Intended for Main characteristics Relationships Availability

Marc JamoulleCAMG-UCL 2009Seminop Brussels, August 27, 2009

S3ICPC

LOCAS

ICD

3BT

SNOMED-CT

Snomed-CT

3BT

ICD

LOCAS (or ICPC+)

ICPC

ICPC as ordering principle in PHC

700 rubrics

15.000 items

5.000 entries

50.000 entries

300.000 entries247683002

I20.9

Z12

P19.004

15000627

From mind to machineLost of redundancy

From concepts to terms

From classification to description

•Intended for: coding of reason for encounter, process and diagnosis in PHC. Ordering principle & epidemiology in PHC•Main characteristics : conceptual construct, localisation first, 17 chapters, 700 codes, patient oriented•Relationships : transcoded to ICD, ICPC2 – SNOMED_CT ongoing work, included in UMLS•Availability : WONCA, 22 languages, license acquired by Belgium

N01 TRIGEMINAL NEURALGIA G50.0, G50.8, G50.9

Criteria : unilateral paroxysms of burning facial pain aggravated by touching triggerpoints, blowing nose or yawning, without sensory or motor paralysis

Incl : tic douloureux post-herpetic neuralgia S70

Excl : neuralgia NOS N99

R95 CHRONIC OBSTRUCTIVE PULMONARY DISEASE J43, J44 Criteria : objective evidence of airway obstruction, not/only partially relieved by bronchodilators  Incl : chronic obstructive airways (COAD), lung (COLD), pulmonary (COPD) disease, chronic airways limitation (CAL), emphysema,  Excl : chronic bronchitis R79; asthma R96; bronchiectasis R99; cystic fibrosis T99 other breathing problem R04

http://www.content-info.org/

•Intended for: use in EMRs in Belgian private health centres (Maisons médicales) for automatic coding entry. Still in use in Pricare•Main characteristics : hand made 1994, 5000 usual PHC terms, augmented after feed-back from end-users•Relationships : Standardised terms. Coded to ICPC-1 and 1998 to ICPC-2.•Availability : free as open document (MR/MJ/BD)

R21.0021 DOULEUR DE LA GORGER21.0031 INFLAMMATION DE LA GORGER21.0041 ROUGEUR DE LA GORGER21.0051 SYMPTOME OU PLAINTE LIEE A LA GORGER21.0061 GORGE SECHER21.0071 HYPERTROPHIE DES AMYGDALESR21.0081 SYMPTOME OU PLAINTE LIEE AUX AMYGDALESR21.0091 GONFLEMENT DES AMYGDALES

P18.0021 USAGE/DEPENDANCE CHRONIQUE D'AMPHETAMINEP18.0031 USAGE/DEPENDANCE CHRONIQUE DE BENZODIAZEPINEP18.0061 USAGE/DEPENDANCE CHRONIQUE DE MEDICAMENTP18.0081 INSOMNIES SECONDAIRES A UNE CONSOMMATION CHRONIQUE DE MEDICAMENTP18.0101 USAGE/DEPENDANCE CHRONIQUE DE METHADONEP18.0111 USAGE/DEPENDANCE CHRONIQUE DE BARBITURIQUEP18.0121 AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE MEDICAMENTP18.0131 AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE BENZODIAZEPINEP18.0141 SYMPTOME OU PLAINTE LIEE AU SEVRAGE DE LA CONSOMMATION D'UN MEDICAMENT

© MJ/2002 9

Distribution of the Distribution of the 624 P diagnosis, same 624 P diagnosis, same health centrehealth centreLiege, Belgium, on 10440 episodes, 1999Liege, Belgium, on 10440 episodes, 1999

0

20

40

60

80

100

120Medicinal drug dependency

The workload in mental health in GP/FM

Medicinal drug Drug addiction

P03 P76

•Intended for: vital & mortality statistics in hospital settings•Main characteristics : alphanumeric, historical construct, 15.000 entries, etiology first, disease oriented, some process codes•Relationships : transcoded to ICPC, included in UMLS, included in SNOMED_CT•Availability : WHO. (ICD_9 in use in Belgium)

ICPC-2 PLUS is a vocabulary of terms classified according to ICPC-2. It includes the terms used by GPs to describe patient reasons for encounter and the problems managed in about 1.5 million encounter records.

ICPC-2 PLUS has been specifically designed by the FMRC for use in computerised clinical systems, recall systems, disease registers and secondary coding of clinical data

Developed in Australia, Sydney Univ. Dep Gen Practice, only in English

•Intended for: use in EMRs in Belgium for automatic coding entry. In use in some EMRs. •Main characteristics : numerical (IBUI) hand made since 2000, 50.000 usual health care terms, symptoms, process, diagnosis•Relationships : transcoded to ICPC-2 and ICD-10, include LOCAS-2•Availability : free as open document, 3 lenguages (Fr, Nl, Po)

IBUI ICPC ICD Label Dutch Label French Termo Português

10000516 A06 R55 bewusteloosheid aanval

perte de conscience

perda de consciência

•Intended for : descriptive tool in computerised health care•Main characteristics : numerical, association of SNOMED (CAP/USA) with Clinical Terms (NHS/UK) more than 300.000 entries•Relationships : transcoded to ICD, ICPC2 ongoing•Availability : ITSDO, several lenguages

marc@jamoulle.com http://trix.docpatient.net

Classifications Terminologies

Ordering principle and epidemiology

Human-computer interface