WHO FIC NETWORK MEETING Update and Revision Committee … · • #1840 Pigmented purpuric...

WHO FIC NETWORK MEETING

WHO-FIC 2011/A012

Cape Town, South Africa

29 October – 4 November 2011

Update and Revision Committee

Dates/Times:

Sunday 30th

October: 13:30 – 17:30 (Session 1 & 2 - ICD)

Monday 31th

October: 13:30 – 17:30 (Session 3 & 4 - ICD)

Tuesday 1st November 09:00– 12:30 (Session 5& 6 - ICF)

Tuesday 1st November 13:30 – 17:30 (Session 7 & 8 -ICD)

Agenda

1. Welcome (opening of meeting)

2. Approval of the agenda

3. Confirmation of membership and attendance (see Attachment A for membership list)

4. Ratification/discussion of URC Worksheets: Recommendations for Updates to ICD-

10 (see Attachment B for report writing instructions)

4.1. Section 1 - Ratification of accepted proposals (35 work items)

4.2. Section 2 -Ratification of 3 rejected proposals and notification of 2 withdrawn

proposals

4.3. Section 3 - Ratification of proposals moved to ICD-11 revision (16 work items)

4.4. Section 4 - Proposals for discussion (45 work items)

4.4.1. Proposals from collaborating centres and others (24 work items)

4.4.2. Proposals from ICD-11 TAGs (21 work items) to be decided following

resolution of agenda item 6.1

5. Ratification/discussion of URC Worksheets: Recommendations for Updates to ICF

(ICF agenda items as per URC report Annex 4: Proposals in the in the Closed

discussion layer)

6. Issues for discussion and decision

6.1. Proposals from ICD-11 TAGs and other ICD-11 work (see Attachment C for

discussion)

6.2. Ongoing maintenance of cumulative updates document (see Attachment D for

discussion)

6.3. Morphology list updates to ICD-O-3 and the ICD-O committee

Attachment A

Members of the Update and Revision Committee (URC) 2011

NAME ORGANIZATION ADDRESS CONTACT

INFORMATION

Current status of member- e.g. Active- voting member of country; Active- non-voting member of country; Retired or otherwise

Anderson, Robert National Center for

Health Statistics

3311 Toledo Road Room 7318 Hyattsville, MD 20782 United States of America

[email protected]

Bang, Solvejg* National Board of

Health

Islands Brygge 67 Copenhagen , IT 2300 Denmark

[email protected]

Bracewell, Lynn NHS Connecting for

Health

2nd Floor Princes Exchange Princes Square Leeds, IT LS1 4HY United Kingdom

[email protected]

Brear, Hazel NHS Connecting for

Health

2nd Floor Princes Exchange Princes Square Leeds, IT LS1 4HY United Kingdom

[email protected]

Clarke, Lynet Medcode Training and

Consulting CC

56 Muirfield Rd Green Side Johannesburg , IT 2193 South Africa

[email protected]

DiNubila, Heloisa University of São Paulo

Av. Dr Arnaldo 715 CEP 01246-904 Sao Paulo, IT SP Brazil +55 11 3061-7747

[email protected]

Elliott, Alaina National Center for

Health Statistics


[email protected]

Hargreaves, Jenny Australian Institute of Health and Welfare

6A Traeger Court, Fern Hill Park Bruce ACT GPO Box 570 Canberra, IT ACT 2601 Australia

[email protected]

Hoyert, Donna National Center for

Health Statistics


[email protected]

Innes, Kerry University of Wollongong

ACCTI Manager Australian Centre for Clinical Terminology and Information Centre for Health Services Development University of Wollongong (located at Sydney Business School, 175 Liverpool St, Sydney) Australia 61 2 9266 1323

[email protected]

Jakob, Robert* World Health Organization

Avenue Appia 20 CH1211 Geneva, IT 27 Switzerland

[email protected]

Johansson, Lars Age*

The National Board of Health and Welfare

SE-106 30 Stockholm, IT Sweden

[email protected]

Laurenti, Ruy* University of São Paulo

Av. Dr Arnaldo 715 CEP 01246-904 Sao Paulo, IT SP Brazil

[email protected]

Mendelsohn, Marion*

112 quai Charles de Gaulle 60006 Lyon France

[email protected]

Milburn, Elaine NHS Connecting for

Health

2nd Floor Princess Exchange Princess Square Leeds, IT LS1 4HY England

[email protected]

Moskal, Lori* Canadian Institute for

Health Information

45 O’Connor street Ottawa, ON K1P 1A4

[email protected]

Murphy, Deirdre The Economic and Social Research

Institute

Whitaker Square Sir John Rogerson’s Quay Dublin 2, Ireland

[email protected]

Oikawa, Emiko Ministry of Health,

Labour and Welfare

1-2-2 Kasumigaseki Chiyada-ku Tokyo, IT 100-8916 Japan

[email protected]

Pickett, Donna* National Center for

Health Statistics


[email protected]

Renahan, Mea Canadian Institute for

Health Information

4110 Yonge Street, Suite 300, Toronto, ON M2P 2B7 Phone: 416-481-2002 Fax: 416-481-2950

[email protected]

Rust, Julie* University of Sydney National Centre for

Classification in Health

East Street P.O. Box 170 Lidcombe, IT NSW 1825 Australia

[email protected]

Sauls, Elaine Medcode Training and

Consulting CC

P.O. Box 651165 Benmore, IT 2010 South Africa

[email protected]

Seo, Kyung* Yonsei University

School of Medicine

146-92 dogok-dong 612 Eonjuro Gangnam-gu Seoul, IT 135-720 Korea, Republic of

[email protected]

Steinum, Olafr* Nordic Centre for

Classifications in Health Care

Rorviksvagen 19 Uddevalla, IT SE-451 77 Sweden Phone: +46 522 650 172 Mobile: +46 707 698 545

[email protected]

Takimura, Kayo* Ministry of Health,

Labour and Welfare

1-2-2 Kasumigaseki Chiyada-ku Tokyo, IT 100-8916 Japan

[email protected]

Thorsen, Glen* Norwegian Centre for

Health Informatics (KITH AS)

Sukkerhuset Trondheim, IT NO-7489 Norway

[email protected]

Virtanen, Martti* Nordic Casemix Centre

Andra linjen 14 Helsinki, IT FI-005310 Finland

[email protected]

Vogel, Ulrich* German Institute of

Medical Documentation and Information

Waisenhausgasse 36-38a Cologne, IT 50676 Germany

[email protected]

Wood, Patricia Statistics Canada

Main Building Room 2200 D 150 Tunney’s Pasture Driveway Ottawa, ON K1A 0T6

[email protected]

* Indicates voting member

Attachment B

URC ICD Worksheets

Section 1 of the URC ICD Reports– Ratification of proposals accepted after 2nd

round of voting by URC for inclusion in ICD-10 (35 work items). Four of the

accepted proposals were submitted by the MRG for information only as no changes to

the ICD were recommended.

This report can be generated and printed from the ICD-10+ platform. In the Search

Text field enter “accepted in 2011” and then limit the results according to the

proposal state “Accepted”. Click ‘Search’. This will yield only those proposals that

were accepted this year.

Section 2 – Ratification of proposals rejected by URC (3 work items) – no report

for these items

• #1698 Ischaemic heart diseases

• #1778 Velamentous insertion of the umbilical cord

• #1806 Anaemia in neoplastic disease

Withdrawn – 2 work items

• #1848 Leukaemia and lymphoma follow up

• #1878 Chorioangioma

Section 3 – Ratification of proposals to be considered for ICD-11 Revision (16

work items).

This report can be generated and printed from the ICD-10+ platform. Identify the

Revision Proposals only by removing the check mark from Update Proposals. Then,

limit the results according to the proposal state “In Open Discussion Layer”.

In addition to the 6 work items in the report for this section, there were 10 proposals

originating from the Morbidity Reference Group that have been moved to the work of

the Morbidity TAG for ICD-11. These include:

• #1288 ICD-11 Rules, conventions and structure for morbidity reporting

• #1293 Revision topics for topic advisory groups

• #1475 Use cases for ICD

• #1718 Multiple conditions

• #1719 Coding of acute and chronic conditions

• #1720 Multiple codes for one condition

• #1721 Combination codes

• #1722 Coding of external causes of morbidity

• #1723 Rules for re-selection of main condition

• #1774 Post intervention conditions

Section 4 of the URC ICD Reports – Proposals requiring further discussion (45

work items). This report includes items held over from last year.

• This report should be run by selecting the ‘Update Proposals for Decision”

report on the Search/Filter/Report screen from the list of predefined searches.

Attachment C

Proposals from ICD-11 TAGs and other ICD-11 work

Discussion: A decision to introduce content from the ICD revision process into the ICD

update process was announced at the URC meeting held in Delhi, India in 2008. This

decision was to facilitate an easier transition for countries moving from ICD-10 to ICD-

11. This is the first year that proposals have been received from ICD-11 TAGs for

updating ICD-10. There are several issues that need to be discussed and resolved before

these proposals can be accepted for implementation in ICD-10.

1) At this point in time, it would be detrimental to introduce new codes into ICD-10

if the concepts have not been finalized for ICD-11. Proposals for ICD-10 must

have been reviewed and agreed to by all TAGs whose individual chapter work is

affected by a proposal. For example, many of the proposals from the

Dermatology TAG pertain to neoplasms. These proposals must be ratified by the

Neoplasm TAG.

2) Many decisions about ICD-11 are still outstanding. The code structure, the

question of whether to pre- or post-coordinate, and the dagger/asterisk

replacement system are examples of issues that have not yet been definitively

determined and impact the final content of these proposals in ICD-10.

3) ICD-10 has not gone beyond mandatory 4th

character codes and there are several

proposals to introduce mandatory 5th

characters.

a. Is it feasible to introduce mandatory 5th

characters at this point?

b. Many countries have used 5th

characters in their national modifications of

ICD-10 with WHO permission.

c. Can all ICD-10 software cope with 5th

characters? What will the impact be

on those countries that do not use 5th

characters?

4) The TAGs have been tasked with building the clinical content of ICD-11 in an

electronic format and content model that is quite different from the updating

process currently in place for ICD-10. A significant amount of work has been

done to try to replicate the update process in the proposals for decision. However,

many of them are still incomplete, do not follow taxonomic rules, introduce

severity, and generally require a significant amount of additional work to ensure

that the changes are addressed in all locations (e.g. notes, index, rules and

examples) in all three volumes. They also must all be translated into the six

official languages. The URC secretariat does not have the resources to do this

work within the current timelines of the ICD update process.

This discussion pertains to the following proposals:

• #1821 Keratoacanthoma

• #1824 Addition of principal morphological types of skin cancer at 5th

character

level

• #1825 Benign vascular neoplasms of infancy and childhood

• #1827 Change congenital non-neoplastic naevus to Congenital malformation of

cutaneous vasculature

• #1828 Atopic dermatitis

• #1829 Clarification of terms, inclusions and exclusions in L30 Other Dermatitis

• #1830 Skin reactions due to substances taken internally are not usually forms of

dermatitis

• #1831 Chronic venous insufficiency and varicose veins of lower extremities

• #1832 Non-neoplastic naevus

• #1833 Developmental hamartomas of the epidermis and its appendages

• #1834 Arthropathic psoriasis and psoriatic arthritis

• #1835 Psoriasis

• #1836 Addition of clinicopathological subtypes to melanocytic naevus

• #1837 Pruritic urticarial papules and plaques of pregnancy

• #1838 Calcific uraemic arteriolopathy (calciphylaxis) and erythromelalgia

• #1840 Pigmented purpuric dermatosis, capillaritis and angioma serpiginosum

• #1841 Erythema multiforme, Stevens-Johnson syndrome and toxic epidermal

necrolysis

• #1879 Sunburn and burns from ultraviolet radiation

• #1883 Axial spondyloarthritis

• #1884 Photodermatoses

• #1885 Photodermatoses 2

Attachment D

6.2 Cumulative Updates Document

Discussion: The maintenance of the cumulative updates document is a significant

amount of work due to the sheer size of the document. The document can be

difficult to use because it is organized by code or lead term, and then by year of

decision. There are many occurrences of updates that impact the same code or the

same lead term in the index. Errors are introduced inadvertently as new proposals

are often taken from a print version of the ICD, or a national clinical modification

of ICD-10 rather than taking the most recent version of the cumulative document

into consideration.

The URC chairs and secretariat believe that the cumulative updates document

should continue to be produced. It is the only longitudinal record of updates to

ICD-10. This report cannot be created by the ICD-10+ platform as the updates

that were approved prior to the creation of the on-line platform (i.e. prior to 2006)

have not been added.

Should the creation of the cumulative updates document continue?

If so, can this process be improved in any way?

• The current process is to first create the annual update document, and then

insert the annual updates into the cumulative updates in order of code for

Volume 1, by rule number for Volume 2, and alphabetically by lead term

for Volume 3. If there is a new addition at a code, rule or lead term that

already exists, the new addition is inserted in order of year of discussion.

• Should consideration be given to displaying the updates by year, then by

code? Should this be by year of implementation rather than by year of

decision at the WHO-FIC Network meeting?

Annex 2 -Total ICF update platform proposals

Proposals in the Initial Review Group Layer 104

Proposals in the FDRG Layer 0

Proposals in the in the Open discussion layer

Proposals newly reviewed by RVW and FDRG: Needing additional consideration and discussion while in this layer, by the FDRG collaborating experts

42

Recommended for rejection by URC

7

49

Proposals already approved by URC at Toronto 2010 meeting:

Held back by WHO 2

2

51

Proposals in the closed discussion layer Proposals newly reviewed by RVW and FDRG: Recommended for adoption by

URC 45

45

Proposals already approved by URC at Toronto 2010 meeting: Ready to be implemented by WHO 13

13

58

213

Annex 3: Proposals in the in the Open Discussion Layer: tot. 51 Caveat: This table is to facilitate the work of reviewing items on the platform. All the

displayed content is already on the platform which remains the only official way to

comment and review the proposals. URC will not consider as official any material

which is not the ICF Update Platform.

Proposals newly reviewed by Initial Review Group and FDRG: tot. 49

Needing additional consideration and discussion: tot. 42

Proposal ID Platform Status

17 Proposal for Addition

of ICF Coding and

Brief Coding

Discussion Texts for

17 Case Examples in

Annex 4

Newly reviewed by Initial Review

Group and FDRG.

URC (Aug 02, 2011): NEEDS

ADDITIONAL CONSIDERATION AND

DISCUSSION.

30 From ICF CY -

Addition of a new

code at 3rd level for

b650


Group and FDRG.



DISCUSSION.

37 From ICF CY Changein

note of code d310

Communicating with-

receiving-spoken

messages


Group and FDRG.



DISCUSSION.

40 From ICF CY -

Addition of a new

code at the 3rd level

s3205 philtrum


Group and FDRG.



DISCUSSION.

45 From ICF CY - Change

in note of code d410

Changing basic body

position


Group and FDRG.



DISCUSSION.

47 From ICF CY -

Addition of new

codes at third level

d3100 and d3101Click

for the details and

discussions on this

propossal


Group and FDRG.



DISCUSSION.

48 From ICF CY -

Addition of new

codes at the third

level d3102-3108-

3109


Group and FDRG.



DISCUSSION.

67 From ICF CY -

Extension of inclusion

criteria for b750


Group and FDRG.



DISCUSSION.

70 From ICF CY -

Addition of an

inclusion criteria for

b7502


Group and FDRG.



DISCUSSION.

71 From ICF CY -

Extension of inclusion

criteria for b760


Group and FDRG.



DISCUSSION.

74 From ICF CY -

Addition of new

codes at the second

level b761 and third

level b7610-b7619


Group and FDRG.



DISCUSSION.

93 From ICF CY -

Addition of a new

code d331 Pre-talking


Group and FDRG.



DISCUSSION.


in note for code d

3350 Producin body

language


Group and FDRG.



DISCUSSION.


in note of code d 350

Conversation


Group and FDRG.



DISCUSSION.



Ending a conversation


Group and FDRG.



DISCUSSION.

108 From ICF CY - Code

d145 Learning to

write - Modification

the definition


Group and FDRG.



DISCUSSION.



Conversing with

many people


Group and FDRG.



DISCUSSION.

140 From ICF CY -

Addition of new third

level codes d1400-

d1409


Group and FDRG.



DISCUSSION.

141 From ICF CY -

Changes in note of

the existent code

d470


Group and FDRG.



DISCUSSION.



Looking after one's

health


Group and FDRG.



DISCUSSION.

143 From ICF CY -


level codes d1450-

d1459


Group and FDRG.



DISCUSSION..



Ensuring one's

physical comfort


Group and FDRG.



DISCUSSION..



Maintaining one's

health


Group and FDRG.



DISCUSSION.

147 From ICF CY -

Addition of a new

code at fourth level

d57020-d57029


Group and FDRG.



DISCUSSION.


in note for code of

d6102


Group and FDRG.



DISCUSSION.

155 From ICF CY -

Addition of a

definition in inclusion

of code d720


Group and FDRG.



DISCUSSION.

Complex

interpersonal

interactions


in inclusion criteria

for code e110

Products or

substances for

personal

consumption


Group and FDRG.



DISCUSSION.


in the code title and

in note for code

e1150 General

products and

tecnololy for personal

use in daily living


Group and FDRG.



DISCUSSION.

189 From ICF CY -

Addition of new

codes at the fourth

level e57500 - e57509


Group and FDRG.



DISCUSSION.

190 From ICF CY -

Addition of new

codes at the third and

fourt level e1152-

e11529


Group and FDRG.



DISCUSSION.


in note ofr code

e5850 Education and

training services


Group and FDRG.



DISCUSSION.


in note for code

e1200


Group and FDRG.



DISCUSSION.

193 From ICF CY -


level code e5853

Special education and

training services


Group and FDRG.



DISCUSSION.

194 From ICF CY -

Addition of exclusion

criteria in e140

Products and

tecnology for culture,

recreation and sport


Group and FDRG.



DISCUSSION.

195 From ICF CY -

Addition of a new

third level code

e5854 Special

education and

training systems


Group and FDRG.



DISCUSSION.


in note for e1450

General products and

technology for the

practice of religion or

spirituality


Group and FDRG.



DISCUSSION.

197 From ICF CY -


level code e5855

Special education and

training policies


Group and FDRG.



DISCUSSION.


in the exclusion of

code e590 Labour

and employment

services, systems and

policies


Group and FDRG.



DISCUSSION.

204 New proposal -

Addition of a new

code at the third level

b1566 Haptic

perception


Group and FDRG.



DISCUSSION.

209 New proposal -

Addition of a new


d7107 Taking turns in

social interactions


Group and FDRG.



DISCUSSION.

216 New proposal -

Changes in title for

code e110 - e1100


Group and FDRG.



DISCUSSION.

222 From ICF CY Change

in note for code

d4700


Group and FDRG.



DISCUSSION.

Recommendation for REJECTION: tot. 7


33 From ICF CY -

correction of an error

for code b176


Group and FDRG.

URC (Aug 02, 2011):

RECOMMENDATION for REJECTION

171 From ICF CY -

Modification of

definition of code

d825 Vocational

training


Group and FDRG.

URC (Aug 02, 2011):



in note for e1601

Products and

technology of

suburban land

development


Group and FDRG.

URC (Aug 02, 2011):



in note for code

e1602 Products and

technology of urban

land development


Group and FDRG.

URC (Aug 02, 2011):


214 New proposal -

Addition of new


e3100-3106


Group and FDRG.

URC (Aug 02, 2011):


215 New proposal -

Addition of new


e4100-e4106


Group and FDRG.

URC (Aug 02, 2011):


224 New proposal -

Changes in title for

code e1101 - and

addition of new

codes e111 e1118-

e1119


Group and FDRG.

URC (Aug 02, 2011):


Proposals already approved by URC at Toronto 2010 Meeting: tot. 2

Held back by WHO: tot. 2


29 From ICF CY -

Extension of Inclusion

Criteria for b640

Approved at Toronto 2010

WHO HQ (06.06.2011): Held back,

previous communication to URC

chair and Secretariat

186 From ICF CY -

Addition of exclusion

criteria in the e115

Products and

tecnology for

personal use in daily

living


WHO HQ (06.06.2011): Held back,

previous communication to URC

chair and Secretariat

Annex 4: Proposals in the in the Closed discussion layer: tot. 58 Caveat: This table is to facilitate the work of reviewing items on the platform. All the displayed

content is already on the platform which remains the only official way to comment and

review the proposals. URC will not consider as official any material which is not the ICF

Update Platform.

Proposals newly reviewed by Initial Review Group and FDRG: tot. 45

Recommended for ADOPTION by URC: tot. 45


19 From ICF CY - Extension of

exclusion criteria for code

b310

Newly reviewed by Initial Review Group

and FDRG.

URC (Aug 02, 2011): FDRG recommends

ADOPTION.

20 From ICF CY - Expansion of

Inclusion Criteria for code

b3401


and FDRG.


ADOPTION.


the Inclusion Criteria for

code b440


and FDRG.


ADOPTION.

39 From ICF CY - Addition of

new codes at the second

level d880 Engagement in

play


and FDRG.


ADOPTION.

44 From ICF CY - Modification

in note code d110


and FDRG.


ADOPTION.

46 From ICF CY - Change in

note for code d9202 Arts

and culture


and FDRG.


ADOPTION.

49 From ICF CY - Addition of a

new code at 3rd level

d4107 Rolling Over


and FDRG.


ADOPTION.


new code at 3rd level

d4155 Maintaining head

position


and FDRG.


ADOPTION.


inclusion criteria for b735


FDRG.


ADOPTION.

68 From ICF CY - Modification

in definition code d115


and FDRG.


ADOPTION.


note of code d3500

Starting a conversation


and FDRG.


ADOPTION.


note of code d3501

Sustaining a conversation


and FDRG.


ADOPTION.


note of code d3503

Conversing with one

person


and FDRG.


ADOPTION.

112 From ICF CY Delation of

exclusion criteria for d440


and FDRG.


ADOPTION.


note of code d3600 Using

telecommunication

devices


and FDRG.


ADOPTION.


note in code d4402

Manipulating


and FDRG.


ADOPTION.


note of code d4450

Pulling


and FDRG.


ADOPTION.


new term in the code note

for code d520 Caring for

body parts


and FDRG.


ADOPTION.


note for code d4453

Turning or twisting the

hands or arms


and FDRG.


ADOPTION.


new code at the 3rd level

d5205 Caring for nose


and FDRG.


ADOPTION.


note for code d4601


and FDRG.


ADOPTION.

138 From ICF CY Change in

note for code d465

Moving around using

equipment


and FDRG.


ADOPTION.


new codes at the third

level - d4703


and FDRG.


ADOPTION.


note desciption of code

d7100 Respect and

warmth in relationships


and FDRG.


ADOPTION.


new third level codes

d1720 – 1729


and FDRG.


ADOPTION.

153 From ICF CY - Addtion of

fourth level codes d

71040-d71049


and FDRG.


ADOPTION.



d7106 Differentiation of

familiar person


and FDRG.


ADOPTION.


note description of code

d730 Relating with

strangers


and FDRG.


ADOPTION.



level d6302 Helping

prepare meals


and FDRG.


ADOPTION.


new code at the 3rd level

d6406 Helping to do

housework


and FDRG.


ADOPTION.

169 From ICF CY - Change of a

note and introduction of

an exclusion for code

d920 Recreation and

leasure


and FDRG.


ADOPTION.

173 From ICF CY - Change of a

note and introduction of

an exclusion for code

d9200 Play


and FDRG.


ADOPTION.


note for code d9203 Craft


and FDRG.


ADOPTION.


note of code d660

Assisting other


and FDRG.


ADOPTION.


note for code d9204

Hobbies


and FDRG.


ADOPTION.



level d6606 Helping in

assisting other


and FDRG.


ADOPTION.


note for code d940

Human rights


and FDRG.


ADOPTION.



level d8


and FDRG.


ADOPTION.


note for code e 575

General social support

services, systems and

policies


and FDRG.


ADOPTION.



level e1503 Design,

construction and building

produtcs and tecnology

for physical safety of

person in building for

public use


and FDRG.


ADOPTION.


note for code e155 design,

construction, building

products and technology

of buildingfor private use

only


and FDRG.


ADOPTION.


new code at the third

levele 1553 Design,

construction and building

products and technology

for physical safety of

persons in buildings for

private use


and FDRG.


ADOPTION.

212 New proposal - Addition

of a new block d880 -

d899


and FDRG.


ADOPTION.

213 New proposal - Addition

of two new code at the

second level d888-d889


and FDRG.


ADOPTION.


note for code d4701


and FDRG.


ADOPTION.

Proposals already approved by URC at Toronto 2010 meeting: tot. 13

Ready to be implemented by WHO: tot. 13


51 From ICF CY Change in

note code d4302 Carrying

in the arms


Ready to be implemented by WHO


note of code d3152

Communicating with-

receiving-drawings and

photographs



103 From ICF CY - Code d140

Learning to read

Modification the

definition




note of d4303



116 d4403

Releasing




note of code

d4451Pushing




note for code of d610



158 From ICF CY- Change in

note description of code

d740 Formal relationships



159 Fromn ICF CY - Change in

label of code d7409

Formal relationships,

other unspecified




note for code d910

Community life



174 From ICF CY - Correction

of a typographical error in

label of coded6508




note for e1100 Food



221 d430

Lifting and carrying

objects



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