The Way Forward Questions Options

Where do we want to be – by when? May 2011: we open ICD-11 alpha browser to public May 2012: we open ICD-11 BETA to public 2015 onwards ICD 20** has a continuous update maintenance platform

Where do we want to be – by when? 16 May 2011: we open ICD-11 alpha browser to public viewing & reviewing tool CAVEATs: “interim work” “as is” “don’t try this at home” AIM Engage with expecting outside community Openness, transparency Try out some BETA PROCESS now I want to make a comment I want to make a proposal I want to take part in Field Trials I want to translate I want to use it in special development projects

Where do we want to be – by when? 16 May 2012: we open ICD-11 BETA to public CAVEATs: “still interim work” “as is” “may try out in field trials” AIM Engage with expecting outside community – actively Continue Growth: missing dimensions BETA PROCESS now I want to make a comment I want to make a proposal I want to take part in Field Trials (3 years) I want to translate I want to use it in special projects

Where do we want to be – by when? 16 May 2015 onwards ICD goes to WHA Print Linearization – Morbidity as today – Official Mortality Lists Simple resolution ICD 20** has a continuous update maintenance Real time update proposals Annual frozen release AIM: replace the current UR process - HOPE Engage with active users Continuous Maintenance PERPETUAL BETA I want to make a comment I want to make a proposal I want to take part in Field Trials I want to translate I want to use it in special projects

WHY ? The glass is one third full Denominator: Minimal Content Model of Mb linearization Definitions Inclusion – Exclusions If applicable: Severity, Temporal We never asked the FULL ICD be 100% complete Beta was aimed at crowdsourcing Start early – start simple - consult often… Near 50 % completion in May 2012 is acceptable

would count as the alpha draft ? questions IM-TAG: Unfinished hierarchies Rare Diseases: Unfinished agenda – finding parents to orphans Dermatology: Linking with others and SNOMED Mortality : Continuity + no conflicts - Morbidity: Make sure all XM is there Dagger/asterisk is resolved DRG’s are supported well Functioning : Ensure ICD – ICF is not conflicting …

would count as the alpha draft ? Answer: Current Level in iCAT  ICD-11 alpha browser It can continue to evolve on a daily basis

Interim Steps Within Next Year Continue ingestion in iCAT core filling the glass  2/3 Graded development of Sections Early ---- Ready Needed reviews Cross Sectional TAGs: mortality - morbidity Annotations for Dagger Asterisk Codes Content TAGs may use it as their own review tool

Action Steps Within Next Year  Next Phases Additional Content Support Linking with other content developers & owners Wikipedia New Taxonomy of Disease Others… Graded development of Beta Tools Establish key mechanisms – workflows Test out with early adopters (TAGs, Other stakeholders…)

Interim Steps Within Next Year Additional Content Support Linking with other content developers & owners Wikipedia New Taxonomy of Disease Others… Graded development of Beta Tools Establish key mechanisms – workflows Test out with early adopters (TAGs, Other stakeholders…)

SAQs Single Assessment Question VIEWER sees “a category” in the Browser:     Is this “category” in the right place?   Yes  NO Where would you put it? Why – state your reason? Can you point to a web evidence?

SAQs Single Assessment Question VIEWER sees “a tree ” in the Browser:     Is this “tree” right place?   Yes  NO How Where would you put it? Why – state your reason? Can you point to a web evidence?

SAQ: Definition If the definition missing  please help if you have a definition Simple assessment : Is the definition clear  SCALE OK  –shows interest, shows approval not  Problem solving - does not fit with the Title - paradoxical - ....

SAQ: Use Category essential for:                                           Mortality                                              Morbidity                                                              Safety Quality              

SAQ: Utility Category useful for practice 1-5 Primary Care Clinical                                                 Research