Online Version of ICD-10 for 2011?

Online Version of ICD-10 for 2011?

Post #68 Shortlink: http://wp.me/pKrrB-Zr

The information in this mailing relates only to ICD-10, the current version of the WHO’s International Classification of Diseases in use in the UK and over 100 countries worldwide. It does not relate to the forthcoming international revision of ICD-10, which will be ICD-11.

Nor does it relate to the country specific Clinical Modifications of ICD: ICD-9-CM; the forthcoming ICD-10-CM: ICD-10-CA (Canada); ICD-10-GM (Germany); ICD-10-AM (Australia); ICD-10-TM (Thailand).

The ICD-10 Updating process

The International Conference for the Tenth Revision of the ICD held in Geneva in 1989 recommended that “…WHO should endorse the concept of an updating process between revisions and give consideration as to how an effective updating mechanism could be put in place”.

The three volumes of ICD-10 were published between 1992 and 1994 and came into use in WHO Member States from 1995.

Two separate bodies were established to manage the updating process: the Mortality Reference Group (MRG) and the Updating and Revision Committee (URC).

The concept for the MRG was developed in 1997, and it began making decisions regarding the application and interpretation of ICD for mortality in 1998. The MRG also makes recommendations on proposed ICD updates to the URC.

The URC was established in 2000 and receives proposals from the MRG and members through the WHO Collaborating Centres for the Family of International Classifications (WHO FIC). The URC considers the proposals and submits recommendations on proposed updates to the Heads of Collaborating Centres who, in turn, make recommendations to WHO.

Updates to the published volumes of ICD-10 are approved annually at the October meetings of Heads of WHO Collaborating Centres for the Family of International Classifications and are available as annual lists of changes. The lists indicate the source of recommendation and implementation date and they are published in PDF format (from 1996 to 2007) on this page:

http://www.who.int/classifications/icd/icd10updates/en/index.html

According to this “List of Official ICD-10 Updates” page, all major changes that were scheduled for 2009 were postponed to 2010.

This PDF document:

http://www.who.int/classifications/network/Council_report_2011_16Feb.pdf

or here:

https://dxrevisionwatch.files.wordpress.com/2011/04/council_report_2011_16feb.pdf

is the Report of a WHO FIC Council conference which took place on 16 February 2011.

On Page 3 of this public domain document it records:

“4. Ongoing business

“Posting of Updates for ICD-10: So far, the URC has submitted all relevant files to WHO. Following the WHO review, the updates will be published on WHO web site latest by 31 March 2011.

“Posting of Updates for ICF is scheduled before 31 March 2011.

“Online Version of ICD-10 for 2011: The meeting suggested that it is necessary to have an official reference for the extensive changes to ICD that occurred in 2010.

“The relevant files are available to WHO and such a version will be put online.”

[Note: The update files do not appear to have been uploaded to the ICD site yet.]

The above suggests that WHO envisages publishing an Online Version of ICD-10 for 2011 that would replace the current version for 2007, which can be accessed here:

http://apps.who.int/classifications/apps/icd/icd10online/

Note this would not be the replacement for ICD-10, but an online version of the Tabular List that incorporates the annual updates to ICD-10. ICD-11 is not scheduled for implementation until 2014/15 and is still at the Alpha drafting stage.

There is no evidence to suggest any changes within ICD-10 to the current classifications, codings and indexing for PVFS, (B)ME and Chronic fatigue syndrome and according to the ICD-11 iCAT drafting platform, proposals for ICD-11 are that all three terms should be classified within ICD-11 Chapter 6: Diseases of the nervous system.

However, I do want to alert patients, advocates and those who maintain websites that according to this recent WHO FIC document, there is a possibility that the ICD 10th Revision, Version for 2007 may be replaced, this year, by a version for 2011 that incorporates the annual updates.

I will provide more information if and when an online version for 2011 is published.

References:

1] International Classification of Diseases (ICD)
http://www.who.int/classifications/icd/en/

2] ICD Classifications updating process
http://www.who.int/classifications/icd/updates/en/index.html

3] List of Official ICD-10 Updates
http://www.who.int/classifications/icd/icd10updates/en/index.html

4] International Statistical Classification of Diseases and Related Health Problems 10th Revision Version for 2007 (the current version)
http://apps.who.int/classifications/apps/icd/icd10online/