The ICD11 draft was launched by the WHO in order to define ICD ontology by selected experts using a wiki-like structured joint-authoring tool. The challenge of this expert-/community-based ontology co-authoring is how to manage and process the ontology objects in the wiki page. The wiki-tools in the market require lots of time and human effort to organise, process and extract the ontology content from the wiki page for review and analysis. Therefore, this article is to investigate how to apply semantic web technology to improve the efficiency and effectiveness of ontology co-authoring and analysis. An onto-wiki toolkit that provides a set of web services is proposed for ontology creators to create, co-edit, organise, map and relate the wiki-like structured ontology objects on a wiki page for review and analysis. By using the onto-wiki toolkits, the pace of terminology standardisation, e-patient records integration, exchange and sharing can be improved.