WHO-FIC Network Meeting - 22-27 October 2018, Seoul, Korea
WHO Family of International Classifications
A 2018 version was endorsed, to replace the 2007 Family paper. The paper highlights ICD-11, ICF and the developing International Classification of Health Interventions (ICHI). Use of the classifications together, and clearer arrangements for related classifications, are notable features.
Download Final Draft of Family Paper
ICD-11 was released in June 2017 for implementation.
The Joint Task Force that had led the finalisation of ICD-11 held its final meeting in Seoul. The JTF included from Australia James Harrison (co-chair), Vera Dimitropoulos, Jenny Hargreaves, Anne Elsworthy and Richard Madden.
Updates to ICD-11 are being undertaken by the Classification Standards Advisory Committee, which has replaced the former Update and Revision Committee.
Report on the last meeting of the ICD-11 MMS Joint Task Force held in Seoul Korea
Prior to the WHO-FIC Network Annual Meeting and Conference, the International Classification of Diseases, 11th Revision for Mortality and Morbidity Statistics (ICD-11 MMS) Joint Task Force (JTF) met for the last time in Seoul, Korea on 20 October 2018 with an overall objective of finalising an end of mission report. Officially created by the World Health Organization in September 2015, the JTF acted as a steering group providing WHO with strategic and technical advice in order to finalise the ICD-11 MMS development.
The JTF members included experts in mortality and morbidity from around the world that had experience in the application and update of ICD-10 and/or its national modifications. Experts in functioning and disability, primary care and patient safety and quality also participated in meetings as required. Over the three years the JTF met face to face on 10 occasions, with monthly teleconferences held in between the face to face meetings. Minutes of all the face to face meetings can be accessed at: http://www.who.int/classifications/icd/revision/JTFReports/en/
Over the 3 years, the JTF concentrated on issues related to the content within the ICD-11 MMS and its structure, the application of the ICD-11 MMS which informed the development of the Reference Guide and the maintenance and governance structures required as part of the WHO-FIC.
As well as the finalization of the end of mission report, the JTF meeting in Seoul also was used to discuss the following important topics:
- Transition plans for the maintenance structure of the ICD-11 MMS moving forward
- Ensuring that there would be WHO-FIC Network continuity/transfer of ICD-11 MMS knowledge gained through membership of the JTF
- Finalising the ICD-11 MMS Implementation Guidance materials
- Expectations from WHO-FIC Member States regarding ICD-11 MMS education and training materials and tools.
- Maintenance of the ICD-11 MMS over the next 3 years
- How to proceed with ICD-11 MMS in Primary Care settings
The ICD-11 MMS for implementation version was released in June 2018 and can be found at: https://icd.who.int/browse11/l-m/en
Plans are now underway for the ICD-11 MMS to be presented to the World Health Assembly in May 2019.
Co-Director, National Centre for Classification in Health and member of the ICD-11 Joint Task Force
The Family Development Committee discussed the role of Personal Factors in the WHO-FIC Family, at the request of the Functioning and Disability Reference Group. FDC noted that many of the personal factors listed in the ICF are in fact covered by other domains of the ICF and ICD, while others are data items outside the scope of WHO-FIC (Age, gender, race, social background). FDC is therefore considering proposing that personal factors should not be classified separately in the ICF.
ICFEducation.org – continues to provide a stable base for sharing resources for teaching about ICF. It is also the place where people with relevant expertise can register as ICF advisers and educators. There have been several enquiries for education, two have been fulfilled (Saudi Arabia and India), the 4th Symposium is also a follow up from an enquiry. The Forum on ICFEducation.org is a place for questions and discussion about ICF matters can be posted. The platform is administered by members of FDRG.
ICF E-learning tool – An Introductory module has been finalised, translations into multiple languages are underway. It can be found on www.ICFEducation.org or https://bit.ly/2uovogI
ICF Practical manual Version 0.9 – Can be found at: https://bit.ly/2Uvyxrx The manual itself still says it is an Exposure draft for comment. WHO has been asked to publish the document.
ICF Updates – The update process has been carried out since 2010. Updates are agreed at the WHO-FIC annual meeting in October for implementation the following January. ICF2017 includes all updates agreed by January 2017. It can be found at https://bit.ly/1llrhte ICF-CY included categories that were inconsistent with the parent classification. These are to be reviewed and replaced on the updates platform for further discussion. The platform is open for the submission and review of update proposals by users of the ICF as well as by the FDRG. The updates process is described in the platform user guide https://bit.ly/2QJdbrD.
Discussion on functioning categories in ICD-11 – The aim of FDRG is to encourage and monitor use of the functioning categories. Included in ICD-11 (Section V) are those categories represented in the WHO-DAS 2.0 the Model Disability Survey and Generic functioning domains. See https://icd.who.int/browse11/l-m/en
WHO-DAS for children and youth – A version of WHO-DAS for children and youth has been developed by the mental health branch of WHO. There have been several publications on it. FDRG is to review the version and recommend an ‘official’ version.
FDRG midyear meeting 2019– to be held in Kuwait on 4th & 5th April. Followed by the 4th International Symposium: ICF Education 6th & 7th April. Preceded by mICF meeting 2nd &3rd April.
The ICHI Beta-2 version was released in time for the Seoul meeting.
Richard Madden gave a plenary presentation on ICHI development during the Seoul meeting.
Election of the WHO-FIC Education and Implementation Committee (EIC) Co-Chairs for 2018-2020
As the current EIC Co-Chairs, Huib Ten Napel from the Netherlands and Yukiko Yokobori from Japan have served the maximum two terms, nominations for two new Co-Chairs were required. Prior to the election, Huib and Yukiko were acknowledged for progressing the tasks of EIC over the last four years.
WHO has received two nominations: Vera Dimitropoulos from the Australian Collaborating Centre and Sharon Baker from the Canadian Collaborating Centre. After brief self-introductions, election of Vera and Sharon as EIC Co-Chairs was confirmed by acclamation with a show of hands by voting members, with Nenad Kostanjsek, of WHO, as the polling officer. The new Co-Chairs assumed office at the end of the WHO-FIC Network Annual Meeting held in Seoul, South Korea in October 2018. Filippa Pretty of the Australian Collaborating Centre will assume the role of EIC Secretariat.
The EIC has a very important role in progressing the education and implementation of ICD-11 internationally and of course the use of the WHO Family of International Classifications (FIC) together over coming years. For more information about the WHO-FIC please visit: http://www.who.int/classifications/en/
Information and Technology Committee (ITC)
In the ITC session held on 22nd October, Dr Anupama Ginige presented two case studies related to mapping activities:
- Application of a rule-based algorithm for creating maps between ICD-10 to ICD-10-AM.
- Use of a hybrid approach that combines rule-based, machine learning and manual techniques to carry out mapping from ACHI and ICHI.
Also, starting from the WHO-FIC Seoul, Korea meeting. Anupama Ginige is serving as the secretariat for the Information and Technology Committee.