{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:43:18Z","timestamp":1790898198027,"version":"4.1.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIM J"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>ICD-11\u2019s digital architecture and granularity distinguish it from previous revisions and expand its applicability beyond mortality statistics and public health. The official ICD-11 version is updated annually. However, a separate online Maintenance Platform is continuously updated and hosts the Proposal Platform: a novel online tool that enables interested parties from all over the world to contribute to ICD-11 content. Anyone can register on the Platform to propose updates, such as adding new medical terms or improving existing descriptions, helping keep the classification relevant and inclusive. As a public, transparent system, users can view or comment on other users\u2019 proposals. Proposals are carefully reviewed by expert WHO committees through a transparent, multi-step process that ensures scientific accuracy and consistency. High-priority updates, like emerging health conditions, can be fast-tracked for quicker inclusion. Once a proposal is accepted, it becomes effective in the following update. A clear justification is provided for rejected proposals. Since ICD-11 came into effect, most suggestions from users have been successfully implemented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This article describes the proposal submission process, the rigorous proposal review process, and the roles of the WHO reference groups and committees involved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>ICD-11 is a free, digital global health classification that anyone can help improve by submitting proposals through an open, transparent platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for health information management practice:<\/jats:title>\n                    <jats:p>This inclusive system empowers users worldwide to shape ICD-11 to reflect the evolving real-world medical and public health practice and emerging needs. This also prevents the need for country-specific modifications, ultimately improving the comparability of clinical data at the international level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18333583251366915","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T11:07:08Z","timestamp":1757416028000},"page":"486-496","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["ICD-11 \u201cby the people for the people\u201d: The open feedback proposal platform"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6521-1947","authenticated-orcid":false,"given":"Islam","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Ministry of Health, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0006-0033","authenticated-orcid":false,"given":"Danielle A","family":"Southern","sequence":"additional","affiliation":[{"name":"University of Calgary, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1112-9822","authenticated-orcid":false,"given":"Meng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Collaborating Centre for the WHO Family of International Classifications in China, People\u2019s Republic of China"},{"name":"Peking Union Medical College Hospital, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Macpherson","sequence":"additional","affiliation":[{"name":"Australian Institute of Health and Welfare, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3828-8527","authenticated-orcid":false,"given":"Carine","family":"Alsokhn","sequence":"additional","affiliation":[{"name":"World Health Organisation, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Krpelanova","sequence":"additional","affiliation":[{"name":"World Health Organisation, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nenad","family":"Kostanjsek","sequence":"additional","affiliation":[{"name":"World Health Organisation, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Jakob","sequence":"additional","affiliation":[{"name":"World Health Organisation, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-021-01539-1"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2015.03.008"},{"key":"e_1_3_3_4_1","unstructured":"Dankova S Zvolsk\u00fd M (2022) ICD-11 implementation perspective in the Czech Republic. 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