ICD-11 Reference Guide Robert Jakob, WHO

Overview Content Structure Ongoing work Future work

Reference Guide of ICD Context of ICD (family) Components of ICD (foundation, linearization) Content of ICD (chapters, conventions) Differences to ICD-10 Use of ICD (coding, postcoordination) Joint use with other… (terminology, primary care, ICF…)

Content Usecases (mortality, primary care, morbidity…) rules and definitions specific to one usecase Statistical recommendations Maintenance Tools History Annexes ; Code lists - Rule tables - Working groups …

Structure 340 Individual text bits One master version with all the content Any number of subsets Users Usecase Hyperlinks to ICD-11 browser

Versions Multiple output formats Other? Knowledge base HTML PDF eBook Text editors Other?

Example content - chapters 1 Purpose and multiple uses of ICD 2 Links with other classifications and terminologies 3 Structure and Content of the ICD Classification System 4 Chapter Structure of the Joint Linearization … 12 List of tools 13 History of the development of the ICD 14 Annexes

Content - subsets 4.1 Chapter 01 – Infectious Diseases 4.1.1 Structure of Chapter 01 4.1.2 Differences between ICD-10 and ICD-11 in Chapter 01 4.1.3 Rationale for Chapter 01 4.2 Chapter 02 – Neoplasms 4.2.1 Structure of Chapter 02 4.2.2 Differences between ICD-10 and ICD-11 in Chapter 02 4.2.3 Rationale for Chapter 02

Subset – “Differences to ICD-10” Differences between ICD-10 and ICD-11 in Chapter 01 Differences between ICD-10 and ICD-11 in Chapter 02 … Differences between ICD-10 and ICD-11 in Chapter 25 Traditional medicine Extension Codes

Usecase mortality 7.1 Mortality statistics 7.1.1 What is coded: Causes of Death 7.1.2 Aim of the instructions: international comparability 7.1.3 The International Death Certificate 7.1.4 Template for the International form of medical certificate of cause of death 7.1.5 Basic concepts and instruction 7.1.6 Coding and selecting the underlying cause of death 7.1.7 The modification rules 7.2 Routine use and special cases 7.2.1 Routine Cause of Death 7.2.2 Verbal Autopsy 7.2.3 Multiple causes … 7.2.6 Child and infant mortality 7.2.7 Perinatal mortality

Ongoing work Morbidity rules Mortality rules Rationale for changes Differences to ICD-10 Transition information Style and language

Permanent code references Future work Knowledgebase online Commenting Permanent editorial groups Links to rulebases Permanent code references

ICD-11 Reference Guide Context and structure Use of ICD Usecases Multiple formats User specific versions Reference materials

Team work