The Way Forward

QuestionsOptions

Where do we want to be – by when?

• May 2011:– we open ICD-11 ICD-11 alpha browseralpha browser to public

• May 2012:– we open ICD-11 BETA to public

• 2015 onwards– ICD 20**ICD 20** has a continuous update maintenance platform

Where do we want to be – by when?

• 16 May 2011:– we open ICD-11 alpha browser to public

• viewing & reviewing tool – CAVEATs:

• “interim work” “as is” “don’t try this at home”– AIM

• Engage with expecting outside community – Openness, transparency– Try out some BETA PROCESS now

» I want to make a comment» I want to make a proposal» I want to take part in Field Trials» I want to translate» I want to use it in special development projects

Where do we want to be – by when?

Where do we want to be – by when?

WHY ?• The glass is one third full– Denominator: Minimal Content Model of Mb linearization

• Definitions • Inclusion – Exclusions• If applicable: Severity, Temporal

– We never asked the FULL ICD be 100% complete• Beta was aimed at crowdsourcing• Start early – start simple - consult often…• Near 50 % completion in May 2012 is acceptable

would count as the alpha draft ?questions

• IM-TAG: Unfinished hierarchies

• Rare Diseases: Unfinished agenda – finding parents to orphans

• Dermatology: Linking with others and SNOMED

• Mortality : Continuity + no conflicts -

• Morbidity: Make sure all XM is there – Dagger/asterisk is resolved– DRG’s are supported well

• Functioning : Ensure ICD – ICF is not conflicting

• …

would count as the alpha draft ?Answer:

• Current Level in iCAT ICD-11 alpha browser• It can continue to evolve on a daily basis

Interim StepsWithin Next Year

• Continue ingestion in iCAT core – filling the glass 2/3

• Graded development of Sections– Early ---- Ready

• Needed reviews– Cross Sectional TAGs: mortality - morbidity

• Annotations for Dagger Asterisk Codes

– Content TAGs may use it as their own review tool

Action StepsWithin Next Year Next Phases

1. Additional Content Support – Linking with other content developers & owners

• Wikipedia• New Taxonomy of Disease• Others…

2. Graded development of Beta Tools– Establish key mechanisms – workflows– Test out with early adopters (TAGs, Other

stakeholders…)

Interim StepsWithin Next Year

1. Additional Content Support – Linking with other content developers & owners

• Wikipedia• New Taxonomy of Disease• Others…

2. Graded development of Beta Tools– Establish key mechanisms – workflows– Test out with early adopters (TAGs, Other

stakeholders…)

SAQsSingle Assessment Question

• VIEWER sees “a category” in the Browser: • Is this “category” in the right place?

• Yes • NO

– Where would you put it?– Why – state your reason?– Can you point to a web evidence?

SAQsSingle Assessment Question

• VIEWER sees “a tree ” in the Browser: • Is this “tree” right place?

• Yes • NO

– How Where would you put it?– Why – state your reason?– Can you point to a web evidence?

SAQ: Definition

If the definition missing please help if you have a definition

Simple assessment : Is the definition clear SCALE

OK OK –shows interest, shows approvalnot Problem solving

- does not fit with the Title- paradoxical- ....

SAQ: Use

Category essential for:

Mortality Morbidity

SafetyQuality

SAQ: Utility

Category useful for practice 1-5

Primary Care Clinical Research