CLASSIFICATIONS, Terminologies, Standards … … BUILDING BLOCKS OF HEALTH INFORMATION … BUILDING BLOCKS OF HEALTH INFORMATION … ICD Revision Process: ICD Revision Process: Building the Building the infrastructure of ICD -11 infrastructure of ICD -11 … building blocks of health information … … building blocks of health information … Dr. T. Bedirhan Üstün Dr. T. Bedirhan Üstün Classifications, Terminologies, Classifications, Terminologies, Standards Standards
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CLASSIFICATIONS, Terminologies, Standards … … BUILDING BLOCKS OF HEALTH INFORMATION …BUILDING BLOCKS OF HEALTH INFORMATION …
ICD Revision Process:ICD Revision Process:Building the Building the
infrastructure of ICD -11 infrastructure of ICD -11
… building blocks of health information …… building blocks of health information …
Dr. T. Bedirhan ÜstünDr. T. Bedirhan ÜstünClassifications, Terminologies, StandardsClassifications, Terminologies, Standards
CLASSIFICATIONS, Terminologies, Standards … … BUILDING BLOCKS OF HEALTH INFORMATION …BUILDING BLOCKS OF HEALTH INFORMATION …
Topic Advisory Group:Health Informatics and Modelling
Rare Diseases
Neurology
Musculoskeletal
Ophthalmology
Maternal – Gender
Dermatology
Dentistry
CLASSIFICATIONS, Terminologies, Standards … … BUILDING BLOCKS OF HEALTH INFORMATION …BUILDING BLOCKS OF HEALTH INFORMATION …
Definition of DiseaseDefinition of Diseasea set of dysfunction(s) in any of the body systems including:a set of dysfunction(s) in any of the body systems including:
• with a known pattern of signs, symptoms & findings » symptomatology - manifestationssymptomatology - manifestations
• probably with an underlying explanatory mechanism» etiologyetiology
• a distinct pattern of development over time» course and outcomecourse and outcome
• a known pattern of response to interventions » treatment responsetreatment response
• with linkage to underlying genetic factors » genotypes, phenotypes and endophenotypesgenotypes, phenotypes and endophenotypes
• with linkage to interacting environmental factors
CLASSIFICATIONS, Terminologies, Standards … … BUILDING BLOCKS OF HEALTH INFORMATION …BUILDING BLOCKS OF HEALTH INFORMATION …
• Ontology (philosophy)– the Organization of Reality !!!
• Ontology (computer science) – the explicit – operational description
of the conceptualization of a domain:• Concepts: entity and quality
(properties and attributes)
• An ontology defines:– a common vocabulary a shared
understanding/exchange:• among people• among software agents• between people and software
– to reuse data - information– to introduce standards to allow
interoperability
What is What is Ontology?Ontology?
CLASSIFICATIONS, Terminologies, Standards … … BUILDING BLOCKS OF HEALTH INFORMATION …BUILDING BLOCKS OF HEALTH INFORMATION …
THE CONTENT MODELTHE CONTENT MODELAny Category in ICD is represented by:Any Category in ICD is represented by:
Descriptive characteristics1. Type
Disease, disorder, syndrome, injury, sign/symptom, external cause, reason for encounter;
2. Body System(s) (pathophysiology) 3. Body Part(s) (anatomical site)4. Manifestation Attributes
a. Signs & Symptomsb. Diagnostic Findings
5. Etiology a. Causal Mechanisms /Agentsb. Genomic characteristics