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Donna Pickett, RHIA, MPH Medical Systems Administrator AHRQ Annual Conference September 10, 2012 Overview of the WHO ICD Revision Process (ICD-11) National.

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Presentation on theme: "Donna Pickett, RHIA, MPH Medical Systems Administrator AHRQ Annual Conference September 10, 2012 Overview of the WHO ICD Revision Process (ICD-11) National."— Presentation transcript:

1 Donna Pickett, RHIA, MPH Medical Systems Administrator AHRQ Annual Conference September 10, 2012 Overview of the WHO ICD Revision Process (ICD-11) National Center for Health Statistics Classifications and Public Health Data Standards

2 ICD Revision History 2 ICD Revision No. Year of Conference When Adopted Year in Use in the U.S. ICD, Clinical Modification Year in Use in the U.S. First Second Third Fourth Fifth Sixth Seventh Eighth ICDA-8 H-ICDA-1 H-ICDA Ninth ICD-9-CM1979 Tenth ICD-10-CMOct. 1, 2014

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 3

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5 The ICD Revision Process –Background –Alpha –Beta –Timeline –Participation

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

7 Definitions All ICD entities will have definitions: meaning key descriptions of the meaning of the category guide users 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

8 Construction of ICD-11: Revision Process in the 21 st Century Internet-based permanent platform –All year round –Open to all people in a structured way –Content experts focus Digital curation –Wiki enabled collaboration –Ontology based Enhanced discussion & peer review –TAGs serve as the editorial group Electronic copy  print version Work in multiple languages Planned field tests –Based on Use Cases

9 ICD Revision Organizational Structure Gastroenterology WG Cardiovascular WG Hepatology & Pancreatobiliary WG Nephrology WG Endocrinology WG Rheumatology WG Cross-Sectional TAGs Working Groups Haematology WG Respiratory WG Dentistry TAG Musculoskeletal TAG Mental Health TAG GURM External Causes and Injuries TAG Dermatology TAG Internal Medicine TAG Neurology TAG Ophthalmology TAG Paediatrics TAG Functioning TAG Mortality TAG Morbidity TAG Quality & Safety TAG Rare Diseases TAG Health Informatics and Modelling TAG (HIM TAG) iCAT Software Team Traditional Medicine TAG Neoplasms TAG WHO Revision Steering Group Genito-Urinary, Reproductive and Maternal TAG

10 ICD11 beta BrowserBeta – Browser & Print 10 look & feel + descriptions – code structure ! ICD-11 beta draft is INCOMPLETE updated on a daily basis NOT TO BE USED for CODING at this stage not yet been approved by the TAGs, RSG or WHO

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

12 The ICD-11 Beta Phase Draft ICD-11 Content presented in web portal: 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?)

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

14 ICD-11 Timeline 2011 : Alpha version ( ICD 11 alpha draft) +1 YR : Commentaries and consultations 2012 : Beta version & Field Trials Version 14 May YR : Field trials 2014 : Final version for public viewing 2015 : WHA Approval implementation

15 Questions? Donna Pickett -


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