Transcript Classification and terminologies in health care in Belgium

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Intended for
Main characteristics
Relationships
Availability
Marc Jamoulle
CAMG-UCL 2009
Seminop Brussels, August 27, 2009
ICPC
S3
LOCAS
ICD
3BT
SNOMED-CT
ICPC as ordering principle in PHC
From concepts
to terms
From mind to machine
Lost of redundancy
Z12
P19.004
I20.9
15000627
ICPC
LOCAS (or ICPC+)
700 rubrics
5.000 entries
ICD
3BT
Snomed-CT
247683002
From classification to description
15.000 items
50.000 entries
300.000 entries
•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 feedback 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 GORGE
R21.0031
INFLAMMATION DE LA GORGE
R21.0041
ROUGEUR DE LA GORGE
R21.0051
SYMPTOME OU PLAINTE LIEE A LA GORGE
R21.0061
GORGE SECHE
R21.0071
R21.0081
HYPERTROPHIE DES AMYGDALES
R21.0091
GONFLEMENT DES AMYGDALES
SYMPTOME OU PLAINTE LIEE AUX AMYGDALES
P18.0021
USAGE/DEPENDANCE CHRONIQUE D'AMPHETAMINE
P18.0031
USAGE/DEPENDANCE CHRONIQUE DE BENZODIAZEPINE
P18.0061
USAGE/DEPENDANCE CHRONIQUE DE MEDICAMENT
P18.0081
INSOMNIES SECONDAIRES A UNE CONSOMMATION CHRONIQUE DE MEDICAMENT
P18.0101
USAGE/DEPENDANCE CHRONIQUE DE METHADONE
P18.0111
USAGE/DEPENDANCE CHRONIQUE DE BARBITURIQUE
P18.0121
AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE MEDICAMENT
P18.0131
AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE BENZODIAZEPINE
P18.0141
SYMPTOME OU PLAINTE LIEE AU SEVRAGE DE LA CONSOMMATION D'UN MEDICAMENT
Distribution of the 624 P diagnosis, same health centre
Liege, Belgium, on 10440 episodes, 1999
P03
Medicinal drug
dependency
Medicinal drug
Drug addiction
P76
The workload in mental health in GP/FM
© MJ/2002
9
•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
I20
Angina pectoris
I20.0
Unstable angina
Angina:
. crescendo
. de novo effort
. worsening effort
Intermediate coronary
syndrome
Preinfarction syndrome
I20.1
Angina pectoris with
documented spasm
Angina:
. angiospastic
. Prinzmetal
. spasm-induced
. variant
I20.8
Other forms of angina
pectoris
Angina of effort
Stenocardia
I20.9
Angina pectoris,
unspecified
Angina:
. NOS
. cardiac
Anginal syndrome
Ischaemic chest pain
•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
10000516
ICPC ICD
A06
R55
Label Dutch
bewusteloosheid
aanval
Label French Termo Português
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
Classifications
Ordering principle
and epidemiology
[email protected]
Terminologies
Human-computer
interface
http://trix.docpatient.net