Dx Revision Watch
Suzy Chapman Owner of Dx Revision Watch
- Messages
- 3,061
- Location
- UK
I continue to check the ICD-11 Beta draft Foundation Component view and Joint Linearization for Mortality and Morbidity Statistics view most days.
Today, I note a change.
In the Foundation view, under
Bodily distress disorder had sat Severe bodily distress disorder.
This has very recently been changed:
Under Bodily distress disorder its Child category: Severe bodily distress disorder has now been removed.
Re-inserted is Somatization disorder as a child category.
http://apps.who.int/classifications/icd11/browse/f/en#/http://id.who.int/icd/entity/967191413
The Definition for re-inserted Somatization disorder is the F45.0 legacy definition from ICD-10 and is cross referenced to it.
With no user Change Histories visible in the public version of Beta draft, it is not possible for stakeholders to track changes or rationales for this recent change.
The Definition for parent code Bodily distress disorder remains the same text that I reported on, on my site, on January 29, which is:
"Bodily distress disorder is characterized by high levels of preoccupation regarding bodily symptoms, unusually frequent or persistent medical help-seeking, and avoidance of normal activities for fear of damaging the body. These features are sufficiently persistent and distressing to lead to impairment in personal, family, social, educational, occupational or other important areas of functioning. The most common symptoms include pain (including musculoskeletal and chest pains, backache, headaches), fatigue, gastrointestinal symptoms, and respiratory symptoms, although patients may be preoccupied with any bodily symptoms. Bodily distress disorder most commonly involves multiple bodily symptoms, though some cases involve a single very bothersome symptom (usually pain or fatigue)."
At one point in the draft, the three new proposed terms that were envisaged to replace or subsume 6 of the ICD-10 SDs plus F48.0, were listed like this:
05 Mental and behavioural disorders
BODILY DISTRESS DISORDERS
9R0 Mild bodily distress disorder
9R1 Moderate bodily distress disorder
9R2 Severe bodily distress disorder
9R3 Somatization disorder
9R4 Undifferentiated somatoform disorder
9R5 Somatoform autonomic dysfunction
9R6 Persistent somatoform pain disorder
9R6.1 Persistent somatoform pain disorder
9R6.2 Chronic pain disorder with somatic and psychological factors [not in ICD-10]
9R7 Other somatoform disorders
9R8 Somatoform disorder, unspecified
then, all the legacy terms from ICD-10 were removed, leaving:
BODILY DISTRESS DISORDERS
Mild bodily distress disorder
Moderate bodily distress disorder
Severe bodily distress disorder
Last year, this was changed to
BODILY DISTRESS DISORDERS
Bodily distress disorder
> Severe bodily distress disorder
[There were some interim changes which I'm not including for brevity.]
Now this has been changed to
Bodily distress disorder
Bodily distress disorder
> Somatization disorder [In Primary Care High Resource, Primary Care Low Resource linearizations]
-------
So, what are the implications?
All that can be determined without clarification from ICD Revision is that the section parent class remains Bodily distress disorder under which sits category Bodily distress disorder, and that child category ICD-10 Somatization disorder has been reinserted with its ICD-10 Definition unchanged; and that Severe bodily distress disorder is no longer listed in either the FC view or JL for M and M S view.
But unless an ICD Revision author has messed up the draft while making other edits this might suggest that although ICD-11 proposes a new section term name for ICD-10's "Somatoform disorders" (Bodily distress disorder) it might now be considering retaining one or more of the old ICD-10 SD terms, at least for Primary Care usage.
I'll be keeping a close eye, and will add an update to my site.
Edit to add: (Note the old legacy ICD-10 Definition for the Somatoform disorder section that was displaying in the Beta draft has now been replaced by the Definition for BDD that was recently entered into the Beta draft.)
Today, I note a change.
In the Foundation view, under
Bodily distress disorder had sat Severe bodily distress disorder.
This has very recently been changed:
Under Bodily distress disorder its Child category: Severe bodily distress disorder has now been removed.
Re-inserted is Somatization disorder as a child category.
http://apps.who.int/classifications/icd11/browse/f/en#/http://id.who.int/icd/entity/967191413
The Definition for re-inserted Somatization disorder is the F45.0 legacy definition from ICD-10 and is cross referenced to it.
With no user Change Histories visible in the public version of Beta draft, it is not possible for stakeholders to track changes or rationales for this recent change.
The Definition for parent code Bodily distress disorder remains the same text that I reported on, on my site, on January 29, which is:
"Bodily distress disorder is characterized by high levels of preoccupation regarding bodily symptoms, unusually frequent or persistent medical help-seeking, and avoidance of normal activities for fear of damaging the body. These features are sufficiently persistent and distressing to lead to impairment in personal, family, social, educational, occupational or other important areas of functioning. The most common symptoms include pain (including musculoskeletal and chest pains, backache, headaches), fatigue, gastrointestinal symptoms, and respiratory symptoms, although patients may be preoccupied with any bodily symptoms. Bodily distress disorder most commonly involves multiple bodily symptoms, though some cases involve a single very bothersome symptom (usually pain or fatigue)."
At one point in the draft, the three new proposed terms that were envisaged to replace or subsume 6 of the ICD-10 SDs plus F48.0, were listed like this:
05 Mental and behavioural disorders
BODILY DISTRESS DISORDERS
9R0 Mild bodily distress disorder
9R1 Moderate bodily distress disorder
9R2 Severe bodily distress disorder
9R3 Somatization disorder
9R4 Undifferentiated somatoform disorder
9R5 Somatoform autonomic dysfunction
9R6 Persistent somatoform pain disorder
9R6.1 Persistent somatoform pain disorder
9R6.2 Chronic pain disorder with somatic and psychological factors [not in ICD-10]
9R7 Other somatoform disorders
9R8 Somatoform disorder, unspecified
then, all the legacy terms from ICD-10 were removed, leaving:
BODILY DISTRESS DISORDERS
Mild bodily distress disorder
Moderate bodily distress disorder
Severe bodily distress disorder
Last year, this was changed to
BODILY DISTRESS DISORDERS
Bodily distress disorder
> Severe bodily distress disorder
[There were some interim changes which I'm not including for brevity.]
Now this has been changed to
Bodily distress disorder
Bodily distress disorder
> Somatization disorder [In Primary Care High Resource, Primary Care Low Resource linearizations]
-------
So, what are the implications?
All that can be determined without clarification from ICD Revision is that the section parent class remains Bodily distress disorder under which sits category Bodily distress disorder, and that child category ICD-10 Somatization disorder has been reinserted with its ICD-10 Definition unchanged; and that Severe bodily distress disorder is no longer listed in either the FC view or JL for M and M S view.
But unless an ICD Revision author has messed up the draft while making other edits this might suggest that although ICD-11 proposes a new section term name for ICD-10's "Somatoform disorders" (Bodily distress disorder) it might now be considering retaining one or more of the old ICD-10 SD terms, at least for Primary Care usage.
I'll be keeping a close eye, and will add an update to my site.
Edit to add: (Note the old legacy ICD-10 Definition for the Somatoform disorder section that was displaying in the Beta draft has now been replaced by the Definition for BDD that was recently entered into the Beta draft.)
Last edited: