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Piloting a Collaborative Web-Based System for Testing ICD-11.

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Summary
This summary is machine-generated.

The ICDfit system, a web-based tool for International Classification of Diseases 11th Revision (ICD-11) field testing, has been technically validated. Preliminary tests show the system is adequate for supporting future ICD-11 implementation and global data collection.

Keywords:
Clinical CodingInternational Classification of DiseasesQuestionnaires

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Area of Science:

  • Health Informatics
  • Medical Classification Systems
  • Digital Health Tools

Background:

  • The 11th revision of the International Classification of Diseases (ICD-11) utilized web-based collaboration and ICT tools for expert input.
  • Systematic field testing across diverse global settings is crucial for validating ICD-11 functionality.
  • A dedicated web-based system, ICDfit, was developed to facilitate ICD-11 implementation and testing.

Purpose of the Study:

  • To illustrate the prototype of the ICDfit system.
  • To present the results of a preliminary technical testing phase for ICDfit.
  • To assess the technical adequacy of ICDfit for supporting future ICD-11 field studies.

Main Methods:

  • The ICDfit system was designed adhering to World Health Organization (WHO) requirements and built using PHP and MySQL.
  • A preliminary technical test was conducted in January 2016 with 8 users.
  • Participants performed double coding (ICD-10 and ICD-11) on case summaries and reported coding difficulty.

Main Results:

  • Eight users collectively coded 632 cases, with an average time of 163 seconds per case.
  • A minor issue was identified in the coding time recording mechanism.
  • No other significant technical issues were detected during the preliminary testing.

Conclusions:

  • The ICDfit system demonstrates technical adequacy for supporting forthcoming ICD-11 field testing.
  • The system's design and preliminary validation suggest it can effectively aid in the global implementation of ICD-11.
  • Further technical validation and refinement of ICDfit are supported by these initial findings.