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ICD-11

2012-05-29, København Robert Jakob, Bedirhan Ustun. ICD-11. The Revision. Background Alpha Beta Timeline Participation. ICD-11 Revision Goals. Multi-purpose and coherent classification Mortality, morbidity, primary care, clinical care, research, public health…

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ICD-11

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  1. 2012-05-29, København Robert Jakob, Bedirhan Ustun ICD-11

  2. The Revision • Background • Alpha • Beta • Timeline • Participation

  3. 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

  4. ICD ICF Linkages KRs ICHI Classifications e-Health Record Systems Terminologies • Population Health • Births • Deaths • Diseases • Disability • Risk factors • Clinical • Decision Support • Integration of care • Outcome • Administration • Scheduling • Resources • Billing • Reporting • Cost • Needs • Outcome Placing WHO Classifications in HIS & IT

  5. 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

  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. Definition of Diseasea set of dysfunction(s) in any of the body systems including: with a known pattern of signs, symptoms & findings symptomatology - manifestations probably with an underlying explanatory mechanism etiology a distinct pattern of development over time course and outcome a known pattern of response to interventions treatment response with linkage to underlying genetic factors genotypes, phenotypes and endophenotypes with linkage to interacting environmental factors

  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. 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

  10. TheICD-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 WWW.WHO.INT/CLASSIFICATIONS

  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. 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

  13. Comments - Suggestions comment answer questions and make suggestions

  14. Work during beta • Completion of chapters by mid June 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

  15. 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

  16. You are invited to participate Sara Cottler : ICD-11 Project Manager (cottlers@who.int) Robert Jakob : ICD Medical Officer (jakobr@who.int) Bedirhan Ustun: CTS Coordinator (ustunb@who.int) www.who.int/classifications

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