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State of theWHO FIC
WHOClassificationsTerminologies
Standards
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Region Country Status
AFRO South Africa Designated
EURO France Designated
Italy Designated
Germany Designated
Netherlands Designated
United Kingdom Designated
Spain in designation process
Norway ( Nordic Center ) Designated
Russian Federation Designated
EMRO Kuwait Designated
PAHO/AMRO Brazil Designated
North American (US & Canada) Designated
Mexico Designated
Argentina in designation process
Cuba in designation process
Venezuela Designated
SEARO India Designated
Thailand Designated
WPRO Australia Designated
China Designated
China NHSRC in designation process
Japan Designated
Korea Designated
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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 …
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WHO FIC Network
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ICD11 βetahttp://www.who.int/classifications/icd/revision
Beta – Browser & Print 10 look & feel + descriptions – code structure !
• ICD-11 Beta draft is NOT FINAL
• updated on a daily basis
•NOT TO BE USED for CODING except for agreed FIELD TRIALS
βeta
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1st 2nd 3rd
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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)
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Transcoding tables ICD-10 to ICD-11 in excel
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act betaWF_SwimLane2
Multiple TAGs involved
Rev iew the content
Seek Agreement with other TAG inv olv ed
Conflict Resolution
Rev iew
Make a decision on the new content based on TAG input
FlowFinal
Send to RSG for rev iew
Send to RSG for conflict resolution
7
6
8
[RSG feedback forresolving the
conflict]
[No Agreement][Agreement reached]
[approved]
[Another TAG isinvolved]
[No other TAGs involved]
[approved]
[feedback for unapproved content]
[approved]
WHO
RSG
TAG Chairs
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Beta Phase
• Comments
• Proposals
• Review Mechanism • Field Trials
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ICD-10 • Annual Revision
Conferences
• Focus on mortality statistics
• Produced manually
• Produced in English
• NO field tests
• Update mechanism built in later
ICD-11
• Continuous web platform + meetings
• Focus on ALL statistical use cases
• Produced digitally – w/ information model
• Multilingual development
• Field tests done before
• Continuous update – revision mechanism
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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)
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Distinct Classification of Disease and Disability
+ = case
Diagnosis Disability => better formulation of caseness
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Operationalization of Diagnosis
ICD
A Specific phenomenology
B Signs and Symptoms
C ….
D Exclusion rules
DSM
A Specific phenomenology
B Signs and Symptoms
C DISABILITY & DISTRESS
D Exclusion rules
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ICHI
• ICHI Alpha 2 update• Collaboration
Arrangement with AMA
• Content Model Prototype
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Unpacking the Future Classification
1. Ontology Structure
2018
2. Ontology Content
a) CPTb) ICHI α, β, 2018
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The «Common Ontology» Purpose
To provide a common
formal knowledge representation structure
to enable interoperability between: ICD-11 and SNOMED CT.
«a shared semantics»
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Ultimate “Turing-like” Test
?≡
If common ontology achieved
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CLASSIFICATIONS, TERMINOLOGIES & STANDARDS … BUILDING BLOCKS OF HEALTH INFORMATION …
Technical Efficiency
Small Health Areas
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