In this series, we have been looking at health information exchanges, interfaces that allow medical information to follow a person between organisations and different clinical informatics systems. Along the way we have seen that the exchange of information is facilitated by using standardised frameworks for recording clinical information. This bifurcates into the classification of diseases on one hand (e.g the International Classification of Diseases) and a database driven clinical ontology on the other hand (e.g SNOMED-CT ®). We have seen that SNOMED began as SNOP in 1965 and then developed into SNOMED-RT before merging with the UK Read codes to form SNOMED-CT ®.
The development of SNOMED is a little complex but what about the World Health Organisation’s International Classification of Diseases (ICD)? Where did that begin? Well a brief and very helpful overview of the development of ICD can be found on the WHO website. Although there had been a number of classification systems developed in the 19th and 18th centuries, ICD began as a classification of deaths.
The International Statistical Institute established a committee to draw up a classification of the causes of death. Jacques Bertillon was the central figure in these efforts and was the chair of the committee drawing up the classification. Interestingly enough Bertillon’s brother Alphonse Bertillon worked in law enforcement in Paris and established the use of biometrics and the mugshot. Bertillon’s grandfather Achille Guillard was a statistician who had coined the term demographics and requested a resolution for a ‘uniform classification’ in the first Statistical Congress in 1853.
The Bertillon Classification of Causes of Death was in essence the first version of the International Classification of Disease but of course had a different meaning. ICD editions are referred to as revisions – they are revisions of this original classification of causes of deaths. Bertillon’s classification was presented and adopted at the meeting of the International Statistical Institute in 1893.
Appendix A – Other Posts in the Series on Health Information Exchanges
A Literature Review of 40 years of SNOMED
Arizona Statewide Health Information Exchange
A History of The Health Information Exchange in Pennsylvania
The Arkansas Health Information Exchange – SHARE
The California Health Information Exchange – Cal Index
Creating a Health Information Exchange in Arizona
Health Information Exchanges and Chronic Conditions
HIPPA and Health Information Exchanges
Körner Data and SNOMED: A Snapshot from 1988
Mapping ICD 9 (or 10) to SNOMED CT®
Over 1 Million Relationships: SNOMED CT ®
Standardisation of Health Information Technology in New Zealand
Why Do We Need Electronic Record Systems to Talk to Each Other
Appendix B – Definition of Health Information Exchange
This is the definition of the Health Information Exchange that I use (Hersh et al, 2015)
‘Health information exchange (HIE), the electronic sharing of clinical information across the boundaries of health care organizations‘
Index: There are indices for the TAWOP site here and here
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[…] wrote about the origins of the International Classification of Disease (ICD) in a previous post. The original classification described causes of deaths and was first presented and approved at the […]
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[…] ICD-10 is the current version of the International Classification of Diseases and represents the 10th revision of Bertillon’s original classification. […]
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[…] ICD-11 is the next version of the International Classification of Diseases and represents the 11th revision of Bertillon’s original classification. […]
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