User:Biosthmors/test

Item Codes Mb_RG Issue(s) MbRG Suggestion(s) Primary TAG Actions Taken iCAT status Next actions

Classification of bacteria A00-B99 ICD-10 inconsistency and duplication Remove all information on bacterial names which is not exclusively specific to well defined syndrome WHO_Assigned WHO: High level rearrangement principles identified - to be implemented test to be entered in iCAT platform: WHO to coordinate with each TAG their Inf Dis Categories and refine titles Need to include new bacteria microbiology listed in a block of categories similar to the present B95-B97 WHO_Assigned New bacteria included; SNOMED Ct Harmonization needed. Value set needs to be trimmed SDT to be given the value set use a separate Classification for microbiology (like ATC-codes are used for drugs) DONE as suggested. done as above done as above WHO: content model completed for some PH relevant infectious diseases All primary TAGs to complete the Content model for causal agent of relevant diseases : The following TAGs are involved: TAG_IM_Cardiovascular, TAG_Dermatology, TAG_IM_Endocrinology, TAG_IM_Gastroenterology, TAG_GURM, TAG_IM_Haematology, TAG_IM_Hepatology_and_Pancreatobiliary, TAG_Mental_Health, TAG_Musculoskeletal, TAG_IM_Nephrology, TAG_Neurology, TAG_Ophthalmology, TAG_Paediatrics, TAG_Rare_Diseases, TAG_IM_Respiratory Botulism not associated with food poisoning A05.1 Need to distinguish food-borne from other modes of transmission.   Discussion needed as to whether this distinction is needed in ICD-11.  TAG_IM_Gastroenterology WHO proposes to retain this in second segment of Infectious Disease Chapter ( Generic Infectious Disease Clusterings) to be implemented SDT to be given the value set Anthrax A22 capture cutaneous, respiratory, and gastrointestinal infection WHO_Assigned solved in first segment to be implemented SDT to be given the value set; relevant TAG to check: dermatology, respiratory; gastroenterology Prion diseases A81 various forms and manifestations of prion are not grouped together all prion diseases be included in the same category TAG_Neurology solved in first segment (check for non-prion infectious agent: miDNA, miRNA etc) to be implemented SDT to be given the value set Poxviruses B08.0 ICD-10 not aligned with current knowledge Keep B03 for smallpox and reconstruct the category TAG_Dermatology B00-B09 has been restructured with other poxviruses as subcategories implemented TAG_MB to note. Use of ICD-O-3 morphology and topography codes C00-D48 topic needs to be addressed TAG_Neoplasms 1. WHO and TAG_neoplasms agree on TOPOGRAPHY ( i.e. high level anatomy) codes; 2. WHO and TAG- Neoplasms agree on MORPHOLOGY ( i.e. histopathology ) codes. to be implemented SDT to be given the value set Definition of 'primary' and 'secondary' C00-D48 topic needs to be addressed TAG_Neoplasms accordingly to be implemented SDT to be given the value set Need for further classification of extension, recurrence etc C00-D48 topic needs to be addressed TAG_Neoplasms to be handled by post coordination in Temporality and course Haemangioma D18.0 topic needs to be addressed TAG_Neoplasms TAG_ neoplasms to verify: D18 Hemangioma abnormal buildup of blood vessels in the skin or internal organs. Haemangioma differently entered in several parts of classifications (duplication? Double-parenting?), namely, TAG_RD; TAG Ophthalmology; TAG_Dermatology; TAG_IM_Gastroenterology WHO: highlight the issue to TAG_Neoplasms; Other TAGs to align with TAG_Neoplasms: TAG_RD; TAG Ophthalmology; TAG_Dermatology; TAG_IM_Gastroenterology Leukemia and Lymphoma C81-C96 Alignment needed between ICD-10 ICD-O-3 and WHO Blue book Review the section TAG_Neoplasms First draft revision by TAG_IM_Haematology (2ndary TAG) and TAG_RD Revised section is in iCAT WHO: highlight the issue to TAG_Neoplasms; Other TAGs to align with TAG_Neoplasms: TAG_IM_Haematology and then TAG_RD. Anaemia in chronic disease classified elsewhere D63* Need for anemia as main condition Allow coding Anaemia as main condition TAG_IM_Haematology D50-D69 is restructured by TAG Haematology Revised section is in iCAT TAG_IM_Nutrition and TAG_RD to review the proposal Introduce anaemia in acute diseases classified elsewhere TAG_IM_Nutrition and TAG_RD for specific conditions TAG_HEM TO RESPOND Index entry "Anaemia in malaria" erroneously directs to D63.8 Update index with examples for D63.8 Index correction =Correction needed in ICD-10 as well Index term to be corrected CCelik to modify Should D63* be considered "aplastic" or "other" Regard D63* as a block for aplastic anaemia D63* is abolished within dagger-asterisk abolition iCAT implementation other coagulation defects D68 TAG_IM_Haematology all other specified is unparked into the foundation as individual entities. Revised section is in iCAT by TAG HEM. WHO: highlight the issue to TAG_Neoplasms (although not involvement stated); TAG_MB to review Pancytopenia D61.9 Pancytopenia currently classified to D61.9 aplastic anaemia (covers only one aspect of Pancytopenia) Unique code for pancytopenia/Instruction for sequencing coding TAG_IM_Haematology D50-D69 is restructured by TAG Haematology Pancytopenia as such does not appear to be in iCAT WHO: highlight the issue to TAG_Haematology Polycythaemia and erythrocytosis D45 Polycythaemia and erythrocytosis are indexed to D45 Polycythaemia Vera which is different condition Separate the two conditions TAG_IM_Haematology D45 is restructured by TAG Haematology: created subclasses Created subclasses in a revised structure WHO: highlight the issue to TAG_Neoplasms; TAG_MB to review Diabetes Mellitus E10-E14 Major changes since ICD-10 was published Needs to be rewritten TAG_IM_Endocrinology Classification has been rewritten The proposal produced by TAG_IM_Endocrinology is not yet in iCAT. TAG_RD input in iCAT for particular conditions. TAG_IM_Endocrinology to load the proposal in iCAT; TAG_IM_Nutrition to review the proposal TAG_RD to align with the proposal Dagger asterisk issues in morbidity coding Complications in other organs should be represented Multidimensional structure to allow conditions to appear in different part of the classification (organ manifestation). to be implemented as the Dagger Asterisk Information note Double parenting of condition previously coded with D&A convention. Cystic fibrosis E84 ICD-10 classification of c.f. based on manifestations is outdated Identify atypical and classical c.f., with the latter further identified as with or without pancreatic insufficiency TAG_IM_Endocrinology (2ndary involved: TAG_IM_Respiratory) TAG RD to be made primary and TAG_IM Respiratory to be associated. to be implemented WHO: highlight the topic to TAG_RD and TAG_IM_Respiratory. And others ( e.g. Gastro) accordingly. Malnutrition E40-46 Outdated grading Introduce severity related grading using ESPEN criteria TAG_WG_Nutrition Topic has been revised by TAG_WG_Nutrition to be implemented TAG_WG_Nutrition to load the proposal into iCAT. TAG_IM_Endocrinology to review as 2ry involved TAG Amyloidosis E85 E85.4 Organ related Amyloidosis is insufficient for Morbidity coding Expansion of sites TAG_IM_Endocrinology Topic assigned to Metabolic (PRIMARY) {+ after splitting Endocrine and Metabolic} and referred to TAG_Neoplasm, TAG_Ophthalmology, TAG_IM_Nephrology, TAG_Neurology to be implemented WHO: highlight the topic to TAG_WG_Metabolic. TAG_Neoplasm, TAG_Ophthalmology, TAG_IM_Nephrology, TAG_Neurology to review and align afterwards. Obesity E65-E68 Adopt current criteria and definitions for obesity TAG_WG_Nutrition Topic has been revised by TAG_WG_Nutrition to be implemented TAG_WG_Nutrition to load the proposal into iCAT. TAG_IM_Endocrinology to review as 2ry involved TAG. TAG_RD and TAG_IM_Cardiovascular to align to proposal. Classify childhood obesity. TAG_Paediatrics to review Drug and alcohol codes – fourth characters F10-F19 Change block name to make evident physical harm. TAG_MH topic dealt with TAG_MH to be implemented WHO: highlight the topic to TAG_MH Split F15 into amphetamine and related drugs and caffeine. topic dealt with TAG_MH to be implemented WHO: highlight the topic to TAG_MH Add category for GHB Migraines and other headache syndromes G43 Headache classification not reflected in ICD-10 Incorporate headache classification TAG_Neurology Topic restructured by TAG_Neurology Newly revised section is in iCAT but under a "To be retired - Diseases of the nervous system" TAB WHO: ask TAG_Neurology for clarification Myotonic disorders G71 Need for specificity Distinguish myotonic dystrophy from milder course of myotonia congenital TAG_Neurology "Primary disorders of muscles" restructured by TAG_Neurology Newly revised section is in iCAT but under a "To be retired - Diseases of the nervous system" TAB WHO: ask TAG_Neurology for clarification Auditory processing disorder Need for this concept Unassigned Request for a full proposal to be submitted APD does not appear in iCAT WHO: highlight the issue to TAG_Functioning Insomnia, hypersomnia and sleep apnea G47 Need for diagnostic, severity and duration criteria Add criteria TAG_Neurology Criteria obtained Proposal by TAG_Neurology do not include criteria TAG_MH and TAG_IM_Respiratory to review. Central Pain syndrome Need to describe encounters for pain management USA to add the concepts; Nordic CC to address the topic in intervention classification TAG_Neurology TAG Neurology created a "Central post-stroke pain" category Newly added category is in iCAT but under a "To be retired - Diseases of the nervous system" TAB WHO: ask TAG_Neurology for clarification and highlight the issue Retrolental Fibroplasia H35.1 Need to capture pre-threshold ROP Subdivide ROP into stages and include Retrolental Fibroplasia TAG_RD "TAG_Ophtalmology has further subdivided Retinopathy of prematurity in stages including a stage 0. " TAG_Ophtalmology proposal is in iCAT WHO: to resolve RD and OPTH. Overlap. Dual sensory impairment Coding blindness and hearing loss does not capture the dual sensory impairment Create a code TAG functioning assigned to review impairment related topics Condition mentioned only as 'Deaf blind hypopigmentation syndrome, Yemenite type' child of Syndromic genetic deafness WHO: highlight topic to TAG_functioning; TAG_RD to align. RSG to solve issue of single condition vs. co-morbidity. Speech and language developmental delay due to hearing loss H91 Speech ability impairment due to congenital hearing loss in children is not captured Create a code WHO_Assigned TAG functioning assigned to review impairment related topics TAG RD identified RD with congenital hearing loss WHO: highlight topic to TAG_functioning and TAG_MH;TAG_RD to align. Hearing loss H90 Common problem: needs laterality WHO_Assigned Laterality is addressed Hearing loss in iCAT has the ICD-10 structure WHO: highlight topic to TAG_functioning Acute coronary syndrome I21 Need to distinguish STEMI vs. NSTEMI Add subtypes TAG_IM_Cardiovascular Proposal "under construction" to be implemented When proposal is as TAG_MB; TAG_QS to review; Isolated systolic hypertension and isolated diastolic hypertension I10-I15 Need to distinguish them Add specific codes TAG_IM_Cardiovascular Hypertensive diseases area has been restructured Proposal updated. Distinction does not appear. WHO: highlight topic to TAG_Cardiovascular Heart failure I50 HF ≠ Congestive HF Need to distinguish them TAG_IM_Cardiovascular Proposal "under construction" Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review Rheumatic heart disease I09 Etiology is becoming secondary in classification of heart valve disease Combine rheumatic and non rheumatic heart diseases (I05-06, maybe I08 with I34-37) TAG_IM_Cardiovascular Proposal "under construction" Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review Hypertensive diseases I10-I15 Not consistent: cause effect relationship mixed to "association with" Delete "association with" codes and code out the two conditions TAG_IM_Cardiovascular clinical modification imported, with granularity at 5th character level. Proposal "under construction" Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review Ischaemic heart disease I20-I25 change of concepts and terminology, phases of AMI describe temporal definition of MI with "acute" "healing" or "healed" TAG_IM_Cardiovascular Proposal "under construction" Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review the addition of a new code at I24.7 Myocardial infarction, intermediate, and a time frame for its application Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review the removal of the concept of chronic myocardial infarction from I25.8 Other forms of chronic ischaemic heart disease and the creation of a new code I25.7 Myocardial infarction, late stage Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review the correction of the inclusion term at I25.8 Other forms of chronic ischaemic heart disease, to maintain consistency with the excludes note at I24.0 Coronary thrombosis not resulting in myocardial infarction Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review The amendment of the note at I 23 Certain current complications following acute myocardial infarction, which will allow the assignment of both the code for the acute MI and the current complication. Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review the amendment of the inclusion term at I25.2 Old myocardial infarction Topic still not reviewed Wait until proposal is on iCAT; then TAG_MB to review Classification of ischaemic stroke I64 update needed Adopt TOAST classification of subtypes of Acute Ischaemic Stroke TAG_Neurology Codes I60-I69 moved to Diseases of the nervous system ICD-10 categories I60-I 69 are in iCAT as such but under a "To be retired - Diseases of the nervous system" tab. WHO: wait until TAG_Neurology loads the proposal into iCAT Atherosclerosis of arteries of extremities I70.2 need to capture the presence of claudication, rest pain, ulceration or gangrene Further specification TAG_IM_Cardiovascular distinction with/without gangrene. No other change. accordingly WHO: wait until TAG_IM_Cardiovascular completes the proposal Dissection of aorta I71.0 need to capture the site of the aorta Further specification TAG_IM_Cardiovascular Proposal "under construction" Topic still not reviewed WHO: wait until TAG_IM_Cardiovascular completes the proposal Haemorrhoids I84 haemorrhoids are primarily a condition in the anal mucosa move to Digestive System chapter TAG_IM_Cardiovascular moved into digestive chapter accordingly TAG_MB to note. Food allergy with respiratory manifestations [probably] need for respiratory reactions to food allergens TAG_IM_Respiratory none ICD-10 category structure undergoing change at the moment WHO: highlight topic to TAG_IM_Respiratory Tonsillitis - acute, recurrent acute and chronic [probably]need to capture "recurrent"/ "recurrent-acute" TAG_IM_Respiratory addition of concept for "recurrent acute tonsillitis" in ICD-11 accordingly TAG_MB to note. Chronic suppurative lung disease need for unique code TAG_IM_Respiratory none ICD-10 category structure undergoing change at the moment WHO: highlight topic to TAG_IM_Respiratory Croup and stridor J05 concerns regarding correct code assignment in the different modifications TAG_IM_Respiratory none ICD-10 category structure undergoing change at the moment WHO: highlight topic to TAG_IM_Respiratory Pneumonia J10-J18 precoordination enlarges too much the concept use additional codes to identify the agent WHO and TAG_IM_Respiratory WHO is restructuring chapter 1 ICD-10 category structure undergoing change at the moment WHO: restructure chapter 1; TAG_IM_Respiratory to align Hernia, abdominal K40 – K46 classification of certain herniae not updated TAG_IM_Gastroenterology total restructure of chapter new categories for Herniae TAG_MB to note.

term ‘toxic’ in chapter 11		use of "toxic" is not clear	definition of the term toxic	TAG_IM_Gastroenterology	total restructure of chapter but no further explanation on this issue	not relevant	WHO: highlight issue to the TAG_IM_Gastroenterology

Diverticular disease of intestine K57 More specificity differentiation between diverticulosis and diverticulitis TAG_IM_Gastroenterology total restructure of chapter; specific codes for the 2 conditions accordingly TAG_MB to note. Dyspepsia Include functional dyspepsia included in digestive chapter TAG_IM_Gastroenterology Functional dyspepsia included in digestive chapter and dyspepsia included in new category "Symptom arising from upper GI. tract" accordingly TAG_MB to note. Wound ulcers and abscesses request severity related classification TAG_Dermatology Chapter completely restructured. Staging has been included at pressure ulcers codes. Dermatology proposal is in iCAT Issue has been addressed; MB_TAG to review secondary (optional) category WHO: highlight issue to the TAG_dermatology Arthropathies and systemic disorders in diseases classified elsewhere M14* & M36* Ambiguity between these categories TAG_IM_Rheumatology Hierarchy has been restructured and these concepts listed together changed accordingly TAG_MB to note. Infectious arthropathies Concern regarding the number of pre-coordinated codes Suggest using multiple coding TAG_IM_Rheumatology WHO is restructuring chapter 1 drafting precoordination at top category level ICD-10 category structure undergoing change at the moment. Also restructuring has been done by rheumatology WHO: restructure chapter 1; TAG_Rheumatology to align Renal tubulo interstitial diseases – overlaps and ambiguities in section N10 – N16 N10-N16 Concern about the number of exclude notes and the confusion in applying them TAG_IM_Nephrology Hierarchy has been restructured and is still being reviewed accordingly WHO: highlight topic to TAG_IM_Nephrology Chronic kidney disease N18 Update the terminology and add staging TAG_IM_Nephrology New proposal has included CKD accordingly TAG_MB to note. PIN – prostatic inatraepithelial neoplasia Concern about the correct chapter assignment i.e. body system chapter vs. neoplasm chapter TAG_Neoplasms PIN has not been addressed in the revision at this time Unchanged WHO: highlight topic to TAG_Neoplasms and TAG_IM_Nephrology Need to distinguish in what stage of the pregnancy or puerperium the condition occurred, ie 5th characters in ICD-9. Addition of a subclassification to identify the stage of the pregnancy or puerperium TAG_GURM This has not been addressed in the revision at this time Unchanged WHO: highlight topic to TAG_GURM O99 Addition of Duration of pregnancy codes TAG_GURM The category O09 Duration of pregnancy has been included in the foundation model implemented TAG_MB to note. O44.1 Placenta previa with hemorrhage O44.1 Addition of information to show the trimester in which this condition occurred TAG_GURM This has not been addressed in the revision at this time Unchanged WHO: highlight topic to TAG_GURM Eclampsia, pre-eclampsia and gestational hypertension codes O10-O16 Need to address the issue of severity levels and terminology used. TAG_GURM Change of code title to "mild to moderate pre-eclampsia" implemented TAG_MB to review; GURM to consider Mild/ Moderate/ Severe as a scale remove reference to proteinuria in code title for pre-eclampsia TAG_GURM Change of category and code titles to "pre-eclampsia" implemented TAG_MB to note. Overlap and use of O26 codes and O99 codes O26 & O99 Overlap between O26.8 and O99 codes. Issues of when to assign these codes Use multiple coding TAG_GURM None Unchanged WHO: highlight topic to TAG_GURM Rupture of uterus/extension of uterine scar O71.1 Need to distinguish between lacerations and ruptures of the uterus in obstetric cases as a true rupture is extremely severe compared to a laceration Addition of 5th characters to distinguish differences TAG_GURM None Unchanged WHO: highlight topic to TAG_GURM Cerebral oedema not related to birth trauma P91.8 Correct code assignment for this condition? TAG_GURM Some work has been done on the category P91 but not yet complete implemented WHO: highlight topic to TAG_GURM Hypoxia of newborn, Hypoxic ischemic encephalopathy [HIE] and related newborn issues P91.6 & P91.8 Issues with terminology recommend that HIE be the more appropriate terminology TAG_GURM Additional codes based on the severity of the HIE have been included. implemented TAG_MB to note. Necrotizing enterocolitis P77 Current codes does not provide information on severity TAG_GURM This will be resolved with postcoordination Unchanged WHO: highlight the issue to TAG_GURM together with TAG_Quality and Safety Genetic susceptibility to disease New category for genetic susceptibility TAG_Rare_Diseases Currently being reviewed and discussed by WHO and RSG Unchanged RSG: to take a position on genetic susceptibility Congenital deformities and malformations Overlap in terminology in various code titles TAG_Rare_Diseases Hierarchy has been substantially restructured and is still being reviewed implemented TAG_MB to review on completion of proposal entry by TAG_Rare_Disease Congenital occlusion of ureterovesical orifice Q62 Codes within this category are not mutually exclusive Review the section TAG_Rare_Diseases Category Q62 has been retired and the hierarchy in this chapter has been substantially restructured and is still being reviewed implemented TAG_MB to review on completion of proposal entry by TAG_Rare_Disease Incomplete segmentation of bone Need a code TAG_Rare_Diseases This concept now exists in the revision (Segmentation anomalies of vertebrae) and is line with the information included in the original URC proposal implemented TAG_MB to note. Traumatic brain injury S06.2 diffuse axonal and axonal shearing injuries versus focal injuries refine terminology TAG_External_Causes TAG_External causes does not see this as priority. no changes to ICD-10 structure. Foundation has included clinical modifications WHO: highlight topic to TAG_External_Causes for review delete SO6.7 SO6.7 deleted Head injury/concussion/LOC S06.9 "closed head injury” as synonym of intracranial injury index revision TAG_External_Causes no major structural changes are foreseen for this chapter no changes to ICD-10 structure WHO: highlight topic to TAG_External_Causes: change index and exclusion note accordingly. Spinal cord injury/ level of injury of vertebrae G82 need to capture whether paralysis is complete or incomplete TAG_Neurology no changes to ICD-10 structure WHO: wait until TAG_Neurology loads the proposal into iCAT Fracture and dislocation of tooth SO2, SO3 terminology of tooth is not in the category title refine terminology TAG_External_Causes TAG_Oral Health added a concept for non traumatic fracture of teeth in the Digestive system. Similarly for dislocation. additional codes added to Digestive chapter WHO: highlight topic to TAG_External_Causes mentioning the work of TAG_Oral Health that potentially solves the issue Sports medicine and overuse injuries lack of applicable codes and specificity for overuse injuries in both injury and musculoskeletal chapter TAG_External_Causes none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes and TAG Musculoskeletal Maltreatment syndromes T74 identify perpetrator as external cause not injury addition of 4th character at X85-Y09 TAG_External_Causes added category "dimension" with subcategories "perpetrator" implemented TAG_MB to note. Poisoning and adverse effects and definitions for key words duplication of concepts between chapter 19 and 20 TAG_External_Causes chapter 20 has been completely restructured with different axes, however no change is made to chapter 19 implemented WHO: highlight topic to TAG_External_Causes and TAG_MB to review. Toxicity concept not fully covered by ICD-10 TAG_External_Causes none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes Drug classification drugs are classified by constituent rather than indication for treatment TAG_External_Causes none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes Complications of devices T82 – T85 confusion over when the codes may be assigned TAG_External_Causes none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes External cause in diagnostic codes duplication of information removal of external cause concepts from codes titles TAG_External_Causes none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes Definitions of ‘early’ and ‘late’ complications need to distinguish early and late complications addressed in ICD-11 WHO_Assigned none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes Ambiguity between T codes and end of chapter post-procedural complication codes supposed ambiguity between index entries WHO_Assigned the issue seems to raise from a misinterpretation of the index Unchanged ICD-10 category structure WHO: refine the index Intraoperative/postoperative clarification of terminology: define both TAG_External_Causes WHO: highlight the issue to TAG_External_causes together with TAG_Quality and Safety Lack of specific postprocedural code ICD-10 index issue WHO_Assigned none TAG_MB Review ICD-11 Index and ICD-11 coding rules once classification is stable Overlap of T81 Complications of procedures, not elsewhere classified and T88 Other complications of surgical and medical care, not elsewhere classified T81-T88 TAG_External_Causes none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes together with TAG_Quality and Safety Extravasation of vesicant chemotherapy add a code TAG_External_Causes none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes and TAG_Quality and Safety Nosocomial infections inadequate capture of nosocomial infections new category for chapter 19 TAG_External_Causes none Unchanged ICD-10 category structure WHO: highlight the issue to TAG_External_causes and TAG_Quality and Safety Mixed concepts in external cause codes U to Y duplication of diagnostic information remove diagnostic information TAG_External_Causes chapter has been completely restructured with different axes Proposal under construction Wait until proposal is on iCAT; then TAG_MB to review Four wheel motorcycles new code needed add a code TAG_External_Causes chapter has been completely restructured with different axes still only refers to 2 or three wheeled motorcycles WHO: highlight topic to TAG_External_Causes Electrically powered indoor/outdoor conveyances new code needed add a code TAG_External_Causes chapter has been completely restructured with different axes seems not to be included in the proposal WHO: highlight topic to TAG_External_Causes Exposure to environmental substances new code needed add a code TAG_External_Causes chapter has been completely restructured with different axes seems not to be included in the proposal WHO: highlight topic to TAG_External_Causes Anaphylactic reaction to food new code needed add a code TAG_External_Causes chapter has been completely restructured with different axes food allergies and reactions in the disease chapters TAG_External_Causes WHO to consider the matter in the possible creation of an immune disease chapter Misadventures to patients during surgical and medical care Y60-Y69 definition of misadventure TAG_External_Causes chapter has been completely restructured with different axes the term "misadventure" is not been used Medical devices associated with adverse incidents in diagnostic and therapeutic use Y70–Y82 overlapping and ambiguity TAG_External_Causes chapter has been completely restructured with different axes issue of ambiguity solved by new structure Wait until proposal is on iCAT; then TAG_MB to review Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure Y83 overlapping of subcategories TAG_External_Causes chapter has been completely restructured with different axes hierarchy completely new, issue solved Wait until proposal is on iCAT; then TAG_MB to review Ritual or cultural practice as cause of death new code for non medical procedures and procedures of traditional medicine TAG_External_Causes created a category "injury or harm in therapy and care NEC" Wait until proposal is on iCAT; then TAG_MB to review Contextual factors framework for non-medical contextual factors WHO_Assigned and potentially all other TAGs chapter still pending no structural changes to the previous ICD-10 structure WHO: decision on chapter 21 Carrier of infectious disease (Z22) Z22 classify to the specific disease WHO_Assigned chapter 1 is under revision by WHO. The issue has been considered and carrier state will be classified with the disease to be implemented include in Chapter I.