Fdrg bcn-006 - barcelona poster booklet

Poster Booklet
WHO ID Topic
C101-C109 Committees & Reference Groups
C201-C219 WHO Collaborating Centres
C301-C321 ICD-11
C401-C438 ICD-10
C501-C541 ICF
C601-C610 ICHI
C701-C722 Other

C101-Committees & Reference Groups
109
WHO ID Title Authors
C101 Report from the WHO-FIC Network
Advisory Council
Berg; Hargreaves
C102 Family Development Committee
Annual Report 2014
Hargreaves; Ten Napel;
Macpherson
C103 Informatics and Terminology
Committee (ITC) Annual Report
Carvell; Della Mea
C104 EIC annual report Buchalla; Walker
C105 URC Annual Report Vogel; Gongolo; Moskal
C106 Functioning and Disability Reference
Group Annual Report 2013-2014
Sykes; Martinuzzi
C107 Mortality Reference Group: Annual
Report, 2013-2014
Hoyert; Wood; Johansson
C108 Work plan update - Functioning Topic
Advisory Group (fTAG)
Selb; Stucki; Kennedy
C109 Quality & Safety TAG Southern; Quan; Ghali

WHO - FAMILY OF INTERNATIONAL CLASSIFICATIONS NETWORK ANNUAL MEETING 2014
Abstract During the 2007 annual meeting of the Network, a WHO-FIC Council was established to accommodate the need
for broader participation in the core decision-making processes of the WHO-FIC Network and, in 2013, role of the Advisory
Council was confirmed in the Network’s ‘Conduct of the WHO Family of International Classifications Network’ paper.
The functions of the Council are 1) to develop a Strategic Work Plan for the Network, which is presented at the annual
WHO-FIC Network meeting, 2) to monitor and follow up progress of the Strategic Work Plan, 3) to establish and revise, as
needed, procedures for the conduct of annual meetings of the Network, 4) to participate in planning the annual meetings,
and 5) to review action items from each meeting and address new action items that arise.
Introduction
Report from the Council
During 2008, the Council agreed to
establish a Small Executive Group
(SEG) to prepare recommendations for
discussion by the Council and identify
other issues for Council discussion and
decision.
The SEG includes the co-chairs of the
Council, two additional committee or
reference group co-chairs (Andrea
Martinuzzi and Patricia Wood), a
network member nominated by the
WHO (Lyn Hanmer) and WHO
Headquarters staff.
11-17 October 2014
Barcelona, Spain
C101
Authors: Lars Berg and Jenny Hargreaves
Co-Chairs
Work during the last year
ICD revision
Both Council Co-Chairs are members
of the Revision Steering Group (RSG)
of the ICD Revision towards ICD-11.
Monthly Telephone Conferences of the
RSG were attended by both co-chairs.
One Co-chair (Lars Berg) joined phone
Conferences and face-to-face meetings
of the RSG-SEG.
The SEG provided advice to the WHO
about engagement of the Network in
the process and on WHO plans to
evaluate country transition
requirements.
Acknowledgements
The Council convened twice during the
annual WHO FIC Network meeting in
Beijing in October 2013.
Stefanie Weber had served two
consecutive terms as council co-chair
and was not available for re-election.
The Council elected Jenny Hargreaves
as a new Council co-chair and Lars
Berg was re-elected, both for a two-year
period.
During the working period October
2013 - September 2014 the Council
conducted three telephone
conferences, in February, April and
September 2014.
The Small Executive Group (SEG) meet
in monthly teleconferences, and also
face-to-face at WHO in Geneva in April
2014. The principal focuses of these
meetings were to follow up on action
items from the Beijing meeting, to
review the status of the Strategic Work
Plan and to explore ways to enhance
participation in the Network.
The SEG and Council focus has been:
A. Paper on Conduct of the WHO-FIC
Network:
The paper is a compilation of existing
and approved papers about the
Network. In an interactive process the
paper was compiled, aligned and
updated in 2013 and presented in the
Annual Network meeting in Beijing.
The compiled paper was approved by
the Council in Beijing October 18 2013,
subject to some minor corrections and
a final review by the WHO
Headquarters. The final paper
Development of ICHI
Acknowledgements to Stefanie Weber
for her excellent 4-year period as
Council Chair, ending in Beijing 2013.
(Conduct_of_WHO-FIC_Network-version1.
pdf) was posted on the WHO
web site 17 February 2014.
The document is open for changes at
the annual meeting every year.
Proposals for changes to the
governance document should be
submitted before the September
teleconference of the Council.
Track changes will be circulated in the
future to the council members for
transparency, whereas online only a
final version is posted.
B. Alignment of the Strategic Work
Plan (SWP):
During 2013 teleconferences with the
six committees/reference group co-chairs
were undertaken. The Strategic
Work Plan (SWP) for the WHO-FIC
Network was reviewed in order to align
it to a complete and comprehensive
Work Plan that reflects the full work of
the Network. The work plans were
compiled into one single sheet in Excel.
As a continuation of this work the
Center Heads, the WHO Regional
Advisors and the WHO-FIC
Headquarter staff had a pre-meeting in
Beijing 11 October before the Annual
Meeting 2013 to better align the WHO
Collaborating Centre’s resources with
the WHO-FIC Network’s SWP.
Further alignment and updates to the
SWP for committees and reference
groups were undertaken at the mid-year
meetings in 2014.
Important aspects are the items
included in the workplan, how they link
to the different committees and
groups, and what resources are
available. It was clarified that SWPs
considered at mid-year meetings and
presented at each annual Network
meeting should be for the workplan for
the year following the annual meeting.
C. Election rules
Due to the change of committee
structure 2012 there are WHO-FIC
committees having both co-chairs
coming to the end of their second
terms of office in 2014. Current WHO-FIC
rules do not allow co-chairs to
serve more than two two-year terms.
There may be also other reasons that
would result in change of both co-chairs
of one committee or reference
group. In such cases, the Council
decided that pragmatic mechanisms
will ensure continuity rather than rule
changes:
- Former co-chairs are available for
consultation
- Former co-chairs acting as a
secretariat
- WHO focal point providing continuity
ICF ontology
The Council and SEG, with the FDRG,
FDC and ITC, have liaised with WHO
about the need to proceed with
systematic ontological work on ICF
with the goal of improving integration
of ICF with other health information
systems and harmonization with the
other WHO classifications. Liaison has
focussed on the WHO's work towards
establishing a project to meet these
needs, and Network support of the
project.
The Council and SEG, with the FDC,
provided advice to the WHO for its
work towards development of an
International Classification of Health
Interventions, as the work moves from
a pilot alpha development to a formal
WHO project. Advice has included
mechanisms for continuing use of the
technical expertise of all the teams
from the WHO-FIC network thus far
involved.

Family Development Committee
Jenny Hargreaves (Co-chair, Australian Collaborating Centre); Huib Ten Napel
(Co-chair, Netherlands Collaborating Centre); Brooke Macpherson (Secretary,
Australian Collaborating Centre)
Introduction
The Family Development Committee
(FDC) was established in 1999 to
ensure the WHO-FIC has a logical
structure with health classifications
identified for each health parameter
and setting within the health system.
The Committee met twice during the
year, in October at the Annual Meeting
in Beijing, China, and then again in
June for the mid-year meeting in
Chicago, USA. The mid-year meeting
was held in conjunction with meetings
to progress work on the International
Classification of Health Interventions
(ICHI) convened by the WHO and
hosted by the American Medical
Association. The photo on this poster is
a view of the central area of Chicago
near to the meeting venue.
The FDC co-chairs would like to thank
all the FDC members for their valuable
contributions to the FDC work-plan
activities during the year.
Progress against each of the Strategic
work plan activities is outlined here.
Annual Report 2014
11-17 October 2014
Barcelona, Spain
C102
Abstract
The Family Development Committee aims to develop the World Health Organization’s Family of International Classifications
(WHO-FIC) as an integrated and comprehensive suite of classifications. It also aims to ensure that the WHO-FIC has a
logical structure so that the classifications needed for each component and setting within the health system can be
identified. This poster presents a summary of the activities of the FDC from October 2013 – September 2014.
Title
Strategic Work Plan review
Task 3: Applications of the
The Committee had opportunities to WHO-FIC
review the Strategic Work Plan at both
FDC meetings this year. Changes to
wording and focus areas were agreed
to by members based on discussion
and feedback at these meetings.
The agreed future work plan is to be
tabled with Council at the Annual
meeting in Barcelona.
As part of the Committee’s work on
applications of the WHO-FIC, a
stocktake of the use of the WHO-FIC
being used in casemix systems around
the world was undertaken.
Responses from different nations were
collated and results presented to the
Committee at the mid-year meeting in
Chicago, USA. Responses showed
varying practices amongst countries,
and identified gaps in classification
usage, especially around measuring
functioning.
The FDC used these responses to
influence the development of ‘draft
principles for an international casemix
classification system’. This draft
document contains potential
considerations of a framework for an
international grouper, that could be
used for international comparisons and
as a basis of more detailed, national
groupers, used for funding and other
management processes.
Chicago, USA
Task 4: WHO-FIC support for
Universal Health Coverage (UHC)
After consideration of how the WHO-FIC
could support the WHO’s UHC
initiative, the FDC investigated the
extent to which the classifications
could support measurement of certain
indicators for the UHC initiative.
At the mid-year meeting in Chicago,
the ability to capture the WHO-World
Bank’s 12 illustrative UHC prevention
and treatment indicators using the
WHO-FIC reference classifications was
assessed. Results highlighted that
there were gaps in the classifications
that made coding difficult, and
incomplete aspects of the definitions of
the indicators also affected the ability
to code accurately.
The results of the analysis will be fed
back to the WHO and relevant Network
committees.
Task 2: Integration of the Family
For this task the FDC progressed the
re-drafting of the 2007 WHO Family
paper, which describes the Family,
principles of classifications and the
processes of adding, updating and
maintaining classifications in the
Family.
The Annual meeting saw the
agreement of FDC members on a new
document structure for the paper. The
new structure was used to present a
new draft to members at the mid-year
meeting in Chicago. Discussion of the
new draft focussed on the need to
reflect a shift to a more unified
approach – how the classifications link
together and are harmonised through
comparisons of content models and
ontologies, but with the paper still
retaining the essence of what “the
family” is. Further work was also done
on the nature and place of ‘related’
and ‘derived’ classifications in the
family.
The revised draft family paper will be
presented to Council at the Annual
meeting in Barcelona.
Task 5: Assess the need for
additional members of the
Family
Task 1: International
Classification of Health
Interventions (ICHI)
As the Focal Point for the WHO-FIC
Network for the ongoing ICHI
development work, the FDC held
coordination meetings for ICHI. These
meetings ran in conjunction with the
FDC’s Annual meeting in Beijing, China
and, as noted above, with the mid-year
meeting in Chicago, USA.
The meetings provided an opportunity
for the ICHI development teams to
report details of work undertaken, for
FDC to provide advice, and for joint
work between the project and FDC.
The FDC gave consideration to the
inclusion of the Dutch Institute of
Logopedics and Phoniatrics’ ICF-logopedie
as a national or specialty
linearisation of ICF. Members also
suggested that the additional content
could be added to the URC update
process for ICF.
Task 6: Alignment of members of
the Family
FDC considered a report on progress
towards harmonisation of the ICF
environmental factors with ISO 9999.
The work was reported to have been
completed by the relevant ISO group
and the FDC will now seek a copy of it
for review.

Abstract
This poster presents annual report of the Informatics and Terminology Committee (ITC), highligting activities of since the
Beijing meeting in October 2013.
Introduction
Title
The Informatics and Terminology
Committee (ITC) was established in
2010, combining the Electronic Tools
Committee and the Terminology
Reference Group into one WHO-FIC
committee.
.
INFORMATICS AND TERMINOLOY
COMMITTEE - ANNUAL REPORT
11-17 October 2014
Barcelona, Spain
Karen Carvell1, Vincenzo Della Mea2
1Canadian Institute for Health Information and North-American Collaborating Center;
2University of Udine, Italy and Italian Collaborating Center
Title
Classifications and
Revision Platforms
A multi-language framework is
required to enable the translation of
content of WHO classifications.
WHO HQ has developed a tool for this
and the seven WHO languages have
been loaded into memory. It features a
translation memory to track movement
in the classification and enables
workflow for approval and comment on
another person’s translation.
In parallel to this effort, the Korean
Collaborating Centre continues to work
on the translation of ICD-11 to Korean
and Chinese.
Another focus of the ITC is to enhance
formal knowledge representation of
WHO classifications and their linkages
to related terminologies. This is a
multilateral item requiring coordination
with other committees, reference
groups, and external participants.
There were several activities in the
area over the past year:
WHO-IHTSDO harmonization
process – A number of ITC members
are also members of the WHO-IHTSDO
Joint Advisory Group (JAG). During the
last year, JAG refined the architecture
for harmonization and carried out the
mapping of equivalences between
ICD11 and SNOMED-CT in the
Circulatory System chapter, and then
started with a number of other
chapters, as a preliminary work
towards the Common Ontology.
ICF Ontology – ITC Co Chairs
participated in the FDRG mid-year
meeting to begin discussions and work
on the development of an ontology for
ICF.
Acknowledgements
Multilingual Support
WHO headquarters and collaborating
centres work to enable standardized
maintenance, update and revision of
WHO classifications.
Priorities in this area include
maintaining and enhancing browsers
for ICD, ICF and ICHI. Work has
continued on the classification update
platforms and on the ICD Revision
Platform, which now provides a section
for proposals.
Formal Knowledge
Representation
ITC wishes to acknowledge the work of
the WHO HQ and collaborating centres
for their contributions over the past
year.
Standards
Administration
Technical standards are developed to
enable the electronic exchange of WHO
classifications. In 2013 the WHO
developed a Uniform Resource
Identifies (URI) scheme to identify
ICD-11 entitles and a web interface.
The URI API has been further
consolidated and now also includes
proposals. Correspondingly, the social
apps used as a test case for the API
have been updated to also publish
proposals on Facebook and Twitter.
The German Collaborating Centre has
finalized the ICD-O-3 stylesheets and
published the German version online.
It is also possible to generate pdf,
ClaML and Metadata. It is fully
implemented in CTK and can be used
by other Collaborating Centres, if
needed, as well as by WHO.
Other Activities
1. The web site for poster submission
has been maintained the 2014 WHO-FIC
meeting.
2. During the mid-year FDRG meeting,
preliminary work was carried out on
the mICF project, aimed at the
development of a mobile app for ICF.
3. Work is in progress on a web-based
system for the ICD11 field trials.
Ad-hoc meetings of the co-chairs have
throughout the year; however, due to
the lack of resources, no face to face
mid-year meeting could be held.
An ITC web page was developed by the
Italian Collaborating Centre
to contain documents and basic
information on the committee such as
minutes, membership, reports, etc.
This would enhance communication for
the committee and other members of
the WHO-FIC network.
http://mitel.dimi.uniud.it/who-fic-itc .
A mailing list for ITC members has also
been set up.
The Strategic Workplan was updated
following the Beijing meeting to
include feedback from Council. This
poster highlights work completed in
the past year and underway within
each of the ITC strategic priorities.
C103

The EIC aims to improve the quality of health data and the use of the WHO Family of International classifications. Activities
related to these objectives, and listed in the EIC strategic work plan, are reported according to their level of development.
Introduction
The EIC Resources for the
Title
The Education and Implementation
Committee was created in 1999 and
since this time has been working to
improve the level of classification use
and the quality of coded health data.
During 2013-2014 the EIC had two
teleconferences (February and
September) and a face-to-face
meeting in April in Lyon, France. The
status of the EIC activities for this
period is presented here.
WHO-FIC Network
Abstract
11-17 October 2014
Barcelona, Spain
C104
Cassia Maria Buchalla, Sue Walker and the Education and
Implementation Committee members
Title
WHO-FIC database
The EIC has worked on standard exam
questions to allow testing of the
knowledge of morbidity and mortality
coders who use the WHO version of
the ICD-10.
The exams are available to Ministries
of Health, Collaborating Centres and
other Organisations.
There is a requirement that the exams
are offered under the terms and
conditions established by the EIC.
Although no certification is possible for
individuals who pass the exam, coders
interested assessing in their skills
against an international coding
benchmark will be issued letters of
acknowledgement. Where to find EIC Products
The EIC supports the development
and completion of data in the WHO-FIC
implementation database.
During this period the tool has been
improved and it being populated by
countries. WHO Regional offices are
also supporting the data collection.
The aim of the database is to provide
information to support the Global
Health Observatory (GHO) by
providing metadata about the
classifications used to populate the
GHO.
The EIC has been asked to support
the level of completion and currency
of the data in the database.
Materials will be developed to support
user completion of the database.
The current version of the database is
available at http://beta.who-fic.nl
Best Practices
INFORMATION SHEETS (IS)- the
following IS are available:
•Training and Certification to Promote High
Quality Data
•International Statistical Classification of
Diseases and Related Health Problems,10th
Revision (ICD-10)
•International Classification of Functioning,
Disability and Health –ICF
•What You Should Know about Clinical
Documentation in Acute Care Hospitals
•Uses of Coded Clinical Data
•Mortality (Cause of Death) Data
•Civil Registration and Vital Statistics
•International Classification of Diseases
(ICD) and Standard Clinical Reference
Terminologies: A 21st Century Informatics
Solution
The following are being created:
•Automated Systems for Coding Cause-of-
Death Data
•New International Death Certificate
•ICHI
•ICD and ICF Implementation Database
BRIEFING KIT (BK)
A collection of updated documents
regarding the WHO FIC network has
been created for new Collaborating
Centers.
This kit includes the EIC products,
information on all designated
Collaborating Centers and other useful
information for those who are new to
the WHO FIC Network.
The ICF e-learning tool has been
finalised and will be available soon. It
has been developed as an introductory
training package with further
educational materials planned.
The current version is available at
http://icf.ideaday.de/
ICF PRACTICAL MANUAL
This important product on ICF was
made available for 12 months on the
WHO website as an exposure draft.
Feedback has been incorporated and
the Manual is now updated and
available as version 1.
Educational Material
TRAINING TOOLS
The EIC has been engaged in the
development of web-based training
tools for both the ICD and ICF.
The ICD-10 Training tool has
recently been updated with more
international coding examples, and
is available at:
http://apps.who.int/classifications/a
pps/icd/icd10training/
The EIC also provides a training tool
support group that allows users of
the ICD training tool to submit
questions relating to the training
materials.
Assessment materials
ICD -11
The EIC has provided case
summaries for both the training
for the ICD-11 field trials and for
the field trials themselves.
The EIC also discussed the need
for ICD-11 implementation
support documents.
http://www.cdc.gov/nchs/icd/nacc_ed
ucation_committee.htm

Abstract This poster represents the Update and Revision Committee (URC) 2014 annual report as submitted September 5, 2014 for the
Barcelona WHO-FIC annual meeting.
Introduction
Title
Purpose of the Update and Revision
Committee (URC) is to support WHO and
WHO-FIC Network in keeping the WHO
Family of International Classifications
“Reference Classifications” up to date in line
with current knowledge. The functions of
the URC are the development of Update
policies, Update coordination & decision
making and the participation in the revision
work in order to ensure synchronization
from one revision to the other and
consistency within the members of Family of
International Classifications.
11-17 October 2014
Barcelona, Spain
C105
Methods & Materials
Annual updates: the URC ratified 121
recommendations at the WHO-FIC Network
2013 Annual Meeting held in Beijing, China
for updating the ICD-10 and 40
recommendations for updating the ICF (Fig.
1 and 2). At the moment, in 2014, 74
proposals have been moderated for ICD and
48 proposals have been reviewed and put to
vote for ICF. Functions, activities and
completeness of deliverables are
represented in the latest version of the
Strategic Work Plan submitted to the WHO-FIC
Council (Tab 1).
An intensive restructuring of the content of
the ICF update platform was carried out in
coordination with FDRG. Using the features
of the ICF update platform, all the proposals
in the Open Discussion Layer were checked
for consistency and then clustered together
according to the relevant topic/block. Under
every cluster, all the comments related to
the different proposals were compiled and
edited thus greatly simplifying the work of
updating ICF carried out by the URC.
The achievements of the Committee, made
possible by the generous efforts of members
and relative institutions, show an increasing
engagement of the Collaborating Centres
both in maintaining the ICD-10, particularly
in view of the synchronization from one
revision to the other, and in realizing a
foundation ICF, with the implementation of
the update proposals coming from the ICF-CY.
Acknowledgements
Results
The URC work currently focuses on the
10th Revision of the International
Classification of Diseases (ICD-10) and the
International Classification of Functioning
Disability and Health (ICF) and is mainly
conducted through the update and revision
platforms. These platforms are workflow
engines designed to facilitate
communication within expert workgroups
and ensure transparency of the processes.
Work and communication is also carried out
via e-mail, conference calls and meetings,
including an annual meeting during the
WHO-FIC Annual Meeting. The key
deliverable of the URC work is the lists of
annual updates for WHO-FIC member
classifications.
Conclusions
Members of the Committee:
R. Anderson, S. Bang, C. Barral, H. Brear, A.
Brooke, D. Caulfeild, L. Clarke, T. Crawford,
V. Dimitropoulos, C. Van Gool, H. Di Nubila,
A. Elsworthy, L. Frattura, Olivier Guye, J.
Hargreaves, D. Hoyert, R. Jakob, J. Jelsma,
L.A. Johansson, J. Kasamatsu, N.
Kostanjsek, R. Laurenti, R. Madden, D.
Murphy, E. Oikawa, D. Pickett, M. Renahan,
M. Robinson, H. Rocha, J. Rust, E. Sauls, P.
Saxena, K. Seo, O. Steinum, H. Ten Napel,
P. Tonel, U. Trinks, M. Virtanen, P. Wood, Y.
References
1. Terms of Reference for WHO FIC Update and
Revision Committee (URC) version Dec 2012
2. URC SWP, March 4, 2013
3. The WHO Updating & Revision Committee
http://www.who.int/classifications/committees/UR
C.pdf
4. The ICD update platform
https://extranet.who.int/icdrevision/nr/login.aspx?ReturnU
rl=%2Ficdrevision%2FDefault.aspx
5. The ICF update platform
https://extranet.who.int/icfrevision/nr/loginICF.aspx
DIGITAL, MOBILE, NOW!
Scan this to get a digital version
URC Annual Report
Gongolo F.1, Vogel U.2, Moskal L.3
1 Central Health Directorate of Friuli Venezia Giulia Region – Italian WHO-FIC Collaborating Centre
URC Co-chair; 2German Institute of Medical Documentation and Information (DIMDI) German
WHO-FIC Collaborating Centre – URC Co-chair; 3Canadian Institute for Health Information (CIHI)
– North American WHO-FIC Collaborating Centre, URC Secretariat.
Proposal ID
& update type
Affected
Code
Original version Update version
ID # 55
Major: Addition
of a new code
and addition of
exclusion
b114
Orientatio
n
functions
b1565 Visuospatial perception
Mental function involved in
distinguishing by sight the
relative position of objects in
the environment or in relation
to oneself.
b1143 Orientation to objects
Mental functions that produce
awareness of objects or
features of objects.
b1565 Visuospatial perception
Mental function involved in
distinguishing by sight the
relative position of objects in
the environment or in relation
to oneself.
Exclusion: orientation to
objects (b1143)
ID # 56
Major: Addition
of a new code
b114
Orientatio
n
functions
b1144 Orientation to space
Mental functions that produce
awareness of one’s body in
relation to the immediate
physical space.
ID # 64
Major: Addition
of a new code
b1670
Reception
of
language
b16703 Reception of body
language
Mental functions of decoding
messages in body gestures
made by hands and other
movements, in order to obtain
their meaning.
ID # 65
Major: Addition
of a new code
b1671
Expressio
n of
language
b16713 Expression of body
language
Mental functions necessary to
produce messages using body
gestures made by hands and
other movements.
Fig. 2 – Snap shot from the ICF annual
updates document v. 2014
Deliverable Activities Start
Date
End
Date
(plan)
Tab. 1 – The URC relevant part of the WHO-FIC
SWP (August 22,2013 v, simplified):
%
Annual updates
to ICD-10
Submission, review, decision
and implementation of update
proposals for ICD-10.
nov-13 oct-14 0,8
Realize a
Foundation ICF
implementation
of ICF proposals
and implementation of ICF-CY
related update proposals for
ICF. Due to the difference in
submission process and lack of
supporting rationale additional
work is required.
nov-10 oct-12 0,8
Provide annual
updates to ICF
and implementation of update
proposals for ICF.
nov-12 oct-13 0,8
Overall
coordination of
the update
process
Secretariat. Participation in the
works, meetings and
teleconferences of Initial
Review Group and FDRG.
nov-12 oct-13 0,8
ICD-10 related items
ICD-11 related items
ICF related items
overall coordination
Instruction Tabular list entries Source
URC #
Appr.
Date
Major
/
Minor
Sugg.
impl.
Date
Revise list of
three character
categories
Arthropod-borne viral fevers and viral
haemorrhagic fevers (A90A92-A99)
A90 Dengue fever [classical dengue]
A91 Dengue haemorrhagic fever
A97 Dengue
1971
WHO
October
2013
Major January
2016
Revise list of
three character
categories
Exposure to inanimate mechanical forces
(W20-W49)
…
W26 Contact with knife, sword or dagger
other sharp
objects
2001
Australia
October
2013
Major January
2016
Delete
categories at
chapter level
Arthropod-borne viral fevers and viral
haemorrhagic fevers (A90A92-A99)
A90 Dengue fever [classical dengue]
Excl.: dengue haemorrhagic fever
(A91)
A91 Dengue haemorrhagic fever
1971
WHO
October
2013
Major January
2016
Add categories,
codes and text
Revise code in
excludes note
A97 Dengue
Dengue is a viral disease transmitted
by bite of
mosquito infected by dengue viruses. It
is one disease entity with different
clinical presentations and often with
unpredictable clinical evolution and
outcome. Most patients recover
following a self-limiting non severe
clinical course like nausea, vomiting,
rash, aches and pains, but a small
proportion progress to severe disease,
mostly characterized by plasma leakage
with or without haemorrhage, although
severe haemorrhages or severe organ
impairment can occur, with or without
dengue shock.
A97.0 Dengue without warning signs
Dengue fever (DF)Dengue
haemorrhagic fever Grades 1 and 2
Dengue haemorrhagic fever without
warning signs
A97.1 Dengue with warning signs
Clinical warning signs are: abdominal
pain or tenderness, mucosal bleeding,
lethargy and /or restlessness, rapid
decrease in platelet count, increase in
hematocrit. Other signs can include:
persistent vomiting, visible fluid
accumulation, liver enlargement more
than 2 cm.
Dengue haemorrhagic fever with
warning signs
A97.2 Severe Dengue
Clinical signs include: 1. Severe plasma
leakage leading to shock (Dengue shock
syndrome - DSS) and/or fluid
accumulation with respiratory distress;
2. Severe bleeding as evaluated by
clinician; 3. Severe organ involvement:
Liver AST or ALT >=1000, CNS:
impaired consciousness (encephalitis),
involvement of other organs, as
myocarditis or nephritis
Severe Dengue fever
Severe Dengue haemorrhagic fever
A98 Other viral haemorrhagic fevers,
not elsewhere
classified
Excl.: chikungunya haemorrhagic
fever (A92.0)
dengue haemorrhagic fever
(A91A97.-)
1971
WHO
October
2013
Major January
2016
Fig. 2 – Snap shot from the ICD annual
updates document v. 2014

This poster describes the activities of the Functioning and Disability Reference Group in the 12 months from October 2013
to October 2014. Four main streams of work are reported; 1 ICF updates, 2 ICF education, 3 Measurement, 4
Harmonisation and development.
Background
Summary of ICF updates in 2013-2014
Title
Title
The items on the FDRG component of the WHO-FIC strategic plan are reported on below. The co-chairs met bi-monthly by
teleconference. FDRG members and collaborators were informed of progress on the projects during the year and met by
teleconference in March, July and September. A mid-year meeting was held from 1-3 May 2014 at the WCPT offices in
London, attended by 30 participants from collaborating centres.
Conclusions
FDRG Annual Report
Abstract
C106
Catherine Sykes^, Andrea Martinuzzi*
^World Confederation for Physical Therapy (WCPT), United Kingdom
* E. Medea Insitute, Research Branch of the Italian Collaborating Centre, Italy
ICF Ontology
Towards a common ontology for ICF
The acknowledgment that work towards an ICF Ontology
is needed and that this is the time to act was shared by
WHO Title
and by the relevant committees (ITC, FDC).
The effort aims at a more ambitious project towards a
common seamless integration of all health information to
allow complete representation of health and functioning in
the digitalized world.
Building blocks in the project will be:
•Leadership of the project will sit in WHO, but FDRG will
substantially contribute to its realization. Possible initial
steps involving FDRG will include:
•shortlisting of ICF use cases
•Stocktake/term beating for functioning relevant terms
and concepts
•Contribute to the model development
Title
ICF Updates
Harmonization and development
• Modelling
• Content linkages
• Terminology linkages
• Content development
• Review of qualifiers
Measurement
ICF Practical Manual
Collaborative work
between URC and IRG
moderators to cluster 84
proposals to have 26 new
proposals, and updates
workshops, have been
instrumental in the
progress on ICF updates.
A total of 41 proposals
were passed to the URC
for voting. Only 11
proposals remain in the
Open Discussion Layer.
Comments on the exposure draft of the ICF practical
manual were accepted between October 2013 and May
2014. These have been considered and, where practicable
without major redrafting, incorporated. Substantial
comments have been retained for subsequent editions.
The ICF Practical Manual exposure draft will be remain on
the WHO web site until WHO has completed the final
internal publications process. There will be no printed
copies of the publication.
Collaborating Centres are encouraged to translate the
practical manual.
The writing group led by Ros Madden and including Andrea
Martinuzzi, Judith Hollenweger, Diane Caulfeild, Jennifer
Madans and Mitch Loeb are thanked for their tireless efforts
to produce the manual. Thanks also go to those members
of FDRG and EIC who commented on drafts and to WHO
staff for their input.
Education and Implementation Committee (EIC)
A survey intended to find out about the ICF education needs
of FDRG members and collaborators was carried out in the
first quarter of 2014. The results were reported to EIC and
the FRDG mid-year meetings. The results indicate the
direction for a future education strategy for ICF.
Interested WHO-FIC delegates are requested to attend the
EIC session dedicated to ICF education to work on the
strategy. The results of the survey are reported in a
separate poster.
ICHI development group
Andrea Martinuzzi chairs the technical working group for
functioning interventions. FDRG members and collaborators
have contributed to the development of the axes and tabular
list of functioning interventions in an updated Alpha 2. New
developments in the ICHI project will be reported in
separate posters.
Informatics and Terminology Committee (ITC)
In addition to working on ontology development the FDRG is
working with ITC on a mobile application, named mICF, for
the collection of functional status data. The mICF project will
be reported in separate posters.
Building on the work of John Hough in 2013, see posters at
http://www.who.int/classifications/network/meeting2013/en/
a small group has been working on a paper on the criteria for
selecting quality ICF literature. Significant progress was made
during the mid-year meeting and is reported in a separate
poster. The draft paper will be considered during the annual
meeting, after which this project will be dropped from the
WHO-FIC strategic work plan. The paper is due to be
completed for publication by the end of 2014.
11 – 17 October 2014
Barcelona, Spain
For further information contact the co-chairs: Andrea
Martinuzzi [andrea.martinuzzi@lanostrafamiglia.it] and
Catherine Sykes [csykes@wcpt.org] or the Secretariat
Stefanus Snyman [ssnyman@sun.ac.za].

Abstract This poster presents the activities and status of the Mortality Reference Group (MRG) for 2013-2014. The WHO
created the MRG as a component of the International Classification of Diseases (ICD) updating process. Comprised of
members from Collaborating Centres and regional offices, the MRG meets in person to review problems faced in the
application of ICD to mortality. In its 16th year, the MRG deliberated about 80 issues related to both updates to ICD-10 and
development of the ICD-11 revision and made recommendations to the Update and Revision Committee for further action.
Introduction
Mortality Reference Group
Annual Report, 2013-2014
In the 16 years (1998-2014), the MRG reached over 500 decisions. The left
panel of the graph shows the subset of the decisions that were sent on to the
URC for information as well as for voting. The MRG forwarded 349 decisions to
the URC: 238 recommendations for changes in the ICD and 111 decisions
requiring no change in the ICD. The total number of issues either withdrawn by
the MRG, referred back by the URC for additional work, or rejected by the URC
during the first 16 years was 18 and is shown in the right panel of the graph.
Title
This is the 16th annual report of the
Mortality Reference Group (MRG),
established at the 1997 meeting of the
Centre Heads as part of an updating
mechanism for ICD-10.
The MRG has dealt with hundreds of
issues related to updating and clarifying
ICD-10 as it applies to mortality
classification and coding. The MRG has
settled over 500 issues selected largely
from the Mortality Forum (an
international mortality classification
discussion network) and submitted 349
recommendations to the Update and
Revision Committee (URC) for
consideration.
This report describes the background of
the MRG and the issues decided in the
16th year.
11-17 October 2014
Barcelona, Spain
C107
DL Hoyert1, P. Wood2, LA Johansson3
(1) NCHS, (2) Statistics Canada, (3) Swedish Board of Health and Welfare
Title
Basis for the MRG
The MRG met in Lyon, France, April 2-4, and
in Barcelona, Spain, October 11-12, 2014. A
smaller table group also met around then to
work through issues concerning ACME
decision tables where MRG decisions left
details open.
The MRG conferred about 80 issues, and
submitted 36 recommendations (20 major
and 16 minor) to the URC (Table).
Conclusions
Decisions during the 16th year
Provisions for the MRG are described in
two documents: the WHO long-term
strategy document (WHO/HST/ICD/
C/97.39) and the Centre Heads’ Report
for 1997 (WHO/HST/ICD/C/97.65).
Briefly, for updating ICD-10, WHO- -
working with the Centre Heads- -
established two separate bodies: the
MRG and URC. The MRG discusses
issues raised in the Mortality Forum or
those referred from other sources
including the Centre Heads and WHO.
The MRG can make decisions regarding
the application and interpretation of
ICD to mortality and submit a subset
as recommendations to the URC for a
vote on ICD updates and changes.
The decisions requiring no change in
the ICD are forwarded for the URC's
information and for documentation.
Decisions during the full 16 years
In the 16th year, the MRG met in
April and in October,
communicated by e-mail, posted
proposals and comments on the
ICD-10+ Platform, did considerable
work on a number of issues
outside the committee meetings,
circulated documentation for issues
under consideration; and
comprehensively documented all
activities. During the sixteenth
year, a total of about 80 issues
were reviewed by the MRG and
about 140 issues were reviewed by
the MRG’s Table Group. Closure
was reached for many of these and
36 decisions were submitted to the
URC in 2014. All of these were
recommendations for change.

Abstract This poster reports on the ongoing work of the functioning Topic Advisory Group or fTAG. The main
areas of fTAG work are populating functioning properties, identifying and reconciling mirror coding between
ICF and ICD, providing a paper arguing for ICD-ICF joint use that includes use cases, and suggesting possible
a structural and content revision of the Z-codes. This poster provides an overview of fTAG’s 2013-2014
activities.
Introduction
Work Plan Update – Functioning
Topic Advisory Group (fTAG)
Title
The functioning Topic Advisory Group
(fTAG) was formed by WHO in 2010
and is currently made up of 10
members including two Co-chairs and
a Managing Editor.
At the fTAG meeting held during the
2013 WHO-FIC meeting in Beijing, 26
enthusiastic participants addressed the
work plan tasks on populating
functioning properties, mirror-coding
and z-codes.
In addition, regular executive group
and periodic fTAG teleconferences were
held. fTAG has been represented at
regular Revision Steering Group (RSG)
teleconferences throughout the year.
11-17 October 2014
Barcelona, Spain
C108
Selb M1,2, Stucki G1,2,3, Kennedy C4
1ICF Research Branch in cooperation with the WHO-FIC CC in Germany (at DIMDI), Nottwil, Switzerland;
2Swiss Paraplegic Research, Nottwil, Switzerland;
3 Department of Health Sciences & Health Policy, University of Lucerne, Lucerne & Nottwil, Switzerland;
4 Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services,
Washington DC, USA
Possible mirror coding i.e. conceptual
and terminological overlaps between
disease entities in the ICD-11 beta-version
with the ICF, has been
examined for:
• Disorders Title
of vision and visual
functioning
• Deafness
• Disorders of intellectual develop-ment
• Developmental learning disorders
• Tetraplegia
Two fTAG members independently
reviewed the ICD-11 codes for the
One task of the fTAG is to “populate”
or identify functioning properties (FPs)
i.e. ICF categories in the component of
activities & participation for selected
health conditions.
Based on discussions at and after the
2013 Beijing meeting, the list of health
conditions designated for populating
FPs was re-evaluated and adjusted and
a suggestion for clustering the health
conditions was implemented.
Subsequently, FPs for 101 health
conditions were entered into the ICD-
11 revision electronic system called
iCAT, and since March 2014 these FPs
have been visible in the ICD-11 beta-browser.
fTAG has been coordinating
with WHO to optimize the visualization
of the FPs in the ICD-11 betabrowser.
An example of acquired hearing loss is
given in figure 1. The poster entitled
“Functioning properties - A first step
toward ICD-ICF joint use” provides
more detailed information on
populating on FPs.
A paper following up on the 2012
publication Towards the joint use of
ICD and ICF: A call for contribution has
been submitted to a peer-review
journal.
aforementioned health conditions for
mirror coding with relevant ICF
categories and, after comparison of
their respective results, came to a
consensus on whether mirror coding
exists.
Question: Does mirror coding exist?
Total
impairment
of visual
acuity
b2100
Visual
acuity
functions
Decision: Yes, terminological mirror coding exists,
but only when the ICF category is quantified with a
qualifier of 4 (complete impairment). Since no
description is given for the ICD-11 code, no
decision about conceptual mirror coding was made.
One challenge faced by the fTAG was
the ever-changing linearization of the
selected health conditions in the beta-browser.
For example, paraplegia was
initially designated for the mirror
coding task. Until mid-2014 paraplegia
was not found on the beta-browser,
but re-appeared in September 2014.
The outcome of the consensus
discussion will be presented at the
fTAG meeting in Barcelona.
Conclusions
Examples of non-US application of the
ICF was integrated in a revised version
of the paper that will be sent to WHO
for approval after getting final
feedback at the Barcelona meeting.
At the 2013 Beijing meeting the Z-codes
working group presented
possible re-assignment of former Z-codes
to either contextual factors,
ICHI-related categories or ICD-11
post-coordination. Codes that were not
re-assigned was reviewed by the
meeting participants and feedback was
given. Since then WHO reorganized the
structure of the Z-codes based on
ICPC-2, the feedback from Beijing and
internal discussions. This new structure
can now be seen on the ICD-11 beta-browser.
Figure 1: Functioning properties in the ICD-
11 beta-browser for acquired hearing loss
Task 1: Populating
Functioning Properties
Task 2: Mirror Coding
Task 3: Paper “Case for
ICD-ICF Joint Use”
Task 4: Evaluation of Z-Codes
fTAG Members: Solvejg Bang, Francesco Gongolo, Cille Kennedy (Co-chair), Haejung Lee, John Melvin, Jane Millar, Marcelo Riberto, Melissa Selb (Managing
Editor), Gerold Stucki (Co-chair) and Catherine Sykes; WHO Liaison to fTAG: Molly Meri Robinson Nicol

The Quality and Patient Safety TAG is charged with reviewing ICD-10, ICD-10CM and progressive drafts of
ICD-11 to inform the development of the ICD-11, focusing on identifying practical modifications for ICD 11 drafts that
would enable better measurement of quality and safety. Ultimately, an enhanced classification system will permit
expanded use of coded health data for large-scale quality and safety surveillance in health care systems internationally.
TASKS
Quality & Safety TAG
Title
Abstract
• Horizontally crossing all ICD-11
chapters to advise on optimizing the
entire classification’s content,
structure and coding rules for
enhanced application in both
existing.
• Developing an inventory of existing
quality of care and patient safety
indicators and potentially novel
quality and safety indicators.
• Assessing potential uses of ICD-11
for health services, quality and
patient-centered outcomes research.
• Reviewing and critiquing the ICD-11
beta draft from the perspective of
the quality and safety use case.
• Reviewing and critiquing Volume II
work from the perspective of quality
and safety use case.
• Designing field trials for the beta
version of ICD-11.
11-17 October 2014
Barcelona, Spain
C109
Authors: Danielle Southern, Hude Quan, William Ghali
for the Quality & Safety TAG
Title
MEETING ATTENDEES
We have held meetings in both New
York, NY and Washington, D.C. US
• Reviewed the status of discussions
around coding rules (main condition,
diagnosis timing, coding field).
• Reviewed chapter 19&20 content
and associated clustering
mechanisms and presented these
concepts in emails to WHO.
• Prepared to undertake a granular
review of the content in chapters 1-
20 and will devise a committee work
plan to do this.
Published Manuscripts
Overview TAG
Main Condition
Number of diagnoses fields
Progressing Manuscripts
The editorial team of the International
Journal for Quality in Health Care is
welcoming a series submission (i.e.
intermittent submission of papers as
they are completed).
Timing of diagnosis
New PSI project
19&20/concepts
Completed Field Trials
Survey
With the overriding goal for the TAG (&
thus the WHO) to collect info on user
needs from ICD-11 in advance of the
next TAG meeting (in September) to
inform ICD-11 refinements. We
developed and executed a survey for
the field trial. A manuscript or the
results has been drafted and circulated
for TAG member comments.
Progressing Field Trials
The QS-TAG has devised a matrix
model for considering potential ICD-11
field trials. The matrix categorizes
cross-tabulates topic areas (e.g.,
validity of coded concepts,
completeness of capture of critical
patient safety and quality concepts,
reliability and feasibility of various
coding rules, opinions of stakeholders
on various issues) against the
methodologies that would be used for
the field trials (i.e., code-recode
studies using real medical records,
coding studies assessing completeness
of capture of key safety/quality
concepts, surveys of stakeholders,
heuristic evaluations of ICD-11 on
various user interfaces, etc).
Mapping of existing patient safety
indicator
We have begun a mapping exercise,
whereby we have attempted to map
the Calgary PSI list, the International
ICD-10 AHRQ PSI list as well as Patient
Safety concepts in ICD-11-Beta.
Code-recode testing
Objectives
• To assess, from a healthcare
leader’s perspective, the utility of
patient safety information encoded
using the following classification
systems: AHRQ Common Format,
WHO-ICD 10-CA, and WHO-ICD11
(Beta)
• To evaluate the inter-rater reliability
of raters classifying patient safety
events
• To determine the face validity of
event classification
• To assess the coding practice for
classifying patient safety events
ACKNOWLEDGEMENTS
ACTIVITIES
Australia: James Harrison, Vijaya
Sundararajan
US: Marilyn Allen, Chris Chute, Ginger
Cox, Donna Pickett, Harold Pincus,,
Patrick Romano, Brigitta Spaeth-
Rublee,
Canada: Susan Brien, Alan Forster,
William Ghali, Yana Gurevich, Lori
Moskal, Hude Quan, Danielle Southern
Switzerland: Bernard Burnand, Jean-
Marie Januel
France: Cyrille Colin
Germany: Saskia Droesler
WHO: Nenad Kostanjsek, Bedirhan
Ustun.
Conclusions
Q&S TAG was funded by the Agency
for Healthcare Research and Quality
(AHRQ), Canadian Institute of Health
Canadian Patient Safety Institute
(CPSI), and Canadian Institute for
Health Information (CIHI).

C201-220 WHO Collaborating Centres
WHO ID Title Authors
C201 Australian Collaborating Centre Annual Report
2014
Hargreaves; Metz; Macpherson;
Njeru
C202 WHO Collaborating Centre for the FIC in Brazil-
Annual Report
Buchalla; Laurenti; Di Nubila
C203 2013-2014 activity report of the CC Inserm-EHESP
for the WHO-FIC in French
Lamarche-Vadel; Cuenot;
Rodrigues
C204 Report from the German Collaborating Centre Weber
C205 Human Resource Development for effective
implementation of FIC (ICD-10 & ICF) In India by
Central Bureau of Health Intelligence
Raikwar; Singh; Sharma; Prasad
C206 Updates on the performance monitoring plan of
the Italian WHO-FIC Collaborating Centre: a new
reporting way on annual activities
Frattura
C207 Korean Collaborating Centre Annual Report 2014 Park; Hur; Roh; Kim
C208 Annual Report from the Mexican Collaborating
Centre (CEMECE) Jan 2013-Jan 2014
Torres; Jimenez; Navarro; Yañez
C209 Dutch WHO-FIC Collaborating Centre annual report
2013-2014
van Gool; ten Napel
C210 WHO-FIC Collaborating Centre for North America Pickett; Renahan; Wood
C211 Annual report from the Nordic WHO-FIC
Collaborating Centre 2013
Berg
C212 WHO-FIC COLLABORATING CENTRE IN SOUTH
AFRICA: 2014 REPORT
Hanmer; Bradshaw
C213 THAI WHO-FIC CC Annual Report 2014 Paoin; Yuenyongsuwan;
Suvapan
C214 Activities of the WHO-FIC Asia-Pacific Network Endo; Kim; Paoin;
Yuenyongsuwan; Hong; et al.
C215 A NETWORK WITHIN A NETWORK: THE
IBEROAMERICAN EXPERIENCE
Giusti; Jimenéz
C216 Building ICD-11 Terminology Services Using the
CTS2 Standard
Jiang; Solbrig; Chute
C217 Activities of the Stanford WHO Collaborating
Center
Musen; Nyulas; Tudorache; Tu
C218 WHO Collaborating Centre in Calgary, Canada Quan, Ghali
C219 WHO Collaborating Centre in Venezuela - CEVECE:
Towards their sixty years
Cordero; Villegas; Ortega;
Regalado; Moreno; et al.
C220 Activity Report from the WHO-FIC in Japan ICD Office Japan

Australian Collaborating
Centre Annual Report 2014
Abstract
The Australian Institute of Health and Welfare has hosted the WHO-FIC Australian Collaborating Centre since 1991. The
membership of the ACC is Australian organisations that have an interest and experience in working with classifications.
This poster summarises the activities of the Australian Collaborating Centre that occurred between October 2013 and
October 2014.
Introduction
The Australian Institute of Health and
Welfare (AIHW) in Canberra, Australia,
has hosted the ACC since April 1991.
Re-designation of the ACC for a four-year
period occurred on 7 May 2014.
The Head of the Centre is Jenny
Hargreaves, Senior Executive,
Hospitals, Classifications and
Performance Group at the AIHW.
The ACC is a collaboration of Australian
and New Zealand experts and
organisations with an interest in
classifications. Through the combined
efforts of the organisational and
individual members of the ACC, the
use of the International Classification
of Disease (ICD), the International
Classification of Functioning, Disability
and Health (ICF), the International
Classification of External Causes of
Injury (ICECI) and the International
Classification for Primary Care, Version
2 (ICPC-2) is facilitated.
Thank you to all the ACC members and
organisations for their valuable
contributions to the ACC work-plan
activities during 2013- 2014. Many of
the activities occur through in-kind
support from these individuals and
organisations.
11-17 October 2014
Barcelona, Spain
C201
Jenny Hargreaves (Centre Head) and Katie Metz, Brooke
Macpherson and Jodee Njeru (ACC Secretariat)
Other contributions by ACC members
to committees included:
• Mortality Reference Group - Sue
Walker and James Eynstone-Hinkins
• Education and Implementation
Committee – Sue Walker (co-chair)
and Ros Madden
• Revision Steering Group - Richard
Madden and James Harrison
• Family Development Committee
- Richard Madden, Megan
Cumerlato, Brooke Macpherson
(Secretary), Nicola Fortune and Luis
Salvador-Carulla
• Functioning and Disability
Reference Group – Ros Madden,
Xing-yan Wen
• ICHI Development advisory
group - Richard Madden (Co-Chair)
• Update and Revision Committee
Ros Madden and Anne Elsworthy
Contributions to WHO and
Network committees
The Head of the ACC served as Co-
Chair of the WHO-FIC Network’s
Advisory Council and of the Council’s
Small Executive Group (SEG), as Co-chair
of the Family Development
Committee and a member of the
Revision Steering Group (RSG). She
also participated in the WHO’s informal
ICHI development advisory group.
Ros Madden facilitated the workshop,
which provided an opportunity for
people familiar with the ICF and
interested in contributing to its
updating and improvement to discuss
the proposed updates and to
contribute to the ICF updates process.
The next day, an ‘ICF Network forum’
was convened with people interested in
the use of ICF. Presentations were
made about current uses of ICF in
Australia and discussions were held
about how to improve dissemination
and exchange of information about ICF
in Australia.
Conclusions
This is the annual report of the ACC to
the Network and summarises activities
which occurred during the period of
October 2013 to October 2014.
It incorporates information relevant to
the ACC Terms of Reference as agreed
with the WHO, and information on
specific activities of the ACC and its
member organisations.
ICD
The National Centre for Health
Information Research and Training
hosts the Australasian Mortality Data
Interest Group. The Group held its
annual workshop in November 2013
with the theme of ‘Bringing Mortality
Data to Life’. It was hosted by the
Australian Bureau of Statistics and the
Australian National University in
conjunction with the National Centre
for Classification in Health, University
of Sydney.
The workshop aims included
highlighting advances in data methods
and data linkage; identifying
international developments in mortality
data; and highlighting the links
between research and the
development of health policy.
The National Centre for Classification
in Health progressed work on the ninth
edition of ICD-10-AM, and members of
the ACC collaborated to provide
comments for the URC’s ICD update
process.
ICF
A ICF updates workshop was hosted by
the University of Sydney, in
collaboration with the ACC in Sydney on
5 June 2014.
ICHI
Richard Madden has continued to
provide leadership for the
development activities relating to the
ICHI. Several staff of the University
of Sydney have provided valuable
inputs.
International Group for Indigenous
Health Measurement
The IGIHM is holding a meeting in
Vancouver, Canada in early October
2014 to focus on progressing measures
of infant and child mortality, Indigenous
identification, maternal mortality and
indicators of wellbeing from an
Indigenous perspective in the four
countries (Australia, Canada, New
Zealand, and the United States ).
The AIHW will be presenting on the
infant mortality estimates and mapping
of primary health care services and
Indigenous populations in Australia.
The ACC continues to actively
promote the development and use of
the WHO classifications in Australia,
and through contributions to the
WHO-FIC Network. In addition to the
activities described above, the ACC
provides information and updates to
relevant government agencies in
Australia, including through the
AIHW’s newly established Australian
Health Classifications Advisory
Committee. This will ensure that
Australia is well placed to continue
participation in development and
implementation of the WHO-FIC into
the future.

WHO Collaborating Centre for the FIC
in Brazil –Annual Report
Abstract The activities developed during the period of 2013- 2014 in the training area, include ICD-10 courses, as well as
the quality of health statistics in the country, and the improvement in the ICF dissemination by lectures, researches and
conferences at Seminars and Congress. The Brazilian CC has had many activities in order to implement the FIC in Brazil,
and has a routine activity with Mortality Information Systems in Brazil.
Activity 1 – Work on Revision of ICD 11 Conclusions
Title
11-17 October 2014
Barcelona, Spain
C202
Brazilian CC for WHOFIC, University of Sao Paulo, Brazil
Title
. regular encounters (each 2-3 months) with
Health Surveillance Secretary of Ministry of
Health, together with some collaborators of
State Health Secretaries of Rio de
Janeiro(SouthEast Region), Mato Grosso do Sul
(CentralWest Region), Alagoas and Bahia
(NorthEast Region), and Municipalty Health
Secretary of São Paulo (PRO-AIM – Programa
de Aprimoramento das Informações em
Mortalidade – Program for Improvement of
Mortality Informations) - “Health Statistics
Nucleus”
. participation in Committees and Reference
Groups – MRG, FDRG, ICD-URC and ICF-URC,
EIC, and FDC
. contributions to EIC - protocols for coding
more complex situations for coders (as Maternal
deaths, Perinatal Deaths, Procedures
Complications, Cancer and External Causes),
translating and reviewing the New “ICF Practical
Manual” and the ICF e-Learning tool translation
in progress.
.m-TAG and GURM-TAG
.meetings with Brazilian Ministry of Health
regarding how to proceed with ICD-11
translation and participation in the field trials.
.Ibero-American Workshop on Interoperable
Systems for Health - February 201- Ribeirao
Preto Faculty of Medicine – University of Sao
Paulo: presentation on what is expected for
ICD-11.
. “ Binomial Mother-Children” study -
Morbidity and Mortality in pregnant women
and newborns
. contact with the coders of causes of death,
through Health Surveillance Secretary /
Ministry of Health regarding correct coding
of fetal/ perinatal and neonatal deaths
. evaluation of the registers of ill-defined
causes or incomplete diagnoses in the death
certificates
.results presented in meetings, conferences
and discussions with the Regional Councils of
Medicine
. researches/studies to evaluate the question
whether external causes, specially accidents,
could be consequences of natural causes.
. “Instructions Manual” for national use -
coding cancer and complications of
procedures for mortality coders
. Collaboration with Health Surveillance
Secretary, and heads of State and
Municipality Health Secretaries - to evaluate
the quality of Health Information Systems
for Mortality-SIM and Liveborns-SINASC
(SIM – Sistema de Informação sobre
Mortalidade and SINASC – Sistema de
Informação sobre Nascidos Vivos)
Activity 6 –Strengthening of national
workgroups and WHO-FIC network
activities
Activity 4 - Improving quality of vital
statistics using ICD
Activity 2 – Implementation support for
WHO-FIC in Brazil and other countries
. program “IRIS” dictionary of medical terms
in Portuguese and their respective ICD-10
codes - Doctorat work of the post-graduation
student Renata Martins (code and select the
underlying cause of death in 96% death
certificates)
. workgroups to provide to the Ministry of
Health subsides for improving the SCB
(software SCB / Seletor da Causa Básica –
Underlying Cause Selector)
.evaluation of Consistency Tables for
Mortality
. workgroups for evaluation of coders and
others.
. PAHO / RELACSIS (Red Latinoamericana y
Caribeña para el Fortalecimiento de los
Sistemas de Información de Salud – Latin
American and Caribean Network for
Enhancing Health Information Systems).
. review and validation of the SCB (Underlying
Cause Selector) software and its decision tables
used in Brazil
. Work with Health Surveillance Secretary of
Brazilian Ministry of Health, and collaborators of
State Health Secretaries of Rio de Janeiro, Mato
Grosso do Sul, Alagoas and Bahia, and
Municipalty Health Secretary of São Paulo
(PRO-AIM – Programa de Aprimoramento das
Informações em Mortalidade – Program for
Improvement of Mortality Informations) -
“Health Statistics Nucleus”
. project using ICF concepts and framework for
identification of disabilities in an area of São
Paulo city - Foundation for Support to Research
of São Paulo State (FAPESP)
. concluded a study on odonthological
absenteeism using ICF
. support for a study using ICF codes for
projects on Deafness in aged people and
children
. acquisition of new version of software
Lectora
.looking for solution on how to include the
translation files
. EIC activities in person meetings and also by
teleconference, by skype and by e-mail
meetings during 2013.
. courses in Training for Coders in the use of
ICD-10 for Morbidity and Mortality
. training of coders and multipliers, and a
Forum for questions and discussion about
coding with coders and other users of ICD-10
- activity with the Brazilian Ministry of Health
. training and use of ICF - workshops for the
Education area; work meetings with Social
Security Ministry about ICF definitions of
impairment/disability; roundtables about
possible uses of ICF in Social Security Work
Disability evaluations; habitual lectures about
ICF in Work Medicine Specialization Course;
courses and workshops about ICF and ICF-CY
. routine activity in the area of evaluation and
validation of information in the Mortality
Information Systems in Brazil (Sistema de
Informação em Mortalidade-SIM)
Activity 5 –Coordination of national WHO
FIC activities
Activity 3 – Work Groups and PAHO
collaboration
Activity 5 –Coordination of national WHO
FIC activities

2013-2014 activity report of the CC
Inserm-EHESP for the WHO-FIC in France
Abstract This poster presents the highlights of the annual report of the Collaborating Center Inserm-EHESP for the WHO-FIC
in French. Two main organizations, based in France, fulfill the missions of the French CC: the Inserm-CépiDc (French
National Institute on Health and Medical Research, since 1967) working on the ICD and the EHESP-MSSH (French National
School of Public Health, since 1989) working on the ICF. Collaborations with the ATIH (technical agency for the data
management in hospitals) and the University of Saint-Etienne also allow contributions to the works done on morbidity, and
ontology. The collaborating center works at several levels: French, French-speaking and international.
Introduction
11-17 October 2014
Barcelona, Spain
C203
Agathe Lamarche-Vadel1, Marie Cuenot2, Jean-Marie Rodrigues3
1CépiDc-Inserm (France), 2EHESP-MSSH (France),
3 University of Saint-Etienne (France)
The ICD-11 related activities of the
Center are as follows:
Promotion of the ICD-11 in
French (in France and European
French-speaking countries):
Dr Nassim Douali coordinates the
translation of ICD-11 on the WHO
platform, starting with the current
version of ICD-11. This work is based
on existing translation of ICD-10 and
uses modern French reference
terminology. A call for contributors
has been posted on the French
Collaborating Center website
(http://www.cepidc.inserm.fr/site4/in
dex.php?p=oms)
WHO-FIC related activities:
-As Co-head of the MTAG, Gerard
Pavillon continued participating to
the ICD Revision Process until the
Geneva meeting on the Review of the
Common Linearization for Mortality
and Morbidity (December 2013).
Sandra Gomez participated In
MbTAG.
-Jean-Marie Rodrigues and Nassim
Douali worked in the Joint Advisory
Group WHO IHTSDO on
Harmonisation with IHTSDO; and in
the Joint Working Group IHTSDO on
the Common Ontology ICD-11
SNOMED CT.
Jean-Marie Rodrigues worked on the
Mapping ICD 9 CM – ICHI.
ICF related activities
The ICF-related activities of the Center
are as follows:
Promotion of the ICF in French (in
France and European French-speaking
countries):
-Courses on the ICF and the conceptual
models of disability in master programs
in social policies, educational sciences,
physical medicine and rehabilitation,
public health, special education
management, in the Master degree
“Situations de handicap et participation
sociale” (EHESP-Rennes 1 & 2)
-Participation in a 2012-2014 European
Union Leonardo program (Belgium,
France, Romania, Switzerland) to
develop an educational material on the
social participation of persons with
disabilities
-Participation in the commission for the
monitoring of the implementation of the
UN Convention on the rights of people
with disabilities (2006) in France
- Expertise on ‘rare disabilities’
- Maintenance of the CC website
(http://mssh.ehesp.fr/international/cent
re-collaborateur-oms/ ) and the
bibliographic watch.
WHO-FIC related activities:
Participation in the works and meetings
of the EIC (e-learning tool,
implementation database), URC and
FDRG with a particular involvement in
the ICF updates review process (co-moderation
of the Initial Review Group).
Publications
Barral C., Winance M. (2013).
Définitions et classifications, in
INSERM. Handicaps rares. Contextes,
enjeux et perspectives. Collection
Expertise collective, Inserm, Paris.
The 2013-2014 activities of the CC for
the WHO-FIC in French are presented
here: the main activities are related to
the ICD and the ICF. Some
collaborations allow works on the
ICHI.
I ICD-10 related activities
I ICD-11 related activities
ICHI related activities
The ICD-10 related activities of the
Center are as follows:
Promotion of the ICD-10 in French
(in France and French-speaking
countries):
-A new edition of ICD-10-FM Volume 1
has been undertaken by the ATIH in
order to provide an updated version
accounting for the modifications made
since the 2008 edition.
-The Center collaborates with the
Moroccan Ministry of Health and the
NCHS CDC’s collaborating organization
in the North Africa-Middle East region,
(EMPHNET- Eastern Mediterranean
Public Health Network) to design a
standard information system in line
with WHO standards in Morocco, in
order to improve cause of death data in
Morocco. In this context, the Center
has organized a one month training to
mortality coding in France to provide
expertise to the two persons who will
direct coding units in Morocco.
-WHO-FIC related activities:
Participation in the works and meetings
of the MRG, Table Group and URC. This
allowed the Center to give its position
on the ICD updates presented during
this periods and to provide expertise in
fields where it is experimented
Contact details:
agathe.lamarche-vadel@inserm.fr
marie.cuenot@ehesp.fr

Abstract The German Collaborating Centre (CC) is a designated WHO-FIC Collaborating Centre since 2003. Part of the
German CC are the ICF Research Branch and Experts from the University of Freiburg, Germany. This poster reports on the
activities that took place since the last WHO-FIC-Meeting in 2013
Introduction
Report from the German
Collaborating Centre
Title
After its initial designation in 2003 the
German Collaborating Centre was
again re-designated in 2012.
The German Collaborating Centre is
located at DIMDI.
For the ICF work the ICF Research
branch is joining the work of DIMDI.
Twice a year DIMDI and the ICF
Research branch meet to discuss the
on-going and planned work.
For the work on the new procedure
classification ICHI the University of
Freiburg is joining the work of DIMDI.
11-17 October 2014
Barcelona, Spain
C204
DIMDI, ICF Research Branch and University of Freiburg,
Germany
Title
Work at DIMDI
ICD-11 Revision/fTAG: Since the
2013 WHO-FIC meeting in Beijing, the
list of health conditions (HCs)
designated for populating FPs was
adjusted, a suggestion for clustering
the HCs was implemented and the FPs
for 101 HCs were entered into ICD-11
revision electronic system, iCAT.
Although FPs have been visible in the
ICD-11 betabrowser since March 2014,
work on optimizing the visualization is
ongoing. Consultation within fTAG on
mirror coding has also been provided.
Other activities include organizing and
leading monthly teleconferences and
participating in the monthly RSG
teleconferences providing input where
appropriate. A paper following up on a
2012 publication on the FPs work will
be submitted to a peer-review journal
by the Barcelona meeting.
ICF eLearning Tool: The status of the
ICF eLearning tool revision was
presented at the Beijing Meeting and
at the 2014 EIC mid-year meeting.
Activities included coordination with
WHO, EIC and the Collaborating
Centres willing to translate the tool in
their respective languages, finalizing
the content revisions and coordinating
the search for new software. In June
2014 WHO approved the revised
version of the tool and the acquisition
of Articulate Storyline, the new
software that will be used to
implement the revised version of the
ICF eLearning tool. The revised tool is
expected to be available on the WHO
website by the beginning of 2015.
ICF Training: Since Beijing, ICF
workshops have been held in China,
India, Finland, Palestine, Poland and
Switzerland. Online tutorials on the ICF
linking methodology as well as on
conducting ICF-based case studies
have been conducted.
ICF Updates within FDRG: Input on
update proposals were given including
more intensive involvement in the
update process within the Initial
Review Group.
ICF Practical Manual within FDRG:
Feedback on the exposure draft of the
Manual was provided in May 2014. A
Steering Group member has been
involved in finalizing changes based on
the discussions during the 2014 mid-year
meeting in London.
ICF Core Set work: ICF Core Sets for
cerebral palsy are now available.
Other activities: See posters on the
1) system-wide implementation of the
ICF in clinical & rehabilitation practice,
2) enhanced informed decision-making
in the health system using the ICF as a
reporting standard and 3) develop-ment
of the Model Disability Survey.
Conclusions
Work of the ICF research branch
ICD-10: In 2014 DIMDI worked on the
adaptation and translation of the 2015
updates from WHO and their
implementation into ICD-10-GM 2015
together with requirements from the
national annual submission process.
Release of the pre-version of ICD-10-
GM 2015 was in end of July and of the
official version at the end of
September, for implementation into
health care systems until January 1st
2015. As usual, results from the
discussions with national experts
where fed back to the URC as well as
into the Revision process. For WHO
DIMDI implements the updates to ICD-
10 into the ClaML database to enable
WHO to generate a version 2014 in
English language.
ICD-O-3: Translation and
implementation of the 2012 updates of
ICD-O-3 has been worked out in
cooperation with (legal) authorities of
the national cancer registries
(epidemiological and clinical) and of
Robert-Koch-Institute as the national
German Center for Cancer Registry
Data. The German version of ICD-O-3
including the updates was published in
march 2014 in print format as well as
in a browser version.
ICF: DIMDI continued in 2014 with
national consultations on the planned
updates for ICF. The ICF-working
group convened in DIMDI in March to
discuss the updates for ICF. Results of
this meeting were presented in the
Update workshop of FDRG in London
right after.
Mortality Coding: DIMDI trained all
german mortality coders on the use of
ICD-10 with a focus in 2014 on
electronic coding of cause of death.
Since the last Network meeting the
work of the German Collaborating
Centre continued. The existing
Collaboration of DIMDI, the ICF
Research Branch and the University of
Freiburg proved well suited for the
successful fulfilment of the Work plan
as agreed with WHO.
Committee work: The head of the
German Centre stepped down as
Council Co-chair at the meeting in
Beijing. Ulrich Vogel serves as URC Co-
Chair since the Brasilia meeting. In this
capacity he manages the update
process of ICD-10 for the Committee.
Active participation in person or via
phone conference as well was
conducted for Mortality Reference
Group, Family Development
Committee, Update and Revision
Committee for ICF purposes and other
WHO-FIC groups. Additionally DIMDI
assisted in the ICD Revision, especially
in the Revision Steering Group, the
Morbidity TAG and the Neoplasms TAG.
As the Beta Release became available,
DIMDI announced this to the general
public and solicited participation from
the German users.
Work at the University of
Freiburg
ICHI: The University of Freiburg is
supporting the developmental work on
ICHI by contributing especially on the
structure and content of the
classification axes, and the
maintenance of an annually published
database. Focus in 2014 lay on the
rearrangement of the values of the
ICHI axes for the Alpha-2-Version.
ICD-10 Alphabetic Index: The
annual work on the quality of the index
terms for the German Modification
(ICD-10-GM) results in proposals for
improvements eventually impacting
the international version.

MEETING OF THE WHO COLLABORATING CENTRES FOR THE FAMILY OF INTERNATIONAL CLASSIFICATIONS
11 – 17October, 2014
Barcelona, Spain
Human Resource Development for effective implementation of FIC (ICD-10 &
ICF) In India by Central Bureau of Health Intelligence
M. Raikwar*, Umed Singh*, R. K. Sharma* and Jagdish Prasad**
*Central Bureau of Health Intelligence (CBHI), WHO CC on Family of International
Classifications (ICD -10 & ICF) in India, Directorate General of Health Services; **DGHS,
Ministry of Health & Family Welfare, (Govt. of India), New Delhi.
C205
– Human Resource Development for effective implementation of FIC (ICD-10 & ICF) by
Collaborating Centre on WHO-FIC in India during last one year period from September, 2013 to
August, 2014 have been described is this poster.
Introduction
No. of participants attended workshops
800
700
600
500
400
300
200
100
on ICD-10 & ICF
TOTAL NUMBER OF TRAINING CONDUCTED AND
MAN- POWER TRAINED
Result
From September 2013 till
August, 2014, CBHI has conducted
18 Batches of Trainings on ICD –
14 & ICF and in these trainings
225 persons were trained.
Conducted 4 trainings for Master
trainers on ICD – 10 & ICF and 46
more trainers were added in
creating a pool of master trainers
In India
Conducted 29 batches of
sensitization Workshops during the
year to promote the use of ICD –
10 in Tertiary Care Hospitals &
Medical Colleges (both in
Government & private sector) and
in these Workshops, 2617 persons
sensitized about ICD - 10.
No. of Participants attended ICD-10
Training Programme
Conclusion
Central Bureau of Health
Intelligence (CBHI), New Delhi
under Dte. General of Health
Services in the Ministry of Health &
Family Welfare (Govt. of India) has
been functioning as WHO CC on
FIC in India from September, 2008
onwards. It has been actively
involved in human resource
development for effective
Implementation of WHO-FIC (ICD -
10 and ICF) in India since then.
This Descriptive Study of the
human resource development for
FIC, Performed by CBHI, was done
using the documents available at
the CBHI headquarters and Field
Survey Units as well as Training
Centres.
Training Reports, Office Files &
Reports of the various trainings/
workshops conducted in 2013-14
by CBHI were studied
retrospectively, using Checklists
designed for the purpose.
70
60
50
40
30
20
10
Through its sustained efforts, CBHI
has been able to create a pool of
master trainers, medical officers
and paramedics trained in FIC to
initiate and effectively implement
the activities towards use of FIC by
developing human resources in
India. CBHI has also been providing
collaboration and support to its
neighbouring countries of South
East Asia and WHO – SEARO. CBHI
is committed towards its mandate
for the use of WHO FIC. It hopes to
continue these activities in the
period of re-designation with
renewed vigour.
Abstract
Methods & Material
Peer Review of WHO Training
Manuals on “Hospital
Information System” done by
experts in India conducted at
FSU, Bangalore in march, 2014.
Head of the WHO
Collaborating Centre on FIC in
India along with one expert on
ICF attended WHO-FIC Network
Annual Meeting at Brasilia,
Brazil from 13th – 19th October,
2012.
693
455
337
290
406 436
0
No. of Participants
Training Centres
34
29 32
41
33
42
60
0
No. of Participants
Training Centres
Training Center ICD-10 Workshops on ICD – 10 &
Training ICF
Total No. of
Trainings Participant Workshops Participants
Bengaluru 2 34 6 693
Bhopal 2 29 5 455
Bhubneshwer 3 32 4 337
Jaipur 2 41 4 290
Lucknow 2 33 4 406
Patna 3 42 6 436
RHSTC, Mohali 4 60 0 0
18 271 29 2617

Updates on the performance monitoring plan
of the Italian WHO-FIC Collaborating Centre: a
Abstract Moving from the 2011-2015 terms of reference (TORs) of the Italian WHO-FIC CC, a performance monitoring plan was defined
to yearly assess the CC’s performance. The aim of this work is to present the third-year results of the performance monitoring plan of the
Italian WHO-FIC Collaborating Centre (CC).
Introduction
new reporting way on annual activities
The aim of this work is to present the third-year
results of the performance monitoring
plan of the Italian WHO-FIC Collaborating
Centre (CC) using the content of the CC
annual report [1] and the Italian posters
submitted at Barcelona Annual meeting.
11-17 October 2014
Barcelona, Spain
C206
Frattura L. on behalf ot the WHO-FIC Italian collaborating centre network
Central Health Directorate, Classification Area, Friuli Venezia Giulia Region, IT WHO-FIC CC
Methods & Materials
Moving from the 2011-2015 terms of
reference (TORs) of the Italian WHO-FIC CC,
a performance monitoring plan was defined
to yearly assess the CC’s performance. Five
main criteria were used: (i) adherence to
the relevant lines of work of the WHO-FIC
Strategic Work Plan (SWP); (ii) outcomes of
the activities; (iii) new partnerships; (iv)
communication power; and (v) resource
consumption.
of and active participation in mICF;
involvement in SNOMED-CT and ICF
common ontology efforts; ISO9999 mapping
to ICF; translation into Italian of the
WHODAS 2.0 Manual; translation into Italian
of the ICD-10 Training tool; translation into
Italian the ICD-10 1996-2013 cumulative
updates; transcoding administrative
discharge data from ICD9-CM to ICD-10
using a new software, developed by the
Italian WHO-FIC CC. Updates at national
level: the CC is formally engaged, as leader
of the ICD-10-related line of work, in the
national project of revision of the Italian
case-mix system (IT-DRG project); ICD-10
cumulative updates were translated into
Italian and the relevant ClaML file was
maintained both in English and Italian
through the Italian Portal of Classifications,
which was restyled. Updates at regional
level: a third VilmaFABER field trial was
carried out in the Friuli Venezia Giulia
Region and a fourth field test was started in
ICD line ICF line IT line Implementation line Disability policies line
the Liguria Region. VilmaFABER has been
published on the web (Figure 2) [2].
The communication power was evaluated
considering presentations, seminar and
meeting organization, and active users of
the Italian Portal of Classifications (Figure
3).
Results Acknowledgements
In the third year (21 July 2013-21 July
2014), the Italian WHO-FIC CC was active
on five lines of work at international,
national and regional level: (i) revision of
the International Classification of Diseases;
(ii) IT and ontological development for WHO
FIC; (iii) coordination and management of
the ICD-10 and ICF update process; (iv)
national work on WHO-FIC; and (v)
awareness building and implementation
support of WHO-FIC in WHO regions. Some
results are presented in an interactive map
(QR accessible) that allows browsing
through all the posters presented by the CC
at the 2014 WHO-FIC annual meeting
(Figure 1).
New projects inside the WHO-FIC network:
launch of the WFABER project; coordination
Conclusions
References
DIGITAL, MOBILE, NOW!
Web tools and services
to translate, update,
browse, and publish
ICD-10
How to deal with
meaning ambiguity in
international
classifications on
disability in five
different languages
Italian WHO-FIC CC
Annual Report
Shift from ICD-9CM to
ICD-10 in morbidity
coding
Workplace description
using and expanding
the ICF Environmental
Factors component
WFABER multicenter
project on
determinants of
outcomes
“Web Activity and
Participation
Performance
Inventory” (WAPP.In).
How to combine
standard
terminologies and ICF
in epidemiological
studies
ISO9999 mapping to
ICF
ITC Report
Architecture for ICD
11 and SNOMED CT
Harmonization
Developing a mobile
application for ICF
ICDfit: a web-based
system for ICD11 field
trials
URC Report
WHODAS 2.0 in
Philippines
The activities of the Italian Collaborating
Centre are linked to the relevant lines of
work of the WHO-FIC SWP according to the
CC’s TORs. All activities of the Centre were
made possible thanks to regional and
national funding.
Figure 3 – The new Italian Portal of Classifications
as a strategic communication tool of the Italian CC
Figure 1 – The Barcelona Subway Interactive Map of the Italian WHO-FIC CC 2013-2014 activities (each station is a downloadable WHO-FIC 2014 Meeting poster)
All activities carried out by the Centre were possible thanks
to the deep understanding and concrete funding by Friuli
Venezia Giulia Regional Administration, national and other
regional institutions and authorities.
1. Agreement between Italian Ministry of Health and Friuli
Venezia Giulia Region, 2010-2012; 2013-2015
2. “Progetto It.DRG”, founded by National Health Service
2004 to realize strategical objectives under the National
Haalth Plan, accortding to art. 1, comma 34, Law n.
662/1996 (CIPE Decision 23 March 2012 for assigning to
the Emilia Romagna region the amount allocated for the
realization of the "It.Drg Project").
1. Italian WHO-FIC annual report, Udine 3 Sept. 2014
2. www.vilmafaber.eu
FDRG Report
Grouping Body
Functions (BF) and
Activity and
Participation (AP)
categories in children
functioning
assessment
Scan this to get a digital
INTERACTIVE version
Figure 2 – The VilmaFABER logo

Abstract The Korea Health and Welfare Information Service(KHWIS) has hosted and operated the WHO-FIC Korean Collaborating Centre
since December 2012 and act as a mediator to improve interoperability of domestic and international healthcare information. To
achieve this, KCC is :  developing and dissemination of national healthcare information standardization and WHO Family of
International Classification, Terminologies, and Standards  operating network across the country  cooperating with WHO and
other WHO-FIC CC. This poster described the activities of KCC between October 2013 and September 2014.
Introduction
Korean Collaborating
Centre Annual Report 2014
Kwangwoo Park, Sangsung Hur, Seonock Roh, Taehoon Kim
Korea Health and Welfare Information Service(KHWIS), Seoul, Korea
• The Korean government has been
standardizing terminology, business and
technology since 2004 for healthcare service
improvement. Work involving terminology
standardization in Korea was first presented
at the 2006 WHO-FIC Annual Meeting in
Tunis. The Korean government has been
pursuing collaborative work with WHO-FIC
since then.
• The Korea Health and Welfare Information
Service(KHWIS) has hosted and operated
the Korean WHO-FIC Collaborating Center
since December 2012. KHWIS is a health
welfare organization working to improve
healthcare and welfare informatization, via
standardization, management of information
systems, policy research, and more.
• In order to carry out effective work by
KCC, KHWIS has established collaborative
relationships with government offices, such
as the Ministry of Health and Welfare and
Statistics Korea, as well as with medical
and academic communities. It is now
working to improve interoperability of domestic
and international health information via the
development and dissemination of WHO-FIC
and the Korean health terminology Standard
among others.
11-17 October 2014
Barcelona, Spain
C207
Methods & Materials
Acknowledgements or Notes
Results
 Cross-national collaboration system
KCC has organized, and is managing, the
Council for ‘Standardization of Healthcare
Information’, a cross-national council for
discussion among standardization specialists
in the country. The council is comprised of 89
specialists in 10 different areas of healthcare,
such as diagnosis and practice.
Conclusions
 Online standard platform
Without temporal or spatial constraints, it
facilitates standardization by supplying
information regarding revision proposals and
votes, as well as domestic and international
standardization data.
 Collaboration with WHO and ISO
Besides collaboration with WHO, the KCC
is actively working with the ISO. Alongside
establishing international terminology
standards via participating in the
development of WHO’s ICD, ICF, ICHI and
ICTM the KCC is collaborating with
ISO/TC215(Technical Committee on health
informatics within ISO) to work on
international standardization in document
formatting and technical fields.
 ICD
Supported by Korea’s advanced IT workforce,
the ICD-11 multilingual support platform
was developed to facilitate the translation
of ICD terms in Asian countries. Using the
platform, 3,701 ICD-11 cases have been
adapted to Korean.
 ICF
Based on the latest version (including updates
in 2014) of ICF, about 1,500 codes were
adapted into Korean, and field tests were
conducted for the clinical onsite application
of ICF. Opinions of 151 clinician from 19
institutions were collected, mainly from
university and rehabilitation hospitals.
Clinical application cases connecting EMR
information with ICF between orthopedics,
neurosurgery, and rehabilitation departments
were developed.
 ICTM
Following WHO’s plans to include the field
of traditional medicine into WHO-FIC, the KCC
is actively participating in the development of
ICTM with China and Japan. In particular,
the KCC developed guidelines for coding
the beta version of ICTM and connection
frequency analysis charts for ICTM-WHOIST,
and produced sample videos for the field
testing and submitted it to WHO.
 ICHI
Currently, a redefinition of health intervention
classification is taking place in Korea, and,
due to the interchangeability between this
classification and ICHI, the three axes of
ICHI(Target, Means, Action) were applied.
 Korean terminology standardization
With the development of IT, the healthcare
service industry in Korea is increasingly
interested in offering an information
service that combines health data and IT.
Healthcare terminology standard is the
core element in the provision of such
information services, KCC announced a
national standard on September 2014.
Approximately 180,000 terms from nine
categories as well as 340 types of
anatomy illustrations, can be used digitally
in EMR and will be used as the basis for
such technologies as EMR, EHR, PHR.
While maximizing synergy by gathering all
Korean healthcare information standardization
activities in a single place, the KCC is also
working as a mediator that can increase
the interoperability of Korean standards
with international ones. It will certainly act
as a catalyst for the provision of high-quality
healthcare services, such as EHR
and PHR, for Korean citizens, and actively
continue its work.
We would like to thank the
Ministry of Health and
Welfare, Statistics Korea,
the Health Insurance Review
& Assessment Service, the
Korean Medical Association,
and related institutions
and specialists.
• Mental and behavioral disorders 1,483
• Diseases of ear and mastoid process 356
• Diseases of the musculoskeletal system
and connective tissue 1,862

Annual Report from the Mexican Collaborating
The Mexican Collaborating Center of the WHO-FIC (CEMECE) was designated in January 2008. As every year,
the CEMECE has continued promoting the use of International Classifications in Health in Mexico and Latin
America, in coordination with PAHO / WHO. These activities are so important to personal who works in the
offices of statistics in all Region. This poster briefly describes the main work and the results.
Introduction
Centre (CEMECE), Jan 2013-Jan 2014
Title
Abstract
CEMECE has continued promoting the
use of International Classifications in
Health in Latin America, in
coordination with PAHO / WHO through
various projects, both training and
design and implementation of training
materials on the Classifications and
filling death certificates by physicians.
The most relevant training projects
during 2013 were:
11-17 October 2014
Barcelona, Spain
C208
Authors: Torres L., Jimenez A., Navarro A., Yañez M.
Mexican WHO FIC Collaborative Center, Mexico (CEMECE)
Title
Methods & Materials
Online course on ICD-10: During 2013
CEMECE concluded the ICD-10 training
tool (2008 Edition), sponsored by the
Ministry of Health of Mexico. Currently,
the course is available on the Virtual
Campus of Public Health of the Pan
American Health Organization
(PAHO/WHO). The course is open to all
interested people in the follow web
site:
www.cursospaises.campusvirtualsp.org
Also during 2013 the CEMECE
translated updates to ICD-10 until
2012 and sent the translation to PAHO/
WHO for distribution to Latin America.
The CEMECE sent comments to the
Education and Implementation
Committee (EIC) about the contents of
the information sheets designed by
this committee on important aspects
about the family of classifications.
During 2013, CEMECE sent information
to WHO on the state that holds the
implementation of each of the
International Health Classifications
within the country.
For eleventh year CEMECE coordinated
the intentional search and
reclassification of Maternal Deaths in
Mexico (BIRMM) in order to correct the
misclassification and improve the
quality of Maternal Deaths information.
The Center attended the WHO FIC
Network Annual Meeting in October in
Beijing, China. The Center requested
officially to be considered as the host
country to the WHO FIC Network
Annual Meeting in 2017.
On the other hand, two CEMECE
members attended the MRG and EIC
midyear meetings from 17th to 25th
April, hosted by PAHO/WHO
(headquarters Washington D.C).
Training course for trainers in the use
of the ICF: With the technical support
of PAHO / WHO in Mexico and
PAHO/WHO Headquarters (Washington
D.C), in May 20th to 31st CEMECE
developed the second international
training course of 80 hours, for ICF
instructors. The course was held in
Mexico City and was attended by
physicians and another health
professional from: Chile (National
Centre of Reference), Colombia, Cuba,
Ecuador (National Centre of
Reference), El Salvador and Mexico.
The ICF training tool (developed by the
WHO FIC Network) was tested in the
first phase of the course (virtual
phase). In addition to the concepts,
structure and how to use the ICF, a
specific module about ICF instruments
(WHO-DAS 2.0, ICF-Core Sets) and
ICF implementation projects were
included in the core curriculum. This
strategy yielded observations to
correct some editing problems
identified by students and instructors
in the ICF training tool, which were
sent to PAHO / WHO.
Training coders in ICD-10 and medical
procedures of the ICD-9CM in Mexico:
20 courses on ICD-10 coding and
medical procedures using ICD- 9-CM
were given with 832 coders, medical
and statistical staff in several states of
Mexico.
With the support of PAHO/WHO,
CEMECE attended the meeting of Latin
American and Caribbean Network for
Strengthening Health Information
Systems (RELACSIS) from 5th to
February 7th, in Buenos Aires,
Argentina, where the annual plan of
the Network was agreed, including the
following projects:
1) Development of a Regional ICD-10
e–learning training tool, based on two
online courses: CEMECE’s ICD-10
course and the training module
developed by the National Center for
ICD from Argentina (CACE); 2) Online
course on how fill out the death
certificate for physicians, developed by
Uruguay, Chile and México; 3)
Dissemination and implementation of
automated coding of causes of death
adapted by the National Institute of
Statistics and Geography (INEGI) from
Mexico. Focused on eight Latin
American countries.
www.relacsis.org
Conclusions
As every year, the CEMECE keeps
working in topics related with WHO-FIC.
The most important activities
have been: training and research and
nowadays the important participation
with different countries. More
information:
www.cemece.salud.gob.mx

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