1. WHO-FIC Collaborating Center South Africa
ICD-11 & ICHI work
WHO-FIC Collaborating Center South Africa
ICD-11 Prepare for implementation collaboration with Member States, Collaborating Centers and WHO Regional Offices
Nenad Kostanjsek Classification, Terminology and Standards Team Department of Information, Evidence and Research (IER)

2. Advocacy & dissemination
Showcase functionality of ICD-11 e.g. faster, easier, more accurate coding.
Address the practicalities of transition (What is involved, what does it take)
Update dissemination model: ICD-11 will be disseminated as information standard not as information product (i.e. book)

3. Translations & enrich ICD-11 index with morbidity and mortality terms compiled by Member States

4. Capacity building
Regional ICD-11 Training and Implementation Workshops
12-15 Feb Tunis
Develop ICD-11 e- learning Tool
New ICDfit for coding training and self- evaluation

5. ICD-11 Coding training and self-evaluation tool (ICDfit)
Purpose
ICD user can test their accuracy in coding with ICD-11
WHO & Member States can check translation and data quality
Centers
WHO FIC CC
Country MoH (without CC)
WHO-FIC RefGroup/Com

6. ICD-FIT User Interface
Users can choose between different modules(i.e. set of terms/cases)
Pre-existing modules:
international morbidity module
international mortality module
custom clinical speciality modules
Locally defined modules
Direct terms-set imported into a module

7. ICD-FIT User Interface (2)

8. ICD-FiT – Analytics features
Coders get feedback how coded they coded each diagnostics statement
Coders will get summary score indicating their coding accuracy & timing (performance)
Coders can compare their results with their peers (ranking)
Member States & WHO can assess coding quality, translations and improve classification & tooling

9. Compiling diagnostic term set for ICDfit

10. Towards the development of an ICD-11 Coding Performance Measure (CP score)
Category
Weight
EQUIVALENT, Exact match: identical string (codes and separators) in the 1st code field 1
MATCH, (Perfect): identical codes in the right order in the 1st code field
MATCHALL, Perfect on all: identical codes in the right order, considering all code fields (4)
0.7
RIGHT: right codes in possibly wrong order, in 1st code field
0.8
RIGHTALL: right codes in possibly wrong order, considering all code fields (4)
0.5
OVERCODED/SUPERSET: the codes include the gold plus something
UNDERCODED/SUBSET: the codes include only some of the gold
0.3

11. Build-up and pilot ICD API (Application-Programming Interface) https://icdaccessmanagement.who.int

12. Pilot integrating the ICD-11 index search functionality in existing and/or newly developed Electronic Health Record (EMR) and/or health reporting software (e.g. DHIS-2) – Initial questions
Is the software you are using open-source or proprietary?
Is software development done in-house or bought “off- the-shelf”? What kind of customization possibilities you have e.g. can you add new value sets like ICD-code can you configurate the software to include ICD-11 Coding tool functionality.
Is the software web-based or locally deployed?
Do you have access to the source code of the software?
What experience have your IT experts in modifying and programming the software?

13. How does the software currently relate to ICD-10 or ICD-9?
Pilot integrating the ICD-11 index search functionality in existing and/or newly developed Electronic Health Record (EMR) and/or health reporting software (e.g. DHIS-2) - Initial questions (cont.)
How does the software currently relate to ICD-10 or ICD-9?
No link
Entire ICD code/category is typed in free text with autocorrect function
Drop down list of full or short version of ICD codes/categories
Text search field which allows to find the ICD categories
What ICD related information does the software safe (e.g. code, category…)
If possible please send us screen shots, detailed information or provide access to the software.
What are the future plans regarding EHR and overall health reporting software development? Are you planning to continue to use “off- the- shelf and customizable open-source and/or proprietary software or are you considering in-house software development?

14. National, regional, global Implantation Plan

15. ICHI Review results & experience from pilot testing
Prepare for formal field testing
Develop protocols for use-case specific testing
Create instruments (i.e. ICHIfit)
Identify FT centers
Update training material
Conduct field testing