At the omrs24 we learned that there has been a lot of pressure by Ministries to implement ICD-11 (particularly for morbidity and mortality reporting to WHO). We learned that there have been multiple ways to get ICD-11 into OpenMRS, and challenges with integrating with existing concepts in the dictionary or supporting different use cases which require ICD-10 or SNOMED CT or CDSS. During the hackathon, we learned that there are some resources available and I’d like to help normalize a way that the OpenMRS community can sustainably manage ICD-11. I created a Google Form which asks folks to briefly summarize their solution and upload any files which can be helpful. Please follow this link (it requires a google account since it allows upload):
Tagging @slubwama , @jberchmas and the UoN team… Please remember to complete the form and upload any files you have to help the analysis!
Please @slubwama , @jberchmas
@akanter Submitted some fact files. Hope they make sense.
I think it might need a little explanation… I presume that concept_id is Uganda EMR’s concept ID and not CIEL’s. I don’t know what the colors mean or what columns G-K are for… Any chance we can quickly go over them? Let me know what works for you…
Sam, could we arrange a time to quickly go over these files? Thanks!
Just Seeing. Sure we can have a call to explain this. When would you like to have such a call.
I am available tomorrow during concept management office hours at 9am CDT.
Join Zoom Meeting https://e-imo.zoom.us/j/96431674220?pwd=NzNYYlpjRWFNK2JXdFNZQ3VuUnEyUT09 Meeting ID: 964 3167 4220 Passcode: 105473
If you cannot make the office hours (happening right now), then perhaps tomorrow (Friday) at 8:10 am Chicago time? I have to drop my daughter at the bus at 8am.
@akanter this coming week I will be in office. Maybe we can make it happen. I have been on the move for the last month.
That would be awesome. Thursday, 9am Chicago time same link as above? In the meantime I have been adding ICD-11 to highly used concepts from PIH. We are using the concept prevalence data to guide the icd-11 migration. That would also be great if you could have the Uganda sites included. Hope we can talk on Thursday next week!
Thats okay with me. Do you mind sending a calender invite to slubwama@musph.ac.ug
Are you able to join?
We had a great couple of sessions at OHIE24 in Sri Lanka discussing how to support ICD-11 transition. This included a breakout as part of the OCL workshop on the first day and an unconference session in the main conference. We have reviewed the ICD-10 to ICD-11 cross-map, made available on the ICD-11 website (under the info tab on the ICD-11 browser). It certainly is helpful, but does not provide an accurate map for many existing concepts. CIEL has been using a priority-based method for mapping to ICD-11 so that Uganda EMR and PIH by participating in the concept prevalence study, now have their concepts mapped to ICD-11 where appropriate. I encourage you to participate in the study and as a benefit, we know which concepts should be mapped first.
Ok, we are making progress on coming up with a sustainable plan for ICD-11. First, a warning. The ICD-10 to ICD-11 crosswalks are insufficient for providing the correct ICD-11 codes. Not only are there errors and incomplete codes, but it assumes that the concept being mapped is SAME-AS the ICD-10 code when this is not often true. Also, dumping in all of the ICD-11 foundation codes will be an issue for users.
The current plan is the following, and recommended next steps coming after:
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CIEL will provide correct, curated code mappings to ICD-11 for the CIEL concepts. We are starting with an initial clean-up of ICD-10 and corrected maps to ICD-11. We will then push out ICD-11 code maps for the rest of the CIEL disease concepts (there are already ICD-11 codes for vaccines). Currently there are 7000 ICD-11 codes in CIEL.
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The next step will be to identify proper ICD-11 codes which are not present in CIEL which need to be added. This might be a lot of codes, or we can do this more intelligently. We are also looking at ways to extend CIEL with access to the WHO API, but this requires careful consideration.
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For now, this is my recommendation: a) Use CIEL maps! If you already have CIEL, then use our maps. More will come and hopefully in the next 2-3 releases it should be complete. b) Send CIEL your dictionary export. This will allow us to see what you need to have mapped. c) Participate in the Concept Prevalence Study. Having a frequency distribution of actual used concepts (as opposed to hypothetical codes) will help prioritize. As an incentive, sending back mapped ICD-11 codes is one of the benefits.
If you have any questions, please reach out to me directly at akanter@openmrs.org