Descriptions of the Fields of a Proposal

The title of the proposal

Proposal ID: A numerical ID automatically given by the system.

Proposal State: The state that the proposal is in (see the Proposal Lifecycle and the Changing the State of a Proposal sections of the User's Guide for more information)

Update or Revision Proposal: This field shows whether the proposal suggests an update that can be achieved in the usual ICD update cycle or whether it is made for the ICD-11 revision.

Primary Code affected: The primary ICD cide affected by this proposal. (See also the section: Selecting where to attach the proposal in the user's guide)

Secondary Codes affected: See the section: Selecting where to attach the proposal from the User's guide. Volumes Affected: The list of ICD volumes that will be changed as a result of this proposal.

Proposal Type: The type of this proposal. The originator selects this from a predefined list

Change Reason: Similar to above, the originator selects this from a predefined list

Updates Specific to a Language Version*: This field is dislayed only when the proposal is suggesting a change to a specific language version of ICD. Not having this field means that the proposal applies to all language versions.

Detailed Description: This is where the user explains the proposal. He/She may provide the updated version of the ICD text using strikethrough text for the removed parts.

Rationale: This field includes the information on why this change is necessary.

Supporting web links*: Some web links attached to the proposal which are related to this proposal.

Supporting Publications *: A list of uploaded files that related to this proposal. They can be in one of these formats: pdf, doc, rtf, txt, or xls.

Proposal Summary: If the proposal is a revision proposal, a summary of the proposal and the discussions are prepared by the editor and placed in this field after the discussions.

Reason for Deletion*: If the proposal is deleted or rejected, the reason can be placed in this field. This field is accessible only when the proposal is Deleted or Rejected.

Scheduled Implementation Date*: Available only after the state of the proposal is changed to "Accepted".

VOTES*: Displayed only when the proposal is voted by the Update and Revision Committee. The summary of the voting is dislayed here. If the user clicks on "Show details" text then the page includes all votes given by the voting members together with their voting comments.

COMMENTS*: Displayed if there are comments attached sent by other users of the platform.

Add a new comment: Users may write their comments on the proposals by clicking on this link. If this link is not available, it shows that the proposal is closed for user comments at the moment.

*optional fields: Displayed if relevant information is available

Proposal ID : 1299 - Proposal State : In the group TAGMH Proposal for the ICD-11 Revision

Originator : Richard Sykes - Last Update made by : Geoffrey Reed

Creation Date : 03-Mar-2008 15:22 CET - Last Update : 04-Apr-2008 09:11 CET

Previously Discussed in the group(s): TAGMH

Primary Code Affected : F45.4

Secondary Codes Affected : None

Volumes Affected : 1

Proposal Type : Deletion of code

Change Reason : Need to create, delete or correct an index entry

Detailed Description

The CISSD Project Working Group recommends that the category be deleted. The specific type of pain condition or conditions, e.g. low back pain, headache, fibromyalgia, noncardiac chest pain, should be classified outside Ch V. If psychological factors are also present, these should be given an additional coding from Ch V, either as a discrete disorder, e.g. Major Depression, Panic Disorder, or as F54 Psychological and behavioural factors associated with disorders or diseases classified elsewhere (Psychological Factors Affecting Medical Condition in DSM-IV).

Archived Versions

04/04/2008	Geoffrey Reed
03/03/2008	Richard Sykes

Rationale

Rationale

1. There is extensive literature showing comorbidity between chronic pain and depression, their bidirectional dependency and central nervous system linkages.

2. The category has been infrequently researched as a discrete diagnosis

3. Pain experts do not use the category

4. Assigning a Chapter V diagnosis to a small subset of chronic pain patients is highly arbitrary

5. Assigning a Chapter V diagnosis to a small subset of chronic pain patients presumes, or may be understood to presume, that there is a whole class of chronic pain patients for whom physiological factors are irrelevant.

Reference: Kroenke K, Sharpe M and Sykes R. Revising the Classification of Somatoform Disorders: Key Issues and Preliminary Recommendations. Psychosomatics 2007 48:4

Richard Sykes

CISSD Project Coordinator

03.03.08

Appendix 1

Members of the Working Group of the CISSD Project (Conceptual Issues in Somatoform and Similar Disorders):

Chair: Kurt Kroenke, Chair (UK): Michael Sharpe, Coordinator: Richard Sykes.

Members: Natalie Banner, Arthur Barsky, John Bradfield, Richard J Brown, Frankie Campling, Francis Creed, Veronique de Gucht, Charles Engel, Javier Escobar, Per Fink, Peter Henningsen, Wolfgang Hiller, Kari Ann Leiknes, James Levensen, Bernd Löwe, Richard Mayou, Winfried Rief, Kathryn Rost, Robert C Smith, Mark Sullivan, Michael Trimble.

Supporting Publication Web Links

Revising the Classification of Somatoform Disorders Key Issues and Preliminary Recommendations

Comments