Sunday, January 23, 2022

THE INTERNATIONAL CLASSIFICATION OF DISEASES (ICD)-11 MMS


THE INTERNATIONAL CLASSIFICATION OF DISEASES (ICD)-11 MMS

INTRODUCTION

The ICD11 has been updated for the 21st century to reflect the significant progress in science and medicine over the past 30 years and has been designed for use with digital health applications and information systems.

The International Classification of Diseases and Related Health Problems (ICD) is the international standard for systematic recording, reporting, analysis, interpretation and comparison of mortality and morbidity data.

The 11th revision (ICD11) is the result of a collaboration with clinicians, statisticians, epidemiologists, coders, classification and IT experts from around the world.

 ICD-11 is a scientifically rigorous product which accurately reflects contemporary health and medical practice, and representing a significant upgrade from earlier Revisions.

For the first time, ICD11 will enable dual coding of traditional medicine diagnoses alongside mainstream medicine and now also permits the generation of a functioning score based on the WHO Disability Assessment Scheme (WHODAS).

SIGNIFICANT FEATURE:

ICD11 is two things:

• A revised classification system with much more than diseases

  • The 11th ICD Revision has resulted in a reformulated chapter structure and indexing system. It comprises over 55 000 entities.
  • Besides diseases, ICD includes disorders, injuries, external causes, signs and symptoms, substances, medicaments, anatomy, devices, histopathology, severity and much more and 120 000 clinical terms (and can code millions of terms), with thousands of new categories and updated classification schemes.

• In digital format

  • Unlike any previous Revision of ICD, it is digital, comprising tools and software for using the classification to generate accurate descriptions of health event information.
  • It is designed to integrate with local health information systems rather than to introduce an additional layer of administration. It may be used either online or offline. It is Digital health or e-Health compatible and is interoperable with Health Information Systems.
  • By integrating with local IT infrastructure, the classification also becomes a data collection system, that is, rather than having multiple steps of transcription from paper, using the Browser to generate a correct code also enables that code to be directly recorded.
  • There is no longer a need to search or memorise codes – entering a term into the Coding Tool leads the clinician or the coder to the correct ICD code.

 ADVANTAGES OF ICD-11 MMS

1.      Up-to-date scientific knowledge
2.      Improvements and additions
3.      Ease of use
4.      Multiple applications to meet health system priorities

ICD-11 for MORTALITY AND MORBIDITY STATISTICS

[https://icd.who.int/browse11/l-m/en#]

 

BASIC CODE STRUCTURE OF ICD-11

  • The diagnostic codes of ICD-11 are alphanumeric and cover the range from 1A00.00 to ZZ9Z.ZZ.
  • The coding scheme always has a letter in the second position to differentiate from the codes of ICD-10.
  • Chapters are indicated by the first character. For example, 1A00 is a code in Chapter 1, and BA00 is a code in Chapter 11.
  • ICD-11 has an explicit way of marking codes that are post coordinated to describe one condition, called cluster coding. This is a notable new feature in ICD-11 that creates an ability to link core diagnostic concepts (i.e. stem code concepts) when desired, and/or to add clinical concepts captured in extension codes to primary stem code concepts.
  • In addition for the first time, ICD-11 will be fully electronic, providing access to 17,000 diagnostic categories, with over 1, 00,000 medical diagnostic index terms. The index-based search algorithm interprets more than 1.6 million terms. Per the WHO, ICD-11 is easy to install and use online or offline, using free “container” software

References

https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%
https://icd.who.int/ct11/icd11_mms/en/release
https://icd.who.int/docs/ICD-11%20Implementation%20or%20Transition%20Guide_v105.pdf










Friday, January 21, 2022

CONCEPT OF HEALTH & WELLNESS / COMPONENTS OF HEALTH

 


Health

Traditionally health has been defined in the term of the Presence or absence of disease.

According to the Nightingale – "Health is a state of being well and using every power of the individual processes to the fullest extent.

According to the WHO "Health is a state of complete physical, mental, and social well-being and not merely the absence of disease"

 

There are four aspects or dimensions emerge –

 (a) Physical (b) Mental (c) Social and spiritual.

  • Physical well-being means having the physical strength, endurance and energy to work towards your goals.
  •  Mental well-being is ability to cope with the world in a way that brings you satisfaction;
  •  Social well-being means development of relationships with others – both with people in your immediate surroundings and with the larger community through cultural, spiritual and political activities.

Concept of health is mainly of four types:

 Biomedical Concept

        Traditionally health has been viewed as "absence of disease" if one person is free from disease, s/he is considered as healthy. This concept is known as "Biomedical Concept", it has basis is germ theory of disease.

        The medical profession viewed the human body as a machine, disease because of the breakdown of the machine and one of the Doctor's tasks as repair of machine. Thus, health in a narrow view became ultimate goal of medicine.

        The limitation of this concept is that, it has minimized the role of environmental, social, psychological and cultural determinants of health.

Ecological Concept.

        History argues that improvement in human adaptation to natural environment can lead to longer life expectancies and a better quality of life.

        The concept supports the need for clean air, safe water, ozonic layer in the atmosphere, etc. to protect us from exposure to unhealthy factors.

Psycho social Concept

·       Health is not only a biomedical phenomenon, but also one, which is in the need by social psychological, cultural, economic and political factors of the people concerned. Health is both a biological and social phenomenon

Holistic Concept

·       Holism means viewing a person's health as a balance of body, mind, and spirit. Treating only the body will not necessarily restore optimal health. In addition to physical needs, nurses must also consider clients' psychological, sociocultural, developmental, and spiritual needs.

·       Holistic concept implies that, all sectors of society have an effect on health, in particular, agriculture, animal husbandry, food, industry, education, housing, public works, communications and health sectors the emphasis is on promotion and protection of health.

 

COMPONENTS OF HEALTH

Physical, e.g.:

        ability to carry out daily tasks

        achieve fitness

        maintain nutrition and proper body fat

        avoid abusing drugs, alcohol, or using tobacco products

        generally to practice positive life-style habits

Social, e.g.:

        ability to interact successfully with people and within the environment of which each person is a part

        develop and maintain intimacy with significant others

        develop respect and tolerance for those with different opinions and beliefs

Emotional, e.g.:

        ability to manage stress and express emotions appropriately

        ability to recognize, accept, and express feelings

        ability to accept one's limitations

Intellectual, e.g.:

        ability to learn and use information effectively for personal, family, and career development

        striving for continued growth and learning to deal with new challenges effectively

Spiritual, e.g.:

        belief in some force (nature, science, religion, or a "higher power") that serves to unite human beings and provide meaning and purpose to life

        includes a person's morals, values, and ethics

Occupational

        ability to achieve a balance between work and leisure time

        beliefs about education, employment and home influence personal satisfaction and relationships with others

Environmental

        ability to promote health measures that promote the standard of living and quality of life in the community

        influences include:

        food

        water

        air

REFERANCE:

1. Sharon Mantik Lewis, Heitkemper MM, Shannon Ruff Dirksen. Medical surgical nursing. St. Louis, Mo. ; London: Mosby; 2004.

2. Hinkle JL, Cheever KH. Brunner & Suddarth’s textbook of medical-surgical nursing. 14th ed. Philadelphia Wolters Kluwer Health, Lippincott Williams & Wilkins; 2018.

 



PHARMACOLOGY- DRUG CALCULATION 3