Do conversion tables exist between the former and current classification?Exist only current classifiication ICD-IX
5 (h)When was the former classification implemented?The former and the current classification ICD-IX is implemented before 1990.
5 (i)Are statistical data still collected or published according to the former classification? Please indicate if this statistical data is collected or published by the Statistical Office or elsewhere.Yes, according to ICD-IX statistical data is collected or published by the statistical office.
Supporting documents
6 (a)Have national explanatory notes and/or guidelines been elaborated?Yes, we have albanian guidelines for ICD-IX, with details list of sections with 3 figures.
6 (b)Do correspondence tables exist between the national and the international classifications (if applicable)?Yes
6 (c)Are correspondence tables between alternative and current classification available (if applicable)?We have only tables for the current classification, ICD-IX.
6 (d)Does a national coding index exist?Coding index exist only with the detailed list of sections with 3 figures, according ICD-IX.
6 (e)Is the classification available in electronic form? If yes, in which formats is it available?(e.g. PDF, TXT, Excel, XML)Excel and personalized database.
6 (f)Are the correspondence tables or indexes available in electronic form?Yes, in the most cases.
Contact information
7 (a)Name of institution / office responsible for the development and maintenance of the classificationHealth Statistics Sector, Ministry of Health
7 (b)Contact address, phone number, e-mail or website for public information and inquirywww.moh.gov.al
Other comments
9 (a)Please provide any other information on this classification that you consider relevantA big supporting and strengthening of health statistics with international standards of the EU.
Training the staff of the Ministry of Health, especially health statistics sector in order to improve the role in implementation of ICD-10 as a leader in this process.
To see other experiences in other countries in EU how it is organized and how database is created involving the ICD-10 .
Which is the right way to achieve clear and concrete objectives.

Source: UN questionnaire, 9/18/2013