State of theWHO FIC

WHOClassificationsTerminologies

Standards

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

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 …

WHO FIC Network

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

1st 2nd 3rd

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)

Transcoding tables ICD-10 to ICD-11 in excel

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

Beta Phase

• Comments

• Proposals

• Review Mechanism • Field Trials

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

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)

Distinct Classification of Disease and Disability

+ = case

Diagnosis Disability => better formulation of caseness

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

ICHI

• ICHI Alpha 2 update• Collaboration

Arrangement with AMA

• Content Model Prototype

Unpacking the Future Classification

1. Ontology Structure

2018

2. Ontology Content

a) CPTb) ICHI α, β, 2018

The «Common Ontology» Purpose

To provide a common

formal knowledge representation structure

to enable interoperability between: ICD-11 and SNOMED CT.

«a shared semantics»

Ultimate “Turing-like” Test

?≡

If common ontology achieved

CLASSIFICATIONS, TERMINOLOGIES & STANDARDS … BUILDING BLOCKS OF HEALTH INFORMATION …

Technical Efficiency

Small Health Areas