0140 Future-proofing classifications in Canada: The journey to ICD-11


This session will outline CIHI’s journey thus far with ICD-11, highlight some of our future work, and the steps required to transition to ICD-11. Speakers: Sharon Baker, ACC [UK], CTSS, Manager of Classifications and Terminologies – Development, CIHI & Janice MacNeil, CHIM, Program Lead, Classifications and Terminologies, CIHI

CPE credits

Canadian College of Health Information Management | CHIMA professional members can earn 1 CPE credit for completing this session. Credits will be automatically tracked upon completion.


Sponsored by CIHI

ICD-11 was adopted at the 72nd annual World Health Assembly in May 2019 and will replace ICD-10 as the international standard beginning January 1, 2022. Member states will migrate to ICD-11 at their own pace and according to their needs and resources.

Implementation of ICD-11 across Canada for morbidity health system use will involve a great deal of planning and preparation. It will impact health information systems, the health information workforce, training and education, and adaptation of performance indicators and case-mix tools. As part of the impact assessment, Canada will need to consider the effects on productivity and staffing, costs, coding accuracy, mapping between ICD versions, and surveillance to move toward an internationally consistent output while still meeting Canadian data needs.

When Canada will implement ICD-11 has yet to be decided. Still, to support the decision-making process of transitioning from the national modification of ICD-10, ICD-10-CA, the Canadian Institute for Health Information (CIHI) has embarked on a series of implementation planning activities.

In this session, Sharon Baker and Janice MacNeil, of the classifications and terminologies team, will outline CIHI’s activities analyzing and identifying potential gaps, issues, or improvements and components in the ICD-11 that can be used to support transition in Canada. They will also provide an overview of CIHI’s activities as part of the Canadian National Collaborating Centre within the World Health Organization Family of International Classifications (WHO-FIC) network. As well as an overview of some of the implementation preparation activities CIHI has been conducting and potential ways ICD-11 will shape health information data collection in the future.

Sharon Baker, ACC [UK], CTSS Sharon Baker, ACC [UK], CTSS, is a seasoned health information management professional with 30 years of experience in clinical coding, health records management, and decision support in health care settings in Canada and Wales. She is currently the manager of classifications and terminologies development with the Canadian Institute for Health Information (CIHI).

Sharon is responsible for the development of strategic and operational plans for the advancement of clinical data standards in the digital healthcare environment and the assessment of ICD-11 for health system use in Canada. Since 2018, she has been a co-chair of the WHO Family of International Classifications (WHO-FIC) Education and Implementation Committee.

Janice MacNeil, CHIM Janice MacNeil is a certified health information management (CHIM) professional based out of Granton, Nova Scotia. She has over a decade of experience in the health information management (HIM) field.

As a passionate supporter of HIM, Janice has volunteered many hours to mentor students and professionals in their career development. She was president of the Nova Scotia Health Information Management Association during the transition to the CHIMA chapter models. In 2018, Janice was awarded the CHIMA Tribute to Excellence Pinnacle Award.

Janice’s expertise includes coding standards, classifications, data quality, decision support, and utilization. Her past roles include coding classification specialist, senior analyst system performance, and provincial manager of coding and abstracting. In her current role as a program lead at the Canadian Institute for Health Information (CIHI) Classifications and Terminologies portfolio, she provides leadership for the development of the Canadian Coding Standards v2022 and ICD-11 activities.