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