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In the US's ICD-10-CM, "People with chronic fatigue of unknown cause" can be diagnosed with R53.82 Chronic fatigue, unspecified. One of the problems with the US's ICD-10-CM is that "Chronic fatigue syndrome" is currently an inclusion under R53.82 Chronic fatigue, unspecified, so it takes the...

In the WHO's International ICD-10 edition both ME and CFS are coded to one code and that has been the case since ICD-10 was published in 1992. So this is an issue exclusive to the US clinical modification for morbidity use (an adaptation of which is also used in Spain). The US is the only...

Note that IACFS/ME and the six orgs that have supported the org proposal did not put their proposal out for public consultation before submitting it to NCHS/CDC, last December, for consideration for adding to the final agenda for presentation and discussion at the September C & M Committee...

Since neither the 7 orgs nor the NCHS has discussed how patients already assigned the code R53.82 would be accounted for going forward in the context of their respective proposal sets, I don't see that either set can be considered fit for purpose, as stakeholders have insufficient information on...

You are supportive then of: the (unadopted) term, SEID being added to the US CM index; adding a composite term (which does not exist in any edition of the WHO's ICD) formed from two existing discrete ICD entities as a new title code; adding all these terms under that proposed new G93.3 2...

For clarification: The 7 organisations' proposal: Org Option 1 proposes revising the existing code title: G93.3 Postviral fatigue syndrome to G93.3 Postviral and related fatigue syndromes and to create separate sub-codes for Postviral fatigue syndrome and Myalgic encephalomyelitis, with...

If a proposal doesn't meet taxonomic principles for ICD; would result in problems for data analysis; would result in problems with potential loss of legacy data going forwards and problems for those already coded with R53.82, then whether it would be "good or bad" is immaterial. The fact that...

Please note also that in ICD, "Inclusion terms Within the three- and four-character rubrics,1 a number of other diagnostic terms are usually listed. These are known as 'inclusion terms' and are given, in addition to the title, as examples of the diagnostic statements to be classified to that...

@Michiel Tack I do hope you've read my feedback submission: Feedback on proposals for Postviral and Related Fatigue Syndromes, Suzy Chapman: https://dxrevisionwatch.files.wordpress.com/2021/11/icd-10-cm-september-2021-comment-on-postviral-and-related-fatigue-syndromes.pdf Please note that...

"Next steps for countries "The adoption of ICD-11 in May 2019 marked the start of an implementation phase by WHO member states. In 2022, reporting of mortality data according to ICD 11-MMS will commence, with a transition period of at least five years. The nature, timing, and complexity of...

BMC Medical Informatics and Decision Making volume 21, Article number: 206 (2021) Review Open Access Published: 09 November 2021 ICD-11: an international classification of diseases for the twenty-first century James E. Harrison, Stefanie Weber, Robert Jakob & Christopher G. Chute Abstract...

https://en.wikipedia.org/wiki/Squalene It is also used in cosmetics.

Evidently needs raising again, though you may find CS will become defensive about current work load.

Fluad, the vaccine recommended for people aged 65 and over, contains a small amount of an adjuvant called MF59. Adjuvants are substances which help to strengthen and lengthen the immune response to the vaccine. The main ingredient in MF59 is squalene oil, a naturally-occurring oil found in...

Rishi Duggal email address (public domain) rishi.duggal@nhs.net https://pubmed.ncbi.nlm.nih.gov/29335296/ 2018 Jan 15;360:k6. doi: 10.1136/bmj.k6. Digital healthcare: regulating the revolution Rishi Duggal 1, Ingrid Brindle 2, Jessamy Bagenal 3 1 NHS Digital, London, UK rishi.duggal@nhs.net

Twitter Rishi Duggal @rishduggal Clinical Lead, NHS England | Anaesthetist | Chair, Clinical Information Advisory Group, NHS Digital

https://www.nhs.uk/our-policies/governance-of-the-nhs-website/ Governance of the NHS website https://www.nhs.uk/our-policies/content-policy/ Content policy Chair of the Clinical Information Advisory Group (CIAG)...

I don't know, but I doubt they were asked. I'm not on FB, I deleted Dx Revision Watch on FB, in 2010, so I can't raise it with them there. Not sure who is managing their Twitter ATM but probably better taken up directly with the BoT members. I can give you Neil Riley's (Chair BoT) email...

You're welcome JemPD. I've just counted up and our booked date of 24 November will be 209 days since the date of our second AZ vaccinations. The additional delay may be due to several factors: anticipated local deliveries of Pfizer; the days on which our practice has access to the venue, which...

I'm glad my primary care practice wasn't administering a flu jab and a C-19 Pfizer booster at the same time, as the day after my flu jab, I felt pretty rough all day, although paracetamol did help. For adults over 65: "adults aged 65 and over – the most common [flu vaccine] contains an extra...