Occupational Health in ICD 11 Dr Anil Adisesh Chair, WHO Working Group Origins of ICD William Farr (1807-1883) “The advantages of a uniform statistical nomenclature, however imperfect, are so obvious, that it is surprising no attention has been paid to its enforcement in Bills of Mortality. Each disease has, in many instances, been denoted by three or four terms, and each term has been applied to as many different diseases: vague, inconvenient names have been employed, or complications have been registered instead of primary diseases. The nomenclature is of as much importance in this department of inquiry as weights and measures in the physical sciences, and should be settled without delay.” ICD Revisions 100000 3 7 4 73 4, 1 1 10000 8, 7 6 0 4 9 4 5 04 16 1, 95 96 1, 1, 1000 39 161 179 189 205 214 200 1 100 10 1 e n 1 2 3 4 5 6 7 8 9 M 0 M d'Espin Bertillo ICD ICD ICD ICD ICD ICD ICD ICD ICD ICD-9- ICD 1 CD-10- r/ I r a F 1853 1893 1900 1909 1920 1929 1938 1948 1955 1968 1975 1979 1993 1993 3 The WHO Family of International Classifications Related Classifications Reference Classifications Derived Classifications International International Classification of International Classification of Primary Care (ICPC) Classification of Diseases Diseases for Oncology, (ICD) Third Edition (ICD-0-3) International Classification of The ICD-10 Classification External Causes of of Injury (ICECI) Mental and Behavioural International Disorders The Anatomical Classification of Therapeutic. Functioning Disability and Application of the ICD to Chemical (ATC) Health (ICF) Dentistry classification and Stomatology Third system with Defined Edition (ICD-DA) Daily Doses Application of the ICD to ISO 9999 Technical International Neurology (ICD-10-NA) aids for persons with Classification of Health disabilities Interventions (ICHI) ICF Version for Children (Under Development) and Youth (ICF-CY) ICD-11 Use–Cases 1.Mortality 2.Morbidity 3.Case Mix Groupings 4.Primary Care 5.Quality and Safety 6.Scientific agreement on clinical phenotype What is Ontology? • Ontology (philosophy) – the Organization of Reality ☺ !!! • Ontology (computer science) – the explicit – operational description of the conceptualization of a domain: • Concepts: entity and quality (properties and attributes) • An ontology defines: – a common vocabulary (cid:198) a shared understanding/exchange: • among people • among software agents • between people and software – to reuse data -information – to introduce standards to allow interoperability 8 ICD-11 Multiple Settings Primary Care Clinical Services Research Specialty Adaptations Dermatology Mental Health Musculoskeletal Neurology Paediatrics
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