Abstract

BackgroundThe International Classification of Diseases (ICD) has been grouping the allergic and hypersensitivity disorders involving the respiratory tract under topographic distribution, regardless of the underlying mechanisms, triggers or concepts currently in use for allergic and hypersensitivity conditions. In order to strengthen awareness and deliberate the creation of the new “Allergic or hypersensitivity disorders involving the respiratory tract” section of the ICD-11, we here propose make the building process public.MethodsThe new frame has been constructed to cover the gaps previously identified and was based on consensus academic reports and ICD-11 principles. Constant and bilateral discussion was kept with relevant groups representing specialties and resulted in proposals submission into the ICD-11 online platform.ResultsThe “Allergic or hypersensitivity disorders involving the respiratory tract” section covers 64 entities distributed across five main categories. All the 79 proposals submitted resulted from an intensive collaboration of the Allergy working group, relevant Expert working groups and the WHO ICD governance.ConclusionThe establishment of the ICD-11 “Allergic or hypersensitivity disorders involving the respiratory tract” section will allow the dissemination of the updated concepts to be used in clinical practice by many different specialties and health professionals.

Highlights

  • The International Classification of Diseases (ICD) has been grouping the allergic and hypersensitivity disorders involving the respiratory tract under topographic distribution, regardless of the underlying mechanisms, triggers or concepts currently in use for allergic and hypersensitivity conditions

  • Misconceptions about and underrepresentation of common allergic disorders in healthcare coding systems hinder clinical research and contribute to a lack of ascertainment and poor recognition of their importance for health care planning, resource allocation and reimbursement. We have considered it timely to update the representation of allergic and hypersensitivity conditions within ICD [10]

  • An intensive exchange of e-mails, tele- and video-conferences started in February 2014 and was the basis for what was submitted into the online ICD-11 beta draft proposal platform

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Summary

Introduction

The International Classification of Diseases (ICD) has been grouping the allergic and hypersensitivity disorders involving the respiratory tract under topographic distribution, regardless of the underlying mechanisms, triggers or concepts currently in use for allergic and hypersensitivity conditions. Allergic and hypersensitivity disorders involving the respiratory tract The World Health Organization (WHO) defines noncommunicable chronic respiratory diseases (CRDs) as conditions of the airways and other structures of the lung, such as asthma, chronic obstructive pulmonary diseases (COPD), occupational lung diseases, cystic fibrosis and pulmonary hypertension. Over the last few decades, the world has been facing an asthma and allergy epidemic, becoming a serious public health problem and a prominent cause of disability and mortality worldwide. Though asthma mortality rates are higher in lower and lower-middle income countries, it has been accepted as a major public health problem in all countries. Among the European Union (EU) member states, asthma accounted for an average of 53 hospital admissions per

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