MEpedia - User contributions [en]

Talk:World Health Organization

2021-08-16T11:35:53Z

Dx Revision Watch:/* WHO has removed the prefix “Benign” from “Benign myalgic encephalomyelitis” for ICD-11 and for the most recent release of ICD-10 (Version: 2019) -- ~~~~ -- ~~~~ */ new section

==First classification of myalgic encephalomyelitis as neurological - WHO ICD-8 publication ==

A number of academic texts cite two references for this: 
:''International Classification of Diseases. Volume I 1969. pp. 158'' and 
:''International Classification of Diseases. Volume II, 1969. pp. 173''
See [https://apps.who.int/iris/handle/10665/70934 WHO ICD-8 files]
Sometimes the first volume reference is given as 1967 (correct according to the WHO website and book publications) rather than 1969. After some investigation via the WHO website, other key sources and checking book ISBNs it appears that the ICD-8 was published in 1967, and only listed disease names and classification codes - and benign myalgic encephalomyelitis was not included - although under code 323 is ''encephalomyelitis - postinfectious'' (does not state viral/bacterial/parasitic etc); although it's possible there was an expanded / comprehensive edition but the page numbers given by others indicate that there was only one version in English.
ICD-8 volume II was published in 1969 and clearly did include ME: Encephalomyelitis (chronic) myalgic, benign, again under code 323. Since this reference can be very clearly verified this is the best one to use.
Notable sources in the ME/CFS using an ICD-8 reference including [[Frank Twisk]], [[The Hummingbirds' Foundation for ME]], [[Greg Crowhurst]] of [[Stonebird]], [[Invest in ME Research]], and [[Margaret of Mar]] (the Countess of Mar). [[User:Notjusttired|notjusttired]] ([[User talk:Notjusttired|talk]]) 14:50, 13 April 2019 (EDT)

== WHO has removed the prefix “Benign” from “Benign myalgic encephalomyelitis” for ICD-11 and for the most recent release of ICD-10 (Version: 2019) -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 11:35, August 16, 2021 (UTC) -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 11:35, August 16, 2021 (UTC) ==

The text and reference for the WHO's International version of ICD-10 needs updating from Version 2016 to ICD-10 (Version: 2019) (which the WHO has said will be the final release in the life of ICD-10). For the 2019 release, the prefix "Benign" was removed.

Also the text and reference for ICD-11 needs updating to reflect the fact that the prefix "Benign" has now also been removed for ICD-11.

This document sets out the changes, dates of changes and links for ICD-10 (Version: 2019) and for the most recent release of ICD-11:

https://dxrevisionwatch.files.wordpress.com/2020/11/world-health-organization-removes-benign-from-benign-myalgic-encephalomyelitis.pdf

Talk:World Health Organization

2021-08-16T11:32:42Z

Dx Revision Watch:

Talk:World Health Organization

2021-08-16T11:31:12Z

Dx Revision Watch:

==First classification of myalgic encephalomyelitis as neurological - WHO ICD-8 publication ==

A number of academic texts cite two references for this: 
:''International Classification of Diseases. Volume I 1969. pp. 158'' and 
:''International Classification of Diseases. Volume II, 1969. pp. 173''
See [https://apps.who.int/iris/handle/10665/70934 WHO ICD-8 files]
Sometimes the first volume reference is given as 1967 (correct according to the WHO website and book publications) rather than 1969. After some investigation via the WHO website, other key sources and checking book ISBNs it appears that the ICD-8 was published in 1967, and only listed disease names and classification codes - and benign myalgic encephalomyelitis was not included - although under code 323 is ''encephalomyelitis - postinfectious'' (does not state viral/bacterial/parasitic etc); although it's possible there was an expanded / comprehensive edition but the page numbers given by others indicate that there was only one version in English.
ICD-8 volume II was published in 1969 and clearly did include ME: Encephalomyelitis (chronic) myalgic, benign, again under code 323. Since this reference can be very clearly verified this is the best one to use.
Notable sources in the ME/CFS using an ICD-8 reference including [[Frank Twisk]], [[The Hummingbirds' Foundation for ME]], [[Greg Crowhurst]] of [[Stonebird]], [[Invest in ME Research]], and [[Margaret of Mar]] (the Countess of Mar). [[User:Notjusttired|notjusttired]] ([[User talk:Notjusttired|talk]]) 14:50, 13 April 2019 (EDT)

== WHO has removed “Benign” from “Benign myalgic encephalomyelitis” for ICD-11 and for the most recent release of ICD-10 (Version: 2019)

The text and the reference for the WHO's International version of ICD-10 needs updating from Version 2016 to ICD-10 (Version: 2019). This is the final update in the life of ICD-10. For the 2019 release, the prefix "Benign" has been removed.

Also the text and reference for ICD-11 needs updating to reflect the fact that the prefix "Benign" has now also been removed for ICD-11.

This document sets out the changes, date of changes and links for ICD-10 (Version: 2019) and the most recent release of ICD-11:

https://dxrevisionwatch.files.wordpress.com/2020/11/world-health-organization-removes-benign-from-benign-myalgic-encephalomyelitis.pdf

Talk:World Health Organization

2021-08-16T11:30:01Z

Dx Revision Watch:/* WHO has removed “Benign” from “Benign myalgic encephalomyelitis” for ICD-11 and for the most recent release of ICD-10 (Version: 2019) -- Dx Revision Watch (talk) 11:07, August 16, 2021 (UTC) -- Dx Revision Watch (talk) 11:07, August 16, 2021...

==First classification of myalgic encephalomyelitis as neurological - WHO ICD-8 publication ==

A number of academic texts cite two references for this: 
:''International Classification of Diseases. Volume I 1969. pp. 158'' and 
:''International Classification of Diseases. Volume II, 1969. pp. 173''
See [https://apps.who.int/iris/handle/10665/70934 WHO ICD-8 files]
Sometimes the first volume reference is given as 1967 (correct according to the WHO website and book publications) rather than 1969. After some investigation via the WHO website, other key sources and checking book ISBNs it appears that the ICD-8 was published in 1967, and only listed disease names and classification codes - and benign myalgic encephalomyelitis was not included - although under code 323 is ''encephalomyelitis - postinfectious'' (does not state viral/bacterial/parasitic etc); although it's possible there was an expanded / comprehensive edition but the page numbers given by others indicate that there was only one version in English.
ICD-8 volume II was published in 1969 and clearly did include ME: Encephalomyelitis (chronic) myalgic, benign, again under code 323. Since this reference can be very clearly verified this is the best one to use.
Notable sources in the ME/CFS using an ICD-8 reference including [[Frank Twisk]], [[The Hummingbirds' Foundation for ME]], [[Greg Crowhurst]] of [[Stonebird]], [[Invest in ME Research]], and [[Margaret of Mar]] (the Countess of Mar). [[User:Notjusttired|notjusttired]] ([[User talk:Notjusttired|talk]]) 14:50, 13 April 2019 (EDT)

== WHO has removed “Benign” from “Benign myalgic encephalomyelitis” for ICD-11 and for the most recent release of ICD-10 (Version: 2019) -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 11:07, August 16, 2021 (UTC)

The text and the reference for the WHO's International version of ICD-10 needs updating from Version 2016 to ICD-10 (Version: 2019). This is the final update in the life of ICD-10. For the 2019 release, the prefix "Benign" has been removed.

Also the text and reference for ICD-11 needs updating to reflect the fact that the prefix "Benign" has now also been removed for ICD-11.

This document sets out the changes, date of changes and links for ICD-10 (Version: 2019) and the most recent release of ICD-11:

https://dxrevisionwatch.files.wordpress.com/2020/11/world-health-organization-removes-benign-from-benign-myalgic-encephalomyelitis.pdf

Talk:World Health Organization

2021-08-16T11:07:51Z

Dx Revision Watch:/* WHO has removed “Benign” from “Benign myalgic encephalomyelitis” for ICD-11 and for the most recent release of ICD-10 (Version: 2019) -- ~~~~ -- ~~~~ */ new section

==First classification of myalgic encephalomyelitis as neurological - WHO ICD-8 publication ==

A number of academic texts cite two references for this: 
:''International Classification of Diseases. Volume I 1969. pp. 158'' and 
:''International Classification of Diseases. Volume II, 1969. pp. 173''
See [https://apps.who.int/iris/handle/10665/70934 WHO ICD-8 files]
Sometimes the first volume reference is given as 1967 (correct according to the WHO website and book publications) rather than 1969. After some investigation via the WHO website, other key sources and checking book ISBNs it appears that the ICD-8 was published in 1967, and only listed disease names and classification codes - and benign myalgic encephalomyelitis was not included - although under code 323 is ''encephalomyelitis - postinfectious'' (does not state viral/bacterial/parasitic etc); although it's possible there was an expanded / comprehensive edition but the page numbers given by others indicate that there was only one version in English.
ICD-8 volume II was published in 1969 and clearly did include ME: Encephalomyelitis (chronic) myalgic, benign, again under code 323. Since this reference can be very clearly verified this is the best one to use.
Notable sources in the ME/CFS using an ICD-8 reference including [[Frank Twisk]], [[The Hummingbirds' Foundation for ME]], [[Greg Crowhurst]] of [[Stonebird]], [[Invest in ME Research]], and [[Margaret of Mar]] (the Countess of Mar). [[User:Notjusttired|notjusttired]] ([[User talk:Notjusttired|talk]]) 14:50, 13 April 2019 (EDT)

== WHO has removed “Benign” from “Benign myalgic encephalomyelitis” for ICD-11 and for the most recent release of ICD-10 (Version: 2019) -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 11:07, August 16, 2021 (UTC) -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 11:07, August 16, 2021 (UTC) ==

The text for the WHO's International version of ICD-10 needs updating from Version 2016 to ICD-10 (Version: 2019). This is the final update in the life of ICD-10. For the 2019 release, the prefix "Benign" has been removed.

Also the text for ICD-11 needs updating to reflect the fact that the prefix "Benign" has now also been removed for ICD-11.

This document sets out the changes, date of changes and links for ICD-10 (Version: 2019) and the most recent release of ICD-11:

https://dxrevisionwatch.files.wordpress.com/2020/11/world-health-organization-removes-benign-from-benign-myalgic-encephalomyelitis.pdf

Talk:Bodily distress disorder

2020-03-15T18:10:04Z

Dx Revision Watch:/* Exclusions for 8E49 Postviral fatigue syndrome; Benign myalgic encephalomyelitis; and Chronic fatigue syndrome under 6C20 Bodily distress disorder -- ~~~~ */ new section

== Article needs to make clear that ICD-11's Bodily distress disorder is differently conceptualised to the Fink et al (2007, 2010) Bodily distress syndrome -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 14:03, March 15, 2020 (EDT) ==

Article needs to make clear that ICD-11's Bodily distress disorder is differently conceptualised to the Fink et al (2007 2010) Bodily distress syndrome.

For ICD-11, most of ICD-10’s Somatoform disorders and Neurasthenia are being replaced by a single new category, Bodily distress disorder (BDD)¹. Although the terms “Bodily distress disorder” and “Bodily distress syndrome” (BDS) are often used synonymously, both the World Health Organization (WHO) and Professor Per Fink² have clarified that as defined for ICD-11, BDD is a conceptually different diagnosis. ICD-11's BDD and Fink’s BDS are differently characterized, have very different criteria and include different groups of patients.

For ICD-11, the BDD diagnosis requires both the presence of one or more distressing bodily symptoms, which can be either “medically unexplained” or caused by a general medical condition, and also “excessive, disproportionate or maladaptive” responses to the symptoms. BDD potentially captures a percentage of patients with CFS, ME³ or with other general medical conditions and diseases, if the clinician considers they also meet the criteria for an additional diagnosis of BDD. In contrast, Fink’s BDS diagnosis requires physical symptom patterns from one or more body systems, for these symptoms to be “medically unexplained” and does not require any emotional or behavioural responses. Crucially, BDS includes CFS, ME, IBS and FM under a single, unifying diagnosis.

1 ICD-11 for Mortality and Morbidity Statistics (ICD-11 MMS) 2018 Release, Version for preparing implementation. Accessed July 14, 2018
https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f767044268

2 Syndromes of bodily distress or functional somatic syndromes - Where are we heading. Lecture on the occasion of receiving the Alison Creed award
2017, Fink, Per. Journal of Psychosomatic Research, Volume 97, 127 - 130 https://www.jpsychores.com/article/S0022-3999(17)30445-2/fulltext
Lecture slides: http://www.eapm2017.com/images/site/abstracts/PLENARY_Prof_FINK.pdf

Source: https://dxrevisionwatch.files.wordpress.com/2018/07/comparison-of-ssd-bdd-bds-bss-in-classification-systems-v1.pdf

== Exclusions for 8E49 Postviral fatigue syndrome; Benign myalgic encephalomyelitis; and Chronic fatigue syndrome under 6C20 Bodily distress disorder -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 14:10, March 15, 2020 (EDT) ==

On December 02, 2019, a new proposal and rationale was submitted via the ICD-11 Proposal Mechanism for adding exclusions for 8E49 Postviral fatigue syndrome; Benign myalgic encephalomyelitis; and Chronic fatigue syndrome under 6C20 Bodily distress disorder. This proposal was approved and implemented by WHO on January 17, 2020:

Source: Proposal: https://icd.who.int/dev11/proposals/l-m/en#/http://id.who.int/icd/entity/767044268?readOnly=true&action=ContentEnhancementProposal&stableProposalGroupId=6fb30430-3ea5-45e0-aa6e-7e8599498b96

ICD-11 MMS: https://icd.who.int/dev11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f767044268

Talk:Bodily distress disorder

2020-03-15T18:03:07Z

Dx Revision Watch:/* Article needs to make clear that ICD-11's Bodily distress disorder is differently conceptualised to the Fink et al (2007, 2010) Bodily distress syndrome -- ~~~~ */ new section

Talk:Medically unexplained physical symptoms

2020-02-29T21:09:40Z

Dx Revision Watch:/* Classification and alternative names */

== Errors, misconceptions or lack of clarity in section "Classification and alternative names" -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 16:04, February 29, 2020 (EST) ==

== '''Classification and alternative names''' ==

"Patients with MUS or MUPS are sometimes referred to as having Functional Somatic Symptoms (FSS) or diagnosed as Bodily Distress Disorder (BDD) - both of which are mental illnesses - despite being classified as physical illnesses under the World Health Organization's current ICD-10 classification, and the latest ICD-11 classification."

'''Comment:''' There is no term "Functional Somatic Symptoms" in ICD-10. ICD-10 has a ''Somatoform disorders'' category block (F45.0-F45.9). The various ICD-10 ''Somatoform disorders'' categories are not classified as "physical illnesses" in ICD-10 - they are classified as mental disorders in ICD-10 Chapter V: Mental and behavioural disorders.

"Bodily distress disorder" is an ICD-11 category, but again it is not classified as a "physical illness" in ICD-11. "Bodily distress disorder" is classified as a mental disorder in ICD-11 Chapter 06 Mental, behavioural and neurodevelopmental disorders.

Possibly the author had intended to write:

Patients with MUS or MUPS are sometimes referred to as having Functional Somatic Symptoms (FSS) or diagnosed as Bodily Distress Disorder (BDD) - both of which are mental illnesses '''[- despite having diseases or conditions that are]''' classified as physical illnesses under the World Health Organization's current ICD-10 classification, and the latest ICD-11 classification.

But it is unclear what the author intended.

"Somatoform disorders, Somatic symptom disorders, Conversion disorder, and Functional Neurological Disorder (FND) are also regarded as medically unexplained symptom and classified as purely psychological symptoms conditions only in the DSM psychiatric manual.[4][5]"

'''Comment:''' There are no ''Somatoform disorders'' categories in DSM-5. The DSM-IV and DSM-IV TR ''Somatoform disorders'' categories are obsolete and were replaced with ''Somatic symptom disorder'' for DSM-5.

DSM-IV and DSM-IV TR had included a category ''Conversion disorder''. The term ''Conversion disorder'' was replaced for DSM-5 with the term, "Conversion disorder (functional neurological symptom disorder)".

Talk:Medically unexplained physical symptoms

2020-02-29T21:04:46Z

Dx Revision Watch:/* Errors, misconceptions or lack of clarity in section "Classification and alternative names" -- ~~~~ */ new section

== Errors, misconceptions or lack of clarity in section "Classification and alternative names" -- [[User:Dx Revision Watch|Dx Revision Watch]] ([[User talk:Dx Revision Watch|talk]]) 16:04, February 29, 2020 (EST) ==

== '''Classification and alternative names''' ==

"Patients with MUS or MUPS are sometimes referred to as having Functional Somatic Symptoms (FSS) or diagnosed as Bodily Distress Disorder (BDD) - both of which are mental illnesses - despite being classified as physical illnesses under the World Health Organization's current ICD-10 classification, and the latest ICD-11 classification."

'''Comment:''' There is no term "Functional Somatic Symptoms" in ICD-10. ICD-10 has a ''Somatoform disorders'' category block (F45.0-F45.9). The various ICD-10 ''Somatoform disorders'' categories are not classified as "physical illnesses" in ICD-10 - they are classified as mental disorders in ICD-10 Chapter V: Mental and behavioural disorders.

"Bodily distress disorder" is an ICD-11 category, but again it is not classified as a "physical illness" in ICD-11. "Bodily distress disorder" is classified as a mental disorder in ICD-11 Chapter 06 Mental, behavioural and neurodevelopmental disorders.

Possibly the author had intended to write:

Patients with MUS or MUPS are sometimes referred to as having Functional Somatic Symptoms (FSS) or diagnosed as Bodily Distress Disorder (BDD) - both of which are mental illnesses '''[- despite having diseases or conditions that are]''' classified as physical illnesses under the World Health Organization's current ICD-10 classification, and the latest ICD-11 classification.

But it is unclear what the author intended.

"Somatoform disorders, Somatic symptom disorders, Conversion disorder, and Functional Neurological Disorder (FND) are also regarded as medically unexplained symptom and classified as purely psychological symptoms conditions only in the DSM psychiatric manual.[4][5]"

'''Comment:''' There are no ''Somatoform disorders'' in DSM-5. The DSM-IV TR ''Somatoform disorders'' are obsolete and were replaced with Somatic symptom disorder for DSM-5.

DSM-IV TR had included a category ''Conversion disorder''. The term ''Conversion disorder'' was replaced for DSM-5 with the term, "Conversion disorder (functional neurological symptom disorder)".

Talk:Postviral fatigue syndrome

2018-09-17T07:11:11Z

Dx Revision Watch:/* Inconsistent punctuation around category terms */ new section

Corrections suggested: https://twitter.com/dxrevisionwatch/status/1015548950278000640 [[User:Ollie|Ollie]] ([[User talk:Ollie|talk]]) 03:55, 7 July 2018 (PDT)

== Suggestions for corrections ==

1 Re the statement: ''"Under ICD-10, a Chronic Fatigue Syndrome (CFS) diagnosis excludes a PVFS diagnosis."''

This is not the case for the WHO's ICD-10. It applies only to the U.S. specific ICD-10-CM (which is a clinical modification of the WHO's ICD-10). In the WHO's ICD-10, Chronic fatigue syndrome is not included in the Tabular List (Volume 1) but is included in the Alphabetical Index (Volume 3), where it is indexed to the G93.3 code - so in the WHO's version, it takes the same code as PVFS.

If MEpedia is to have global relevance and accuracy, its editors will need to understand that the WHO publishes ICD-10 which many Member States use. But a number of countries are licensed by the WHO to develop country specific "clinical modifications" of ICD-10 and they are responsible for the content and the updating of these adapted versions.

The U.S. uses "ICD-10-CM" which is developed and maintained by NCHS/CDC. Germany uses an adaptation called "ICD-10-GM" which is maintained by DIMDI. Canada has its own adaptation, "ICD-10-CA", and Australia uses "ICD-10-AM". The chapter placement and coding of PVFS, BME and CFS in these three "clinical modifications" all differ from each other and in the case of the U.S., Canada and Germany, from the WHO's unmodified ICD-10.

Any reference to the classification of the terms PVFS, BME and CFS in the U.S.'s ICD-10-CM, needs to be placed in the context of the WHO's ICD-10 classification, and in the context of the classification of these terms in ICD-10-CA; ICD-10-GM and ICD-10-AM.

2 Re the statement: ''"The proposal for ICD-11 is PVFS be deprecated (no longer its own concept title, diagnosis, and code) and can be, along with Postviral syndrome, (PVS) a synonym under the concept title of Myalgic encephalomyelitis (ME).[2]"''

It needs to be clarified that the above is not a WHO proposal for ICD-11.

The document https://dxrevisionwatch.files.wordpress.com/2017/03/icd-11-proposal-g93-3-suzy-chapman-mary-dimmock-final2.pdf

sets out a joint proposal submitted to ICD-11 by Chapman and Dimmock, in March 2017. There is also a proposal (submitted March 2017, by Lily Chu on behalf of IACFS/ME), that does not propose deprecating PVFS but proposes that all three terms should be given a discrete code. There is also a proposal from a WHO member of staff (submitted November 2017). If you are going to make reference to the Chapman and Dimmock proposal then it would be logical to reference '''all''' current proposals for ICD-11. The current status of proposals for ICD-11 is set out in this document:

Progression of PVFS, ME and CFS through the ICD-11 drafting platforms: https://dxrevisionwatch.files.wordpress.com/2018/05/pvfs-timeline-v2.pdf

With reference to the term ''"Postviral syndrome, (PVS)"'' in the statement above. There is no term ''"Postviral syndrome, (PVS)"'' in ICD-10 or proposed for ICD-11, and the term has not been used in the Chapman and Dimmock proposal document. So this term needs deleting.

3 Re use of the site: https://www.icd10data.com/ICD10CM/Codes/G00-G99/G89-G99/G93-/G93.3 as reference source.

This site is a U.S. commercial data scraping site. It is not a reliable source for information on ICD coding outside the U.S.

I would advise that you only use official sources.

For the WHO's ICD-10, use the ICD-10 browser: http://apps.who.int/classifications/icd10/browse/2016/en

For the U.S. specific ICD-10-CM use the CDC site: https://www.cdc.gov/nchs/icd/icd10cm.htm#FY%202019%20release%20of%20ICD-10-CM

The Tabular List for Canada's ICD-10-CA is here: https://www.cihi.ca/en/icd_10_ca_vol1_2009_en.pdf

The Tabular List for Germany's ICD-10-GM is here: https://www.dimdi.de/static/de/klassi/icd-10-gm/kodesuche/onlinefassungen/htmlgm2018/index.htm

The Tabular List for Australia's ICD-10-AM is not publicly available.

== Error in Reference ==

5 Chapman, Suzy; Chapman, Mary (2017). "Proposal for the ICD-10 G93.3 legacy terms for ICD-11" (PDF). dxrevisionwatch.files.wordpress.com.

Please correct to: Chapman, Suzy; Dimmock, Mary (2017). "Proposal for the ICD-10 G93.3 legacy terms for ICD-11" (PDF). dxrevisionwatch.files.wordpress.com.

== Inconsistent punctuation around category terms ==

Mary Dimmock and Suzy Chapman for example propose to list PVFS in the upcoming ICD-11 as a synonym term under a new concept title '''‘Myalgic encephalomyelitis.'''[5] The proposal of the IACFS/ME, written by Lily Chu[6], however suggests to retain the term PVFS as a concept title and to simply elevate the terms '''chronic fatigue syndrome (CFS) and "myalgic encephalomyelitis (ME)''' to concept titles at the same level, with each of the three terms given a unique code.

Talk:Postviral fatigue syndrome

2018-09-17T07:01:13Z

Dx Revision Watch:/* Error in Reference */

Talk:Postviral fatigue syndrome

2018-09-17T06:59:59Z

Dx Revision Watch:/* Error in Reference */ new section

Corrections suggested: https://twitter.com/dxrevisionwatch/status/1015548950278000640 [[User:Ollie|Ollie]] ([[User talk:Ollie|talk]]) 03:55, 7 July 2018 (PDT)

== Suggestions for corrections ==

1 Re the statement: ''"Under ICD-10, a Chronic Fatigue Syndrome (CFS) diagnosis excludes a PVFS diagnosis."''

This is not the case for the WHO's ICD-10. It applies only to the U.S. specific ICD-10-CM (which is a clinical modification of the WHO's ICD-10). In the WHO's ICD-10, Chronic fatigue syndrome is not included in the Tabular List (Volume 1) but is included in the Alphabetical Index (Volume 3), where it is indexed to the G93.3 code - so in the WHO's version, it takes the same code as PVFS.

If MEpedia is to have global relevance and accuracy, its editors will need to understand that the WHO publishes ICD-10 which many Member States use. But a number of countries are licensed by the WHO to develop country specific "clinical modifications" of ICD-10 and they are responsible for the content and the updating of these adapted versions.

The U.S. uses "ICD-10-CM" which is developed and maintained by NCHS/CDC. Germany uses an adaptation called "ICD-10-GM" which is maintained by DIMDI. Canada has its own adaptation, "ICD-10-CA", and Australia uses "ICD-10-AM". The chapter placement and coding of PVFS, BME and CFS in these three "clinical modifications" all differ from each other and in the case of the U.S., Canada and Germany, from the WHO's unmodified ICD-10.

Any reference to the classification of the terms PVFS, BME and CFS in the U.S.'s ICD-10-CM, needs to be placed in the context of the WHO's ICD-10 classification, and in the context of the classification of these terms in ICD-10-CA; ICD-10-GM and ICD-10-AM.

2 Re the statement: ''"The proposal for ICD-11 is PVFS be deprecated (no longer its own concept title, diagnosis, and code) and can be, along with Postviral syndrome, (PVS) a synonym under the concept title of Myalgic encephalomyelitis (ME).[2]"''

It needs to be clarified that the above is not a WHO proposal for ICD-11.

The document https://dxrevisionwatch.files.wordpress.com/2017/03/icd-11-proposal-g93-3-suzy-chapman-mary-dimmock-final2.pdf

sets out a joint proposal submitted to ICD-11 by Chapman and Dimmock, in March 2017. There is also a proposal (submitted March 2017, by Lily Chu on behalf of IACFS/ME), that does not propose deprecating PVFS but proposes that all three terms should be given a discrete code. There is also a proposal from a WHO member of staff (submitted November 2017). If you are going to make reference to the Chapman and Dimmock proposal then it would be logical to reference '''all''' current proposals for ICD-11. The current status of proposals for ICD-11 is set out in this document:

Progression of PVFS, ME and CFS through the ICD-11 drafting platforms: https://dxrevisionwatch.files.wordpress.com/2018/05/pvfs-timeline-v2.pdf

With reference to the term ''"Postviral syndrome, (PVS)"'' in the statement above. There is no term ''"Postviral syndrome, (PVS)"'' in ICD-10 or proposed for ICD-11, and the term has not been used in the Chapman and Dimmock proposal document. So this term needs deleting.

3 Re use of the site: https://www.icd10data.com/ICD10CM/Codes/G00-G99/G89-G99/G93-/G93.3 as reference source.

This site is a U.S. commercial data scraping site. It is not a reliable source for information on ICD coding outside the U.S.

I would advise that you only use official sources.

For the WHO's ICD-10, use the ICD-10 browser: http://apps.who.int/classifications/icd10/browse/2016/en

For the U.S. specific ICD-10-CM use the CDC site: https://www.cdc.gov/nchs/icd/icd10cm.htm#FY%202019%20release%20of%20ICD-10-CM

The Tabular List for Canada's ICD-10-CA is here: https://www.cihi.ca/en/icd_10_ca_vol1_2009_en.pdf

The Tabular List for Germany's ICD-10-GM is here: https://www.dimdi.de/static/de/klassi/icd-10-gm/kodesuche/onlinefassungen/htmlgm2018/index.htm

The Tabular List for Australia's ICD-10-AM is not publicly available.

== Error in Reference ==

Chapman, Suzy; Chapman, Mary (2017). "Proposal for the ICD-10 G93.3 legacy terms for ICD-11" (PDF). dxrevisionwatch.files.wordpress.com.

Please correct to:

Talk:Postviral fatigue syndrome

2018-07-07T12:07:22Z

Dx Revision Watch:/* Suggestions for corrections */ new section