WHO: Revision of ICD-11 – questions and answers (Q&A)

World Health Organization (WHO)
18 Jun 201806:10
EducationalLearning
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TLDRThe International Classification of Diseases (ICD) is a global health standard for recording and reporting health data, used by 110 countries for 60% of the world's population. ICD-11, its latest version, is built on an electronic infrastructure for easier updates and user support. It includes new sections on traditional medicine and antimicrobial resistance, with an improved coding interface and a translation platform. Updates are planned at regular intervals, with minor changes yearly, medium impact updates every five years, and major changes every ten years. The early release of ICD-11 allows countries to prepare for its implementation, including training and potential legislative changes.

Takeaways
  • πŸ“ˆ The International Classification of Diseases (ICD) is a global health information standard for recording various health-related data.
  • 🌍 ICD is part of a family of international classifications and is implemented in about 110 countries, covering 60% of the world's population.
  • πŸ”„ ICD facilitates the monitoring of health, allocation of resources, planning of health services, and patient safety events.
  • πŸ’° Approximately 70% of global health resources are allocated based on ICD coded data.
  • πŸ” ICD helps standardize disease diagnosis, enabling research to compile data from different sources and improve disease understanding and treatment.
  • πŸ’» ICD-11 is built on an electronic infrastructure, offering increased user support and a fully transparent, publicly accessible process.
  • 🌿 ICD-11 includes a section on traditional medicine and has improved code ability for conditions like HIV and a new structure for antimicrobial resistance.
  • πŸ“± The electronic infrastructure of ICD-11 simplifies the coding interface, making training easier and providing an online/off-line software interface (API) for integration with other software.
  • πŸ“š ICD-11 introduces a translation platform, allowing for more consistent translations across languages.
  • πŸ”„ ICD-11 is designed for regular updates, with minor updatesεΉ΄εΊ¦, moderate updates every five years, and major updates every ten years.
  • πŸ› οΈ Implementation of ICD-11 requires planning, staff training, IT system adaptation, and potentially legislative changes, with a three-year lag time before countries start implementing.
Q & A
  • What is the purpose of the International Classification of Diseases (ICD)?

    -The ICD is an international health information standard used for recording diseases, injuries, external causes of illness and death, patient safety events, primary care, traditional medicine, and many other components relevant for reporting and recording the health of a population.

  • How many countries have implemented the ICD and what percentage of the world's population does this represent?

    -The ICD has been implemented in about 110 countries, which account for 60% of the world's population.

  • What are some of the core classifications included in the family of international classifications besides the ICD?

    -Besides the ICD, the family of international classifications includes classifications on functioning, disability and health, and a classification on health interventions.

  • What is special about the ICD-11 version compared to its predecessors?

    -ICD-11 is built on an electronic infrastructure, has increased user support, and has been designed and maintained through a fully transparent, publicly accessible process. It includes a section on traditional medicine, improved code ability for HIV, a new structure for antimicrobial resistance, and has a simplified coding interface for easier training.

  • How does the electronic infrastructure of ICD-11 enhance its functionality?

    -The electronic infrastructure of ICD-11 allows for a simplified coding interface, making training easier, and introduces a computer or software interface that can be used online or offline, enabling connection to various software through a web services-based application programming interface.

  • What is the significance of the translation platform in ICD-11?

    -The translation platform in ICD-11 is the first of its kind in the history of the ICD, allowing any translation to take advantage of the same features as the English version, thus ensuring consistency and accessibility across languages.

  • How often are updates to ICD-11 expected to occur?

    -Updates to ICD-11 can occur on an annual basis for minor improvements and user guidance, every five years for updates with slight statistical impact, and every ten years for major updates that significantly affect statistics.

  • What preparations are required by countries for the implementation of ICD-11?

    -Implementation requires accurate planning, assessment of changes needed in systems, training of staff, adaptation of IT systems, and possibly changes to legislation. It is a process that takes time and requires understanding of the classification and preparation for translations.

  • Why is the early release of ICD-11 beneficial for countries?

    -The early release allows countries to prepare for implementation, understand the classification, and get ready for adoption, which is particularly helpful for low and middle-income countries that may find implementation easier due to less complex health information systems.

  • What will be the focus of work between the release of the script and May 2019?

    -The focus will be on improving user guidance, refining additional axes of the classification, and establishing an updating process to handle incoming proposals, all while maintaining a stable coding structure for future users and countries to prepare for implementation.

  • When will the summary report of the updates to ICD-11 be submitted and processed?

    -The summary report will be submitted to the Executive Board of WHO in January 2019 and then processed by the World Health Assembly in May 2019.

Outlines
00:00
πŸ“š Introduction to ICD and its Global Impact

The International Classification of Diseases (ICD) is a global health standard for recording diseases, injuries, and other health-related data. It encompasses a wide range of components, including patient safety events and traditional medicine, and is part of a larger family of international classifications. ICD is implemented in approximately 110 countries, representing 60% of the world's population, and is instrumental in monitoring health, allocating resources, and planning health services. It also plays a crucial role in standardizing disease diagnosis, facilitating research, and improving the understanding and treatment of diseases.

05:03
🌐 Updates and Innovations in ICD-11

ICD-11 introduces significant changes from its predecessors, being built on an electronic infrastructure that enhances user support and transparency. The new version includes updates on traditional medicine, HIV coding improvements, and a new structure for antimicrobial resistance. It simplifies the coding interface through an open proposal mechanism, making training easier. ICD-11 also introduces an online/off-line software interface and a translation platform, allowing for more accessible and consistent global health data.

Mindmap
Keywords
πŸ’‘International Classification of Diseases (ICD)
The ICD is a global health information standard designed for recording diseases, injuries, and other health-related conditions. It is crucial for monitoring health trends, allocating resources, and planning healthcare systems. In the video, ICD is highlighted as a tool that standardizes the diagnosis of diseases, facilitating research and improving the understanding and treatment of illnesses worldwide.
πŸ’‘Healthcare Resources Allocation
This refers to the distribution of healthcare resources, such as funding, personnel, and equipment, based on health needs and priorities. The ICD plays a significant role in this process by providing data that helps determine where resources should be allocated. As mentioned in the video, 70% of the world's health resources are allocated based on ICD-coded data.
πŸ’‘Electronic Infrastructure
Refers to the technological framework that supports the operation of electronic systems, such as the ICD in this context. The video highlights that ICD-11 is built on an electronic infrastructure, which simplifies the coding interface and makes training easier. It also enables the development of a computer or software interface for ICD, allowing for online and offline use.
πŸ’‘Traditional Medicine
This term refers to the indigenous medical practices that are part of the cultural heritage of a community or region. The video notes that ICD-11 now includes a section on traditional medicine, recognizing its importance in global healthcare and acknowledging the diversity of health practices worldwide.
πŸ’‘Antimicrobial Resistance
This term describes the ability of microorganisms, such as bacteria, to resist the effects of antimicrobial drugs. It is a growing global health concern. The video mentions that ICD-11 has a new structure for antimicrobial resistance, indicating an update to better track and address this issue within the global health community.
πŸ’‘Updating Process
Refers to the mechanism by which the ICD is periodically revised and updated to remain current with the latest medical knowledge and health trends. The video explains that ICD-11 is designed for regular updates, which can be annual for minor changes or occur at longer intervals for more significant alterations.
πŸ’‘Implementation
This term refers to the process of putting a new system or standard into operation. In the context of the video, the implementation of ICD-11 involves planning, training staff, adapting IT systems, and possibly changing legislation. It is a complex process that requires time and preparation.
πŸ’‘World Health Organization (WHO)
The WHO is the leading international organization responsible for global public health. It plays a key role in the development and maintenance of the ICD. The video mentions the WHO's Executive Board and the World Health Assembly, which are involved in processing updates and proposals related to the ICD.
πŸ’‘Patient Safety Events
These are incidents or occurrences that could potentially lead to harm or did lead to harm for a patient during the process of care. The ICD includes components relevant for reporting and recording patient safety events, which is essential for improving the quality and safety of healthcare services.
πŸ’‘Derived and Related Classifications
These are specialized subsets of the ICD that cover specific aspects of health, such as oncology or drug classifications. They provide additional detail and nuance to the core ICD classifications, allowing for more precise recording and analysis of certain health domains.
πŸ’‘Open Proposal Mechanism
This is a transparent process that allows for public submissions and suggestions for changes or additions to the ICD. It enhances the inclusivity and adaptability of the classification system by enabling a wider range of stakeholders to contribute to its development.
Highlights

The International Classification of Diseases (ICD) is an international health information standard for recording diseases, injuries, and other health-related data.

ICD is part of a family of international classifications, including classifications on functioning, disability, and health interventions.

ICD has been implemented in about 110 countries, accounting for 60% of the world's population.

70% of the world's health resources are allocated based on ICD coded data.

ICD facilitates the standardization of disease diagnosis, enabling research to compile data from different sources.

ICD-11 is built on an electronic infrastructure, offering increased user support and a fully transparent, publicly accessible process.

ICD-11 includes a section on traditional medicine and has improved code ability for HIV and a new structure for antimicrobial resistance.

ICD-11's electronic infrastructure simplifies the coding interface, making training easier than in the past.

The new ICD version features an open proposal mechanism, allowing easier access compared to previous versions.

ICD-11 has a computer or software interface that can be used online or offline, enabling integration with various software systems.

For the first time, ICD has a translation platform, allowing any translation to take advantage of the same features as the English version.

ICD-11 is designed to be updated at regular intervals, potentially offering a longer shelf life than previous versions.

Updates to ICD-11 can be done annually for minor changes, every five years for slight impact updates, and every ten years for major updates.

ICD-11 was released a year ahead of the assembly to allow countries time to prepare for implementation.

Implementation of ICD-11 requires planning, staff training, IT system adaptation, and possibly legislative changes.

There is typically a three-year lag time before a country can start implementing the new ICD version.

Low and middle-income countries may find implementation easier due to less complex health information systems.

Between now and May 2019, work will continue to improve user guidance and additional axes of the classification.

An updating process is in place to handle proposals and prepare a summary report for the World Health Assembly in May 2019.

Transcripts
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