2 August 2011
Posted online by Suzy Chapman, ME Agenda and reposted with permission.
"Minutes for both Day One and Day Two of the Spring CFSAC meeting, held on 10-11 May 2011, are now available in PDF format on the CFSAC website. The minutes are not yet available in html format.
"On October 1, 2011, a 'Partial Code Freeze' will be implemented for proposals for the forthcoming US specific, ICD-10-CM, a 'Clinical Modification' of the WHO's international ICD-10. ICD-10 will be replaced with ICD-11 in 2015+.
"For Day One of the meeting, CFSAC Committee had tabled an hour's discussion around concerns for the long-standing proposal to retain Chronic fatigue syndrome in the 'R' code chapter for ICD-10-CM, under 'Symptoms, signs and ill-defined conditions.'
"I should like to thank Prof Lenny Jason for informing the Committee around ICD-10, ICD-I0-CM and ICD-11 proposals and for introducing committee members to the current proposals of the DSM-5 'Somatic Symptom Disorder' Work Group, which generated discussion of the potential implications for patients if these radical revisions to the DSM-IV 'Somatoform Disorders' categories were to gain the approval of the DSM-5 Task Force.
"I should also like to thank medical attorney, Steven Krafchick, for his insights and contributions to the discussions around the medico-legal ramifications for the ICD-10-CM and DSM-5 proposals for CFS, M.E. and FM patients.
"Dr Wanda Jones' NCHS background document: "ICD-related questions" that had been prepared for the Agenda item can be found here.
"The next public meeting of the ICD-9-CM Coordination and Maintenance Committee takes place on 14-15 September, 2011. Information on Coordination and Maintenance Committee processes in the run up to, and following the 'Partial Code Freeze' for proposals for ICD-9-CM and ICD-10-CM can be found here.
"The second public review of draft proposals for DSM-5 closed on July 18. A third public review of draft proposals is scheduled for January-February, 2012. I should like to thank all organisations, professionals and patients who submitted comment in this second public review. The APA has reported that over 2000 responses have been received across all sections of DSM, which is well down on last year's figure of over 8000 for the first public review of draft diagnostic criteria revisions - a possible reason for the APA's decision to extend the feedback period by an additional four weeks.
"I shall continue to monitor the DSM-5 Development site closely for any revisions to current proposals by the 'Somatic Symptom Disorder' Work Group and any edits and revisions made to the two key documents that accompany draft proposals made in response to feedback received in the second public review and following this summer's field trials."
Links for CFSAC May meeting minutes and related documents: