International Classifiers of Medical Interventions and the Formation of a National Classification System in the Healthcare of the Kyrgyz Republic

  • Authors: Azimzhanova M.N.1, Kaliev M.T.1, Imankulova A.S.2,3, Miklukhin D.S.2, Monolov N.K.3
  • Affiliations:
    1. National Institute of Public Health under the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyz Republic
    2. P. Lumumba Peoples' Friendship University of Russia, Ministry of Science and Higher Education of Russia, Moscow, Russian Federation
    3. Salymbekov University», Bishkek, Kyrgyz Republic
  • Issue: No 1 (2026)
  • Pages: 13-18
  • Section: Articles
  • URL: https://bulleten-nriph.ru/journal/article/view/3132
  • DOI: https://doi.org/10.69541/NRIPH.2026.01.002
  • Cite item

Abstract


In modern healthcare, the effective collection, systematization, and analysis of medical data depend on the quality-of-service standardization and classification. International and national healthcare initiatives aim to create a universal «language» for global data compatibility and to support management decisions. The creation of a national classifier for medical services in the Kyrgyz Republic became critical due to the need for a flexible healthcare financing system. The existing classifier for surgical interventions, in use since 1997, was outdated, and no such system existed for therapeutic services, which complicated accurate accounting and funding. This study used a comprehensive approach, including documentary, normative-comparative, and content analysis of international classifiers and national regulatory documents. The Kyrgyz Republic's Healthcare Services Classifier, approved in 2021, is the first unified national tool, covering 3363 surgical (sections A, B, C) and 1996 non-surgical (sections P, D, L, T, R) medical service codes. The classifier is based on a nosological principle, using a 6-digit alphanumeric code with a three-level hierarchy, balancing detail with ease of application. A key advantage is its adaptation to the country's legal, organizational, and economic realities, including cost reimbursement. Its implementation has filled significant gaps in healthcare accounting, providing a reliable basis for fair tariff setting, flexible financing, effective planning, and the further development of digital healthcare.

About the authors

Medina Nizamidinovna Azimzhanova

National Institute of Public Health under the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyz Republic

Email: azimzanovamedina@gmail.com

Marat Temirbekovich Kaliev

National Institute of Public Health under the Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyz Republic

Email: kalievmar@mail.ru

Asel Sansyzbaevna Imankulova

P. Lumumba Peoples' Friendship University of Russia, Ministry of Science and Higher Education of Russia, Moscow, Russian Federation; Salymbekov University», Bishkek, Kyrgyz Republic

Email: aselimankul@gmail.com

Danil Sergeevich Miklukhin

P. Lumumba Peoples' Friendship University of Russia, Ministry of Science and Higher Education of Russia, Moscow, Russian Federation

Email: danil210600@mail.ru

Nurbek Kytaibekovich Monolov

Salymbekov University», Bishkek, Kyrgyz Republic

Email: monolov@yahoo.com

References

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