Categorization of allergic disorders in the new World Health Organization International Classification of Diseases

Clinical and Translational Allergy

Pascal Demoly²  Nikolaos G Papadopoulos⁴  Cezmi A Akdis¹  Bruce J Goldberg⁵  Moises A Calderon⁶  Luciana Kase Tanno³ 

[1] Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Christine Kühne-Center for Allergy Research and Education, Davos, Switzerland;University Hospital of Montpellier, Montpellier, and Sorbonne Universités, UPMC Paris 06, UMR-S 1136, IPLESP, Equipe EPAR, 75013 Paris, France;Hospital Sírio Libanês, São Paulo, Brazil;Department of Allergy, 2nd Pediatric Clinic, University of Athens, Athens, Greece;Director, Kaiser-Permanente Southern California Regional Allergy-Immunology Laboratory, Consultant terminologist, International Health Terminology Standards Development Organization, Los Angeles, CA, USA;Section of Allergy and Clinical Immunology, Imperial College London, National Heart and Lung Institute, Royal Brompton Hospital, London, UK

关键词: Hypersensitivity diseases;    International Classification of Diseases (ICD);    Classification;    Allergic diseases;   

Others  :  1092744
DOI  :  10.1186/2045-7022-4-42

 received in 2014-09-28, accepted in 2014-10-19,  发布年份 2014

【 摘 要 】

Background

Although efforts to improve the classification of hypersensitivity/allergic diseases have been made, they have not been considered a top-level category in the International Classification of Diseases (ICD)-10 and still are not in the ICD-11 beta phase linearization. ICD-10 is the most used classification system by the allergy community worldwide but it is not considered as appropriate for clinical practice. The Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) on the other hand contains a tightly integrated classification of hypersensitivity/allergic disorders based on the EAACI/WAO nomenclature and the World Health Organization (WHO) may plan to align ICD-11 with SNOMED CT so that they share a common ontological basis.

Methods

With the aim of actively supporting the ongoing ICD-11 revision and the optimal practice of Allergology, we performed a careful comparison of ICD-10 and 11 beta phase linearization codes to identify gaps, areas of regression in allergy coding and possibly reach solutions, in collaboration with committees in charge of the ICD-11 revision.

Results

We have found a significant degree of misclassification of terms in the allergy-related hierarchies. This stems not only from unclear definitions of these conditions but also the use of common names that falsely imply allergy. The lack of understanding of the immune mechanisms underlying some of the conditions contributes to the difficulty in classification.

Conclusions

More than providing data to support specific changes into the ongoing linearization, these results highlight the need for either a new chapter entitled Hypersensitivity/Allergic Disorders as in SNOMED CT or a high level structure in the Immunology chapter in order to make classification more appropriate and usable.

【 授权许可】

   
2014 Tanno et al.; licensee BioMed Central Ltd.

【 图 表 】

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