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WHO Health Statistics: WHO Health Statistics:

WHO Health Statistics: - PowerPoint Presentation

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WHO Health Statistics: - PPT Presentation

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

health icd data field icd health field data revision amp information mortality version based record people electronic tests estimates trials ontology statistics

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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