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SIP 2017 - Presentation

DR Robert Jakob – World Healh Organisation, Switzerland

Dr. Robert Jakob

Medical Officer

World Health Organization (WHO)

"The ICD is the international Standard diagnostic classification for all general epidemiological, many health Management purposes and clinical use The new design makes ICD-11 fit for electronic health records, includes scientific updates, and acknowledges the needs of ist de facto uses (mortality, morbidity, casemix, primary care, Quality and patient safety). Pain is a relevant aspect in health. The needs and ways of reflecting pain in the international classification of diseases need to be laid out and addressed in discussion with the specialty tags and the Reviews."

The International Classification of Diseases (ICD) 11 in development

The International Classification of Diseases (ICD) is a key instrument of the World Health Organization. Initially developed for coding causes of death, continuous evolution now renders ICD useful for coding morbidity, as well as recording specific diseases, injuries, signs, Symptoms, complaints, social circumstances, reasons for presentation and external causes of both injury and disease. ICD informs public health bodies, clinicians and researchers alike in the evolving environment of increasingly complex health systems, ensuring the provision of language and system-independent definitions that are applied for:

• National and international health statistics (mortality and morbidity);

• Epidemiology, surveillance, and monitoring:

• Individual patient records and electronic health records;

• Reimbursement and health system financing;

• Reference for treatment guidelines, scientific literature and research;

• Quality assessment at the level of individual cases up to assessment of health System outcomes and monitoring.

Developing countries bear a large burden of disease with many of their health systems lacking resources in the face of an overwhelming tide of urgent and life threatening demands. Effective deployment of ICD-derived tools would facilitate the use and collection of health Information under such challenging circumstances and therefore facilitate quantitatively informed decisions.

Historically, ICD is revised approximately every 10 years, with the exception of the 20-year period beween the last two revisions, ICD 9 and the most recent version, ICD 10. The WHO Secretariat rovides support for the transition from ICD 10 to ICD 11.

Goals for the ICD revision: ICD 10 to ICD 11

1. Update ICD to accommodate new scientific, clinical and public health knowledge

2. Accommodate the usecases mortality, morbidity, primary care, casemix, quality and Patient afety

3. Define diseases and categories with a pattern of symptomatology and manifestations, etiology, ourse and outcome, treatment response, and genetic factors and environmental factors

4. Integration and cross-referencing with health-related terminology systems, making ICD it for use in electronic health information systems

5. Harmonize with ICD-related and derived classifications as well as other members of the WHO mily of International Classifications

6. Work in multiple languages

7. Use of internet-based technologies for information gathering, integration and sharing,

and digital curation, allowing for broad, participation and consultations

8. Planned field tests

9. Electronic and print copies

10. Accelerate global implementation plans with particular focus on developing countries

Some 160 experts in over 15 groups are reviewing and proposing edits to the classification. The results of this work can be seen in real time (4 to 48 hours delay) in the ICD-11 Alpha browser online on the WHO website. Experts are invited to review relevant sections of the classification. Volunteers can register online to contribute to the reviews (http://www.who.int).

ICD Revision Timelines

May 2011: Open ICD-11 Alpha Browser to the public for viewing; July 2011: Open ICD-11 Alpha Browser to the public for commenting; May 2012: Open ICD-11 Beta to the public; WHO will engage with interested stakeholders to participate in the ICD revision process; May 2015: Present the ICD-11 to the World Health Assembly