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State of the WHO FIC

State of the WHO FIC. WHO Classifications Terminologies Standards. WHOFIC Network - growth. NGOS, Partners - IFHIMA - WCPT - ICN - WONCA - IHTSDO - JHA - AMA. Academic Research Centers Stanford University Mayo Clinic Calgary (under designation ) Regional Networks

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State of the WHO FIC

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  1. State of theWHO FIC WHO Classifications Terminologies Standards

  2. WHOFIC Network - growth • NGOS, Partners - IFHIMA - WCPT - ICN - WONCA - IHTSDO - JHA - AMA • Academic Research Centers • Stanford University • Mayo Clinic • Calgary (under designation) • Regional Networks • Asia Pacific Network • Others …

  3. WHO FIC Network

  4. ICD11 βetahttp://www.who.int/classifications/icd/revision Beta – Browser & Print 10 look & feel + descriptions – code structure ! βeta • ICD-11 Beta draft is NOT FINAL • updated on a daily basis • NOT TO BE USED for CODING except for agreed FIELD TRIALS

  5. 1st 2nd 3rd

  6. ICD Revision Current Status • Frozen September 30 • iCAT continues real time • JLMMS is frozen for review • A new freeze is expected in Dec 2014. • Definitions • Top level > 75 % > 10,000 definitions • Linearization errors < 465 (from 10K) • Duplicates < 105 (from 3K)

  7. Transcoding tables ICD-10 to ICD-11 in excel

  8. TAG Chairs RSG WHO

  9. Beta Phase Comments Proposals Review Mechanism Field Trials

  10. ICD-10 ICD-11 Continuous web platform + meetings Focus on ALLstatistical use cases Produced digitally w/ information model Multilingual development Field tests done before Continuous update – revision mechanism • Annual Revision Conferences • Focus on mortality statistics • Produced manually • Produced in English • NO field tests • Update mechanism built in later

  11. ICD-10 B24 HIV disease B24 HIV disease ICF activity limitations performance restriction in: Moving around (d455.44) Washing (d510.33) Education (d830.44) … Almost fully functional moderate participation restriction in Higher education (d830.03)

  12. DistinctClassificationof Diseaseand Disability + = case DiagnosisDisability => better formulation of caseness

  13. ICD Specific phenomenology Signs and Symptoms …. Exclusion rules DSM Specific phenomenology Signs and Symptoms DISABILITY & DISTRESS Exclusion rules Operationalization of Diagnosis

  14. ICHI ICHI Alpha 2 update Collaboration Arrangement with AMA Content Model Prototype

  15. Unpacking the Future Classification • Ontology • Content • CPT • ICHI α, β, 2018 2018 • Ontology Structure

  16. The «Common Ontology» Purpose To provide a common formal knowledge representation structure to enable interoperability between: ICD-11 and SNOMED CT. «a shared semantics»

  17. Ultimate “Turing-like” Test ? ≡ • If common ontology • achieved

  18. TechnicalEfficiency Small HealthAreas

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