GHO Portal Global Health Observatory WHOs portal providing access to data and analyses for monitoring the global health situation Data repository Mortality Millennium Development Goals ID: 748640
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Slide1
WHO Health Statistics: GHO PortalSlide2
Global Health ObservatoryWHO's
portal providing access to data and analyses for monitoring the global health situation
Data
repositoryMortality Millennium Development GoalsBurden of disease ….World Health Statistics reportsStatistical reportsCountry statisticsMap galleryWHO Indicator RegistrySlide3
Information Products
Profiles
Data
African Health Observatory
NHO
NHO
NHO
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
GHO and other observatories
Other databases
KS
KS
KS
KSSlide4
GHO Quality Improvement Improved
data and metadata standards
SDMX
implementation - XMARTIndicator Metadata Registry update 2.0 HISPImproved Visualization ToolsInfrastructure renewalRegional Health ObservatoriesCountry Health ObservatoriesLinked Data initiativesWEB servicesSlide5
An Information Paradox:
Reporting of
Mortality in
the WorldSlide6
Information ParadoxSlide7
CAUSES of DEATH ESTIMATESUPDATE para 3
WHO
released
regional-level estimates of mortality in July 2013, by:cause, age and sex for years 2000 - 2011. country-level estimates for years 2000-2012 will be released late 2013.UN Inter-agency Group for Child Mortality Estimation
will release
Child Mortality estimates
in September
.Slide8
Consultation with Member StatesWHO reporting is regulated by its
Governing Bodies
( Executive Board Resolution EB107.R8 )WHO’s main interlocutor, by constitution, is the Ministry of Health in a Member StateWHO encourages the MoH to coordinate with all relevant government agencies, including the National Statistical Offices.Slide9
Criteria for WHO Official Statistics
in
line with the
general principles of statistics: an accurate listing of data inputs used, with relevant metadata ideally, such data should be publicly accessible correction of known biases in the input data a clear explanation of the modeling approach used, preferably in the peer-reviewed literature country
consultation
,
(if
country estimates are to be
released). Slide10
PART 2: ICD RevisionSlide11
Genealogy of ICD
1664
450yearsSlide12
ICD RevisionsSlide13
Placing WHO Classifications in HIS
&
IT
Population Health Births Deaths Diseases Disability
Risk factors
e-Health Record
Systems
ICD
ICF
ICHI
Classifications
Linkages
KRs
Terminologies
Clinical
Decision Support
Integration of care
Outcome
Administration
Scheduling
Resources
Billing
Reporting
Cost
Needs
OutcomeSlide14
ICD-11 Revision Goals
Evolve a
multi-purpose
and coherent classificationMortality, morbidity, primary care, clinical care, research,
public health…
Consistency
&
interoperability
across
different uses
Serve as an
international
and
multilingual reference standard for scientific comparability and communication purposes
Ensure that ICD-11 will function in an electronic environment.
ICD-11 will be a digital product
Support electronic health records and information systemsLink ICD logically to underpinning
terminologies and ontologies (e.g. SNOMED, GO, …)
ICD Categories “defined” by "
logical operational rules" on their associations and detailsSlide15
Construction of ICD-10: Revision Process in 20
th
Century
8 Annual Revision Conferences (1982 - 89)17 – 58 Countries participated1- 5 person delegationManual curationList exchangeIndex was done later "Decibel" ? Method of discussionOutput:
Paper
Copy
Work in
English
only
Limited testing
in the fieldSlide16
Construction of ICD-11: Revision Process in the 21
st
Century
Internet-based permanent platform All year round Open to all people in a structured wayContent experts focus Digital curationWiki enabled collaborationOntology based Enhanced
discussion & peer review
TAGs serve as the editorial group
Electronic copy
print version
Work in
multiple languages
Planned field tests
Based on Use CasesSlide17
How do we go from Here to 21
st
Century?Slide18
i
CAT
Open and Collaborative Platform
Web basedLike WIKI But by the Content Model with
by the
TAGs
, and
scientific peers
i
CAT
Collaborative Authoring Tool
for ICD Revision
structured
Editorial OversightSlide19
Ontology (philosophy)
the Organization of Reality
Ontology (computer science)
the explicit – operational description of the conceptualization of a domain:
An ontology defines:
a common vocabulary
a shared understanding/exchange:
among
people
among
software agents
between
people and software
to reuse data - informationto introduce standards to allow interoperability
What is
Ontology?Slide20
ICD11
β
eta
http://www.who.int/classifications/icd/revisionBeta – Browser & Print 10 look & feel + descriptions – code structure !
ICD-11 Beta draft is NOT FINAL
updated on a
daily
basis
NOT TO BE USED
for CODING
except for
agreed FIELD TRIALS
β
etaSlide21
ICD-11 Features
Internet Based
Platform
Content ModelMulti Lingual RepresentationsDefinitionsInput from
all Stakeholders
لعربية
Arabic
官话
Chinese
English
English
Français French
Русский
язык Russian
Español
Spanish
Deutsch German
Português Portuguese
Field Trials for Use Cases
Electronic Health Record
ReadySlide22
FIELD TESTS (1): Bridge-Coding
The Case information
live
medical record Coded using ICD10ICD11 Agreement rates measuredSlide23
The Case information
live
medical record
Coded using ICD11 by at least two different people Agreement rates measuredFIELD TESTS (2): Reliability Slide24
ICD-11 Timeline
2011
:
Alpha version ( ICD 11 alpha draft) +1 YR : Commentaries and consultations2012 : Beta version & Field Trials Version +3 YR : Field trials
2015
:
Final version
for
WHA Approval
2015+ implementationSlide25
ICD-10
Annual Revision Conferences
Focus on mortality statisticsProduced manuallyProduced in EnglishNO field testsUpdate mechanism built in later
ICD-11
Continuous
web platform
+ meetings
Focus on
ALL
statistical use
cases
Produced
digitally
w/ information modelMultilingua
l development
Field tests done beforeContinuous update – revision mechanismSlide26
Questions & Answers
ustunb@who.int
@
ustunb