1. WHO Classifications Terminologies Standards
State of the WHO FIC
WHO
Classifications
Terminologies
Standards

2. Norway ( Nordic Center )
Region
Country
Status
AFRO
South Africa
Designated
EURO
France
Italy
Germany
Netherlands
United Kingdom
Spain
in designation process
Norway ( Nordic Center )
Russian Federation
EMRO
Kuwait
PAHO/AMRO
Brazil
North American (US & Canada)
Mexico
Argentina
Cuba
Venezuela
SEARO
India
Thailand
WPRO
Australia
China
China NHSRC
Japan
Korea

3. WHOFIC Network - growth
NGOS, Partners
- IFHIMA
- WCPT
- ICN
- WONCA
- IHTSDO
- JHA
- AMA
Academic Research Centers
Stanford University
Mayo Clinic
Calgary (under designation)
Regional Networks
Asia Pacific Network
Others …

4. WHO FIC Network

5. ICD11 βeta http://www.who.int/classifications/icd/revision
Beta – Browser & Print
10 look & feel
+ descriptions – code structure !
βeta
ICD-11 Beta draft is NOT FINAL
updated on a daily basis
NOT TO BE USED for CODING except for agreed FIELD TRIALS

8. 1st nd rd

11. ICD Revision Current Status
Frozen September 30
iCAT continues real time
JLMMS is frozen for review
A new freeze is expected in Dec 2014.
Definitions
Top level > 75 % > 10,000 definitions
Linearization errors < 465 (from 10K)
Duplicates < 105 (from 3K)

12. Transcoding tables ICD-10 to ICD-11 in excel

13. TAG Chairs
RSG
WHO

14. Beta Phase
Comments
Proposals
Review Mechanism
Field Trials

15. ICD-11 ICD-10 Annual Revision Conferences
Focus on mortality statistics
Produced manually
Produced in English
NO field tests
Update mechanism built in later
Continuous web platform + meetings
Focus on ALL statistical use cases
Produced digitally
w/ information model
Multilingual development
Field tests done before
Continuous update – revision mechanism

16. ICD-10 ICF B24 HIV disease B24 HIV disease activity limitations
performance restriction in:
Moving around (d455.44)
Washing (d510.33)
Education (d830.44) …
Almost fully functional
moderate participation restriction in
Higher education (d830.03)

17. Distinct Classification of Disease and Disability+
= case
Diagnosis Disability => better
formulation
of caseness

18. Operationalization of Diagnosis
ICD
Specific phenomenology
Signs and Symptoms ….
Exclusion rules
DSM
Specific phenomenology
Signs and Symptoms
DISABILITY & DISTRESS
Exclusion rules

19. ICHI ICHI Alpha 2 update Collaboration Arrangement with AMA
Content Model Prototype

21. Unpacking the Future Classification
2018
Ontology Structure
Ontology
Content
CPT
ICHI α, β, 2018
Please note that the ontology is not a Rubic’s cube – and not all items are equal and cubic!
This is simply to depict that it is a systematic – parametric study of the contents

22. The «Common Ontology» Purpose
To provide
a common
formal knowledge representation structure
to enable interoperability between:
ICD-11 and SNOMED CT.
«a shared semantics»

23. Ultimate “Turing-like” Test? ≡
If common ontology
achieved

24. Technical Efficiency
Small Health Areas