WHO-FIC Collaborating Centre in the Nordic Countries


Since 1995 it has been financed by 4-year grants from the National Health Authorities in the five Nordic countries (Denmark, Finland, Iceland, Norway and Sweden). The centre is an independent body with its own budget and its own board and reporting lines.


From 1993 the Collaborating Centre also assumed responsibility for work with the International Classification of Impairments, Disabilities and Handicaps (now the International Classification of Functioning, Disability and Health (ICF). The work with ICD, however, is still one of the main issues for the Centre.


From 2000 the Centre had the main responsibility for the development and update of NordDRG – the Nordic common Casemix system. The development of a common Nordic surgical classification of procedures (NOMESCO Classification of Surgical Procedures) in 1996 was essential for the DRG (Diagnosis Related Groups) as well as a common Nordic use of ICD-10.


The Centre was in January 2009 reorganized and relocated from Uppsala, Sweden to Oslo, Norway. All DRG activities were moved to a new Nordic Casemix Centre (http://www.nordcase.org) established in Helsinki, Finland.


The Nordic Centre was re-designated as a Collaborating Centre until September 2008. To ensure continuous collaboration with WHO-FIC (www.who.int/classifications/) after the relocation, the Centre applied for re-designation as a WHO Collaborating Centre.


However, the relocation of the Centre to Norway implied a designation as a new Collaborating Centre, not a re-designation. A designation process started early in 2009, but had to be withdrawn in November 2009, because of an unclear situation with lack of support from some of the Nordic Health Authorities.


A letter in December 2010 to the Nordic Health Authorities, applying for support of the Nordic classification work was successful. A new designation process could therefore be initiated again in January 2011, with upstart of the formal WHO designation process in June 2011. This process is now ongoing.