Transcript ICD-11 Mortality data – the importance of the ICD ppt

Mortality data –
the importance of the ICD
Dr Paul Jelfs, Health Information Branch
Ms Anneke Schmider, Vitals Information
The ICD Foundation
Health
Information
ICD
Foundation
Overview
•
•
•
•
•
ABS role in mortality information
ICD one of the standards
ICD reflected in history
Future importance of ICD/mortality
Preparing for ICD 11
Australian Mortality Data
Collection
• Complex and challenging
• Interjurisdictional collection, multiple
agencies
• Deaths Collections is produced first –
requires significant statistical processing
work and underpins population
estimates
• Causes of Death then coded once
Deaths is finalised
Mortality data flows
State and Territory Registrars of BDM
ABS
Compilation,
Demographic
Processing, ICD and
other Coding,
Quality Assurance
Coordinating
Registrar
(proposed)
Data users
NCIS
ABS mortality data features
• Coded to ICD 10 using a
combination of auto-coder and
manual coding
• Multiple cause of death codes
recorded
• Use of coronial information at initial
coding and in subsequent rounds
ICD one of the standards
•
•
•
•
•
Age
Sex
Marital status
Standard Australian Classification of Countries
Australian Standard Classification of
Occupations
• Australian Standard Geographical Classification
• Aboriginal and Torres Strait Islander Status
• International Classification of Diseases
ICD reflected in history
• Australia has had a civil registration
system since the beginnings of
European settlement
• Australia established a coordinated
approach to cause of death coding
in 1907, although specific States
began this work earlier
Changing ICD in Australia
Version
COD
COD
ICD2
ICD3
ICD4
ICD5
ICD6
ICD7
ICD8
ICD9
ICD10
Period
1907-1909
1910-1917
1918-1921
1922-1930
1931-1939
1940-1949
1950-1957
1958-1967
1968-1978
1979-1996
1997- present
GRIM Books
Generalised Record of the Incidence of Mortality
Compiled by the AIHW using ABS coded causes of death data
Circulatory Disease
Cervical cancer
Cancer
Asthma
Population Analysis
• Leading causes of death for the Indigenous
population
Future importance of the ICD
mortality data combination
– Government health reporting
• COAG, PAF, ROGS, NHPF
– Public health monitoring
• Life Expectancy, Cancer, Infectious
diseases, suicide, occupational health
– Research support
• National Death Index
• State and Territory data linkage
ICD 11 Preparation
•
•
•
•
•
Influence – process and implementation
Training – people and users
Systems – adapt, replace, purchase
Comparisons – analyse and understand
Dissemination – meta-data, analysis,
test outcomes
• Promotion – new standard, national and
international
Acknowledgements
• Registrars of Births, Deaths and
Marriages and their data suppliers
• National Coronial Information
System
• AIHW staff and support in preparing
the GRIM Books
• ABS staff for their causes of death
work