Overview of the WHO ICD Revision Process (ICD-11)

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Slide 1

Overview of the WHO ICD Revision Process (ICD-11)

Donna Pickett, RHIA, MPH
Medical Systems Administrator

AHRQ Annual Conference
September 10, 2012

Slide 2

ICD Revision History

Slide 3

HIPAA Administrative Simplification: Modifications to Medical Data Code Set Standards

• Published August 2012:
  • Adopts ICD-10-CM and ICD10-PCS as replacements for ICD-9-CM.
• October 1, 2014—Compliance date for implementation of ICD-10-CM and ICD-10-PCS.
• Single implementation date for all users:
  • Date of service for ambulatory and physician reporting.
  • Date of discharge for inpatient and other settings.

Slide 4

Image: A screenshot shows the World Health Organization (WHO) Web page announcing that the International Classification of Diseases (ICD), 11th Revision, is due by 2015 and inviting participation.

Slide 5

The ICD Revision Process

• Background.
• Alpha.
• Beta.
• Timeline.
• Participation.

Slide 6

ICD-11 Revision Goals

1. Multi-purpose and coherent classification:
   • Mortality, morbidity, primary care, clinical care, research, public health...
   • Consistency & interoperability across different uses.
2. International multilingual reference standard for:
   • Scientific comparability and
   • Communication purposes.
3. 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.

Slide 7

Definitions

• All ICD entities will have definitions:
  • Key descriptions of the meaning of 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.

Image: An insert in the upper left-hand corner of the slide shows a dictionary definition of the word "definition."

Slide 8

Construction of ICD-11: Revision Process in the 21st Century

Image: A fantastical representation of the revision process, with information resources being "fed" into a globe covered with electronic connections, is shown.

Slide 9

ICD Revision Organizational Structure

Image: A chart shows the organizational structure. The World Health Organization is at the top, and below it the Revision Steering Group. Below the Revision Steering Group are a number of TAGs and Working Groups.

Slide 10

ICD11 Beta

Image: A screenshot shows the ICD11 beta page.

Slide 11

The ICD-11 Beta Phase

• New beta platform: ICD-11.
• Browser.
• WHO Web story.
• Twitter announcement.
• Facebook announcement.
• WHO Web site.
• FAQs and Fact Sheet about the revision to post on WHO Web site.
• ADG Video Message calling on experts to get involved.

• http://www.who.int/classifications/icd/revision/en/index.html.

Slide 12

The ICD-11 Beta Phase

• Draft ICD-11 Content presented in web portal:
  http://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?)

Slide 13

Work Program during Beta Phase

• Completion of chapters by end August 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.

Slide 14

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.

Image: People in business suits are shown hang-gliding with enormous open, books in place of their hang-gliders.

Slide 15

Questions?

Donna Pickett - dfp4@cdc.gov