1. Megan Cumerlato Managing Editor Julie Rust (till March 2015) Internal Medicine Topic Advisory Group Feedback on IM TAG progress from Managing Editor perspective

2. Internal Medicine TAG Chair: Prof. Em. Naoko Tajima (JP) Co-chair: Dr. Rodney Franklin (UK) CardiovascularHepatobiliaryEndocrinologyNephrologyGastroenterologyRespiratoryHaematologyRheumatology

3. Working GroupChairsManaging Editor CardiovascularB. Gersh (USA) R. Franklin (UK) T. Kohro Endocrinology & Metabolism A. Shimatsu (JP) E. Gregg (USA) K. Waki GastroenterologyP. Malfertheiner (FRG) S. Miura (JP) J. Akiyama HematologyW. Fibbe (Netherland) S. Okamoto (JP) - HepatobiliaryG. Farrell (AUS)T. Tomiya NephrologyG. Becker (AUS) K. Iseki (JP) Y. Ubara RespiratoryH. Takizawa (JP)T. Suzuki RheumatologyJ. Kay (USA) M. Harigai (JP) M. Kihara Structure of Working Groups

4. ◦ Review of JLMMs shoreline and specialty linearization proposals by each WG for WHO. ◦ Continual code hierarchy review with updates to some areas. ◦ Definitions completed for many areas with work ongoing for content model attributes ◦ Liaison with external TAGs as necessary, i.e. Paediatric, GURM and within the IM TAG. ◦ Continued good support from external experts and societies

5.  Impact of restructure of Infectious diseases chapter following Taskforce meeting in September 2015  Understanding the application of code extensions and clustering  Time frame for completion of proposals currently on ICD-11 Browser platform  Role of ‘horizontal TAGs’ and ‘vertical TAGs’ in completion of code hierarchy  Completion of other attributes in the content model by IM TAG WGs

6.  Cardiovascular WG ◦ ‘Congenital anomaly of heart and great vessels and related acquired abnormalities’  Minor code structure revision  Continued entry of definitions ratified by WG and the International Society for Nomenclature of Paediatric and Congenital Heart Disease (ISNPCHD)  Further work needed on adult cardiology definitions  Content model review of inclusion terms - ongoing

7.  Endocrinology WG ◦ Continued liaison with GURM and Paediatric TAGs regarding proposed code hierarchy changes for Adrenogenital disorders. ◦ Further discussion proposed with Nutritional WG regarding overlap areas e.g. Marasmus in adults, Thinness, Morbid obesity ◦ Ongoing discussions regarding code hierarchy for Diabetes mellitus  Liaison with Nephrology WG  Topic of discussion at September 2015 Taskforce meeting with resolutions proposed.

8.  Gastroenterology WG ◦ Liaison with Paediatric TAG Managing Editor regarding classification issues relating to Symptoms, findings and clinical forms of the digestive system. ◦ Revised definitions added to platform  Hepatobiliary WG ◦ Revised definitions added to platform and minor code hierarchy changes regarding double parenting of some concepts.

9.  Haematology WG ◦ WHO, ICD Office and WG chairs finalised and implemented changes to code hierarchy – great achievement ◦ Discussion with Paediatric TAG Managing Editor regarding ‘Symptoms, signs, clinical forms, and abnormal clinical and laboratory findings’ relating to the blood inclusions terms (classification issue)  Nephrology WG ◦ Discussion with Endocrine WG regarding overlap areas:  Diabetes mellitus with nephropathy  Albuminuria  Acute kidney injury

10.  Respiratory WG ◦ Discussion with Allergy TAG and Paediatric TAG with minor changes proposed to:  Asthma  Certain diseases of the respiratory system  Inclusion term review  Rheumatology WG ◦ Discussion with Paediatric TAG Managing Editor regarding previously proposed extension codes for Juvenile idiopathic arthritis ◦ Parenting issues – Skin chapter

11.  Completion of content model – inclusion/exclusion terms - issues regarding old ICD-10 index entry import  Decision on proposals already submitted to platform  Taskforce resolutions implementation ◦ Diabetes mellitus ◦ Infectious chapter  Field trials/Peer review