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Overview of the WHO ICD Revision Process ( ICD-11)

Overview of the WHO ICD Revision Process ( ICD-11). Donna Pickett, RHIA, MPH. Medical Systems Administrator AHRQ Annual Conference September 10, 2012. National Center for Health Statistics. Classifications and Public Health Data Standards. ICD Revision History.

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Overview of the WHO ICD Revision Process ( ICD-11)

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  1. Overview of the WHO ICD Revision Process (ICD-11) Donna Pickett, RHIA, MPH Medical Systems Administrator AHRQ Annual Conference September 10, 2012 National Center for Health Statistics Classifications and Public Health Data Standards

  2. ICD Revision History

  3. HIPAA Administrative Simplification:Modifications to Medical Data Code Set Standards • Published August 2012 • Adopts ICD-10-CM and ICD10-PCS as replacements for ICD-9-CM • October 1, 2014 – Compliance date for implementation of ICD-10-CM and ICD-10-PCS • Single implementation date for all users • Date of service for ambulatory and physician reporting • Date of discharge for inpatient and other settings

  4. The ICD Revision Process • Background • Alpha • Beta • Timeline • Participation

  5. ICD-11 Revision Goals Multi-purpose and coherent classification Mortality, morbidity, primary care, clinical care, research, public health… Consistency & interoperability across different uses International multilingual reference standard for scientific comparability and communication purposes Fit for electronic health record environments Link terminologies and ontologies (e.g. SNOMED, GO, …) ICD Categories “defined” by "logical operational rules" on their associations and details

  6. Definitions • All ICD entities will have definitions: key descriptions of the meaningof the category in human readable terms – to guide users • Limited definition in Print Version – 100 words • Detailed definitions ONLINE • Definitions will be compatible with: • the Content Model • Diagnostic Criteria • across the whole classification and the versions

  7. Construction of ICD-11: Revision Process in the 21st Century Internet-based permanent platform All year round Open to all people in a structured way Content experts focus Digital curation Wiki enabled collaboration Ontology based Enhanced discussion & peer review TAGs serve as the editorial group Electronic copy print version Work in multiple languages Planned field tests Based on Use Cases

  8. WHO Revision Steering Group ICD Revision Organizational Structure Gastroenterology WG Cardiovascular WG Health Informatics and Modelling TAG (HIM TAG) Internal Medicine TAG Hepatology & Pancreatobiliary WG Paediatrics TAG iCAT Software Team Nephrology WG Dentistry TAG Dermatology TAG Endocrinology WG Rare Diseases TAG Rheumatology WG External Causes and Injuries TAG Morbidity TAG Haematology WG GURM Respiratory WG Mortality TAG Mental Health TAG Working Groups Musculoskeletal TAG Functioning TAG Neoplasms TAG Quality & Safety TAG Genito-Urinary, Reproductive and Maternal TAG Neurology TAG Ophthalmology TAG Cross-Sectional TAGs Traditional Medicine TAG

  9. ICD11 beta http://www.who.int/classifications/icd/revision • Beta – Browser & Print 10 look & feel + descriptions – code structure ! • ICD-11 beta draft is INCOMPLETE • updated on a daily basis • NOT TO BE USED for CODING at this stage • not yet been approved by the TAGs, RSG or WHO

  10. The ICD-11 Beta Phase • New beta platform: ICD-11 Browser • WHO Web story • Twitter announcement • Facebook announcement • WHO website • FAQs and Fact Sheet about the revision to post on WHO website • ADG Video Message calling on experts to get involved • http://www.who.int/classifications/icd/revision/en/index.html

  11. TheICD-11 Beta Phase • Draft ICD-11 Content presented in web portal: www.who.int/classifications/icd11 • Daily Updates • Participants can: • Make comments • Make proposals to change ICD Categories • Propose structured definitions of diseases • Participate in field testing • Assist in translating ICD into other languages • Answer Single Assessment Questions • (e.g. Is this category in the right place? Is this scientifically accurate?)

  12. Work Program during Beta Phase • Completion of chapters by end August 2012 • Standardized structured reviews by experts • Suggested by TAG and others • Inter rater reliability • Bridge coding • WHO will draw a framework to ensure standardization of beta testing

  13. ICD-11 Timeline • 2011 : Alpha version( ICD 11 alpha draft) • +1 YR : Commentaries and consultations • 2012 : Beta version& Field Trials Version • 14 May 2012 • +2 YR : Field trials • 2014 : Final version for public viewing • 2015 : WHA Approval • 2015+ implementation

  14. Questions? Donna Pickett - dfp4@cdc.gov

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