ICD 11.pptx

icd 11

1. ICD -11: Precise classification of Mental disorder Presented By: Mr. Jayesh Patidar , Professor ,Psychatric Nursing, GCSN, Udaipur (Raj.)

2. Outline : Brief Overview of ICD-11 Understand e volution of diseases classification system. What is ICD–11? Need for ICD-11 Improvements in ICD–11 ICD is used By? Key Changes and Innovations in ICD-11 What are the n ew Chapters in ICD – 11? Conclusion

3. International classification of diseases ( ICD) is managed by world health organization (WHO). It is globally used diagnostic tool for epidemiology , health management and clinical purposes . Introduction :

4. Evolution of diseases classification system: Francois Boissier de Sauvages de Lacroix (1706) made first attempt to classify diseases systematically and published (1777 ) classification named as “ Nasolgie methodica ”.

5. Willam Far (1807-1883) He developed more systematic and scientific way of diseases classification. In 1853 The International statistical congress in “ Brusses ” acknowledge that a uniform classification required. The congress requested to Willam Far & Mark Spine to prepare an internationally accepted classification of causes of death.

6. In 1855 congress meeting was in paris William far and Spine submitted their methods of classification based on mortality and causes of death. The congress accepted both the classification and adapted a combined approach included 139 rubrics.

7. Initially far’s classification was not universally accepted. William Far’s classification model was further revised in 1874, 1880 &1886. In 1893 a French physician “ Jacaues Bertillion ” introduced Bertillon classification of death. At very first time Bertillon classification received general approach and was adapted by several countries.

8. In 1898 American Public Health Ass ocian (APHA) recommended to registrar Canada, Maxico & USA to adapt Bertillon classification of death. APHA also recommended that this classification need to be revised in every 10 years. So, this classification was further revised in 1899, 1909, 1919, 1929 & 1938. These five revision had minor corrections. But, 6 th Revision was a major correction in classification of death……..

9. In 1946 International health conference was held in N ewyork and World Health Organization took over this classification and International Classification of Diseases (ICD) was bo r n.

10. ICD: Produced by WHO. ICD – I published in1893 ICD – 6 Produced by WHO 1948 (02 Volume) ICD – 7 released in 1955 (Paris) ICD- 8 released in 1965 ( Genewa ) ICD – 9 released in 1975 ( Genewa ) ICD – 10 released in 1 st January 1993. ICD 10 has 3 volume. ICD 10 coding system based on alphanumerical. ICD 11 is aligned with GLASS (Global Antimicrobial resistance system)

11. What is ICD–11? International standard for systematic recording, reporting, analysis, interpretation and comparison of mortality and morbidity data . Health conditions and accidents are assigned ICD–11 codes, resulting in data that can be used by governments to design effective public health policies, and measure their impact, or used for clinical recording. ICD is fully electronic, currently providing access to 17 000 diagnostic categories , with over 100 000 medical diagnostic index terms. The index-based search algorithm interprets more than 1.6 million terms. ICD–11 is easy to install and use online or offline , using free 'container' software.

12. Why Change ICD-10?

13. -Substantial advancement in medicine and the science of disease have occurred over the past 30 years. - ICD-10 is outdated both clinically and from a classification perspective. - Structural changes were needed to some chapters . -Changes could not be handled under normal ICD-10 updating mechanism. -Increasing need to operate in an electronic enviorment .

14. Improvements in ICD–11 Vast improvement on previous revisions. It reflects critical advances in science and medicine, aligning classification with the latest knowledge of disease treatment and prevention. There is more meaningful clinical content than ICD–10. Ease and accuracy of coding requiring less user training than ever before, together with the availability of online and offline functioning. Digital health ready, for use in multiple IT environments. It is presented together with a suite of web services including multilingual support and in-built user guidance.

15. © Prof. (Dr.) Puri ICD is used by: Doctors, Nurses, Clinical psychologist, Researchers, Pharmacists, Hospital administrators, Policy makers, Pharma Industries, Health coders, Biotechnologists, Health care workers etc.

16. Utility of ICD: Mortality and Morbidity Reporting (Causes of death, different diagnosis, Prevalence of illness, comparing the illness with various region etc.) Cancer registry Anti microbial resistance ( Uses of antibiotics and it’s effect and development of guideline about uses of these antibiotics) Assisting functioning and disability (development of disability assessment scale eg : woodas )

17. Key Changes & Innovations in ICD-11 The global standard for health data, clinical documentation and statistical aggregation. • Multiple uses , including primary care. • Thoroughly and scientifically updated, and designed for use in a digital world. • State-of-the-art technology reduces the costs of training and implementation. • Multilingual design facilitates global use while the proposal platform allows stakeholder participation in keeping ICD–11 up-to-date. • Countries have already commenced preparing for implementation of ICD–11, with both English and Spanish versions online.

18. New Chapters in ICD - 11: Disorders of Immune system Disorder of Blood and blood forming organs Conditions related to sexual health Sleep wake disorders Traditional medicine

19. Coding traditional medicine (ICD also code traditional medicine because a huge no of population in the world use traditional medicine) Safety and quality control Resources allocation and grouping Research and Clinical trial Understanding diseases Management of diseases

20. Approaching ICD – 11 : htpps.icd.who.int/ english

21. Mental, behavioural or neurodevelopmental disorders CHAPTER 06 Code range starts with 6A00 Exclusions: Acute stress reaction (QE84) Uncomplicated bereavement (QE62) Coded Elsewhere: Sleep-wake disorders (7A00-7B2Z) Sexual dysfunctions (HA00-HA0Z) Gender incongruence (HA60-HA6Z)

22. ICD -11 Includes : It has 26 chapters .Released on June 2018 and is effect from January 2022 .Numerical & Arabic form. It has 03 Volume Volume 1 : Tabular list Volume 2: Reference guide Volume 3: Alphabetical index - 2 Supplementary sections . Section V- Supplementary sections for functioning assessment. Section X– Extension Codes-Severity ,Course, Onset, time line,diagnosis certainty and diagnosis timing.

23. To Conclude ICD-11 Although there have been significant improvement in biological understanding of psychatric illness but still far away from having meaningful classificatory system based etiology/Pathology. ICD-11 remain categorical approach for diagnosis. They have added dimensional approach perspective to certain disorder.

24. Take Home Message 11 th Revision released by WHO. Came into effect January 2022 Codes are different Total 27 chapters,6 new chapter added. 06 Mental ,behavioural or neurodevelopment disorder. Digital Capabilities.

25. Indian Classification of mental disorder ICD – 8 was modified and classified according to Indian conditions by Neki (1963), Wig & Singer (1967), Vahia (1961), Verma (1971). Mental disorder are divided in three areas: Psychosis (Major Mental Disorder) Neurosis ( Minor mental Disorder) Special Disorder (Based on diseases)