1. iCAT Progress Update Tania Tudorache, Csongor Nyulas, Sean Falconer, Jack Elliott, Samson Tu, Mark Musen Stanford Center for Biomedical Informatics Research 30 th September 2010 ICD-11 RSG Meeting WHO, Geneva

2. Overview New features in iCAT Things people want Survey results Feedback

3. iCAT A collaborative authoring tool for the ICD-11 alpha phase Developed at Stanford as a generic tool that can be customized for different ontologies, terminologies and classifications The vision is to use the same conceptual framework and tool infrastructure for the entire WHO-FIC to enable the interoperation of the classifications Installations already exists for:  Intl. Classification of Traditional Medicine (iCAT-TM)  Intl. Classification of Patient Safety (iCAT-PS) Production platform: http://icat.stanford.eduhttp://icat.stanford.edu Demo platform: http://icatdemo.stanford.eduhttp://icatdemo.stanford.edu

4. The Content Model iCAT = Content Model + User Interface Content Model is the underlying formal structure that defines the characteristics of a disease (and the fields in iCAT) Content Model is developed by the HIM-TAG and it is constantly evolving (iCAT has to keep up with it) Significant changes in the Content Model since last iCAMP (linearization, external causes, functional impact, value sets, short and long definition, index terms, etc.)

5. New iCAT features Support for linearization and different use cases Support for external causes Support for functional properties Threaded notes Improved watch functionality and email notifications Direct links to categories Change history Hierarchy management Improved value set search in BioPortal Login with OpenId (Google, Yahoo, etc.) Import/export spreadsheet template Export to CLAML to generate the print version (Mayo team) Etc. See more on: http://groups.google.com/group/icat-users/web/icat-release-notes

6. New Orange Logo

7. Linearizations Specify the uses of a category (mortality, morbidity, etc.) Specify the specialty adaptation (Mental Health, Dermatology, etc.) In a linearization, a category has exactly one parent Select a parent for a particular use (one of the existing parents, or one of their ancestors) Used to build the classifications for the different uses and the print version Primarily for the classification experts

9. External causes External causes are special: different dimensions and different fields Dimensions: Intent, Mechanism, Place of occurrence, Activity, Substance use Value sets from ICECI Keep backwards mapping to ICD-10 Different user interface with different fields

10. External cause example

11. External causes – ICD-10 mapping

12. Functional Properties Describe the functional impact of a disease Different aspects: Understanding, Communication, Mobility, Self-care, etc. Value set comes from ICF Check-boxes to expose most common values

13. Functional Properties

14. Threaded notes Notes and discussions are shown in a threaded fashion to enhance the presentation of replies A user may edit, delete or archive his or her own note, if there is no reply Threads with new replies pop-up in the notes tree

15. Threaded notes

16. Watched Entities and Branches Watched entity Watched branch Watch branch: get notified about any change in the branch. See change list of watched entities and branches after you log in on the first page

17. Email Notifications about the Watched Entities and Branches Receive email with the change notifications and discussion notifications Configure the frequency of notifications (immediate, hourly, daily) Links to jump directly to the changed category

18. Change history Browse the change history of a category

19. Manage Hierarchy Tab

20. Import/Export Spreadsheet template Thank you to Robert Chalmers for providing the macros

21. Things people want (feedback from iCAMP2) Import/export to spreadsheets Cloning More collaboration support: –Notifications –Filtering of watched entities Better searching capabilities Support for avoiding duplicates

22. iCAT Usability Survey We received 14 responses Extremely useful feedback both on the tool, content model and process Results of the survey are available online* * http://tinyurl.com/icat-survey

23. What people liked... Hierarchy management Clear tab structure nice tree, clear layout, nice UI Ease of navigation, ability to cut and paste information Integration of features Link with BioPortal

24. What people did not like.. Lack of: –synchronization between the tabs (implemented now) –export/import –view of all properties in one screen Slow sometimes Content model: –too much content –too complex –takes too much time to fill in

25. Missing features Comments attached to multiple categories Better retirement Revision workflow Preview of classification

26. What is coming in the very near future Tree synchronization in the different tabs Improved search capabilities Export/import from an Excel template Widgets for editing index terms Support for severity Support for temporal properties

27. Feedback and observations Not enough clarity about: –Documentation –Process –iCAT Features Misconceptions about tool capabilities and where to find the tool We need: –Clear and better communication channels between TAGs, WHO-TAGs, TAGs-iCAT team

28. The good news..

29. The second good news.. A mock-up for the beta tool

30. Thank you!