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Megan Cumerlato Managing Editor
Julie Rust (till March 2015)
Internal Medicine Topic Advisory Group
Feedback on IM TAG progress from Managing Editor
perspective
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Internal Medicine TAGChair: Prof. Em. Naoko Tajima (JP)Co-chair: Dr. Rodney Franklin (UK)
Cardiovascular
Hepatobiliary
Endocrinology
Nephrology
Gastroenterology
Respiratory
Haematology
Rheumatology
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Working Group Chairs ManagingEditor
Cardiovascular B. Gersh (USA)R. Franklin (UK)
T. Kohro
Endocrinology &Metabolism
A. Shimatsu (JP)E. Gregg (USA)
K. Waki
Gastroenterology P. Malfertheiner (FRG)S. Miura (JP)
J. Akiyama
Hematology W. Fibbe (Netherland)S. Okamoto (JP)
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Hepatobiliary G. Farrell (AUS) T. TomiyaNephrology G. Becker (AUS)
K. Iseki (JP)Y. Ubara
Respiratory H. Takizawa (JP) T. SuzukiRheumatology J. Kay (USA)
M. Harigai (JP)M. Kihara
Structure of Working Groups
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◦ Review of JLMMs shoreline and specialty linearization proposals by each WG for WHO.
◦ Continual code hierarchy review with updates to some areas.
◦ Definitions completed for many areas with work ongoing for content model attributes
◦ Liaison with external TAGs as necessary, i.e. Paediatric, GURM and within the IM TAG.
◦ Continued good support from external experts and societies
Achievements since Dec 2014
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Impact of restructure of Infectious diseases chapter following Taskforce meeting in September 2015
Understanding the application of code extensions and clustering
Time frame for completion of proposals currently on ICD-11 Browser platform Role of ‘horizontal TAGs’ and ‘vertical TAGs’ in
completion of code hierarchy Completion of other attributes in the content
model by IM TAG WGs
Concerns – General
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Cardiovascular WG◦ ‘Congenital anomaly of heart and great vessels
and related acquired abnormalities’ Minor code structure revision Continued entry of definitions ratified by WG and the
International Society for Nomenclature of Paediatric and Congenital Heart Disease (ISNPCHD) Further work needed on adult cardiology definitions
Content model review of inclusion terms - ongoing
IM TAG ME proposal submissions
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Endocrinology WG◦ Continued liaison with GURM and Paediatric TAGs
regarding proposed code hierarchy changes for Adrenogenital disorders.
◦ Further discussion proposed with Nutritional WG regarding overlap areas e.g. Marasmus in adults, Thinness, Morbid obesity
◦ Ongoing discussions regarding code hierarchy for Diabetes mellitus Liaison with Nephrology WG Topic of discussion at September 2015 Taskforce
meeting with resolutions proposed.
IM TAG ME proposal submissions cont.
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Gastroenterology WG◦ Liaison with Paediatric TAG Managing Editor
regarding classification issues relating to Symptoms, findings and clinical forms of the digestive system.
◦ Revised definitions added to platform
Hepatobiliary WG◦ Revised definitions added to platform and minor
code hierarchy changes regarding double parenting of some concepts.
IM TAG ME proposal submissions cont.
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Haematology WG◦ WHO, ICD Office and WG chairs finalised and
implemented changes to code hierarchy – great achievement
◦ Discussion with Paediatric TAG Managing Editor regarding ‘Symptoms, signs, clinical forms, and abnormal clinical and laboratory findings’ relating to the blood inclusions terms (classification issue)
Nephrology WG◦ Discussion with Endocrine WG regarding overlap
areas: Diabetes mellitus with nephropathy Albuminuria Acute kidney injury
IM TAG ME proposal submissions cont.
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Respiratory WG◦ Discussion with Allergy TAG and Paediatric TAG
with minor changes proposed to: Asthma Certain diseases of the respiratory system
Inclusion term review
Rheumatology WG◦ Discussion with Paediatric TAG Managing Editor
regarding previously proposed extension codes for Juvenile idiopathic arthritis
◦ Parenting issues – Skin chapter
IM TAG ME proposal submissions cont.
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Completion of content model – inclusion/exclusion terms - issues regarding old ICD-10 index entry import
Decision on proposals already submitted to platform
Taskforce resolutions implementation◦ Diabetes mellitus◦ Infectious chapter
Field trials/Peer review
Challenges ahead – IM TAG/WHO