    Intended for Main characteristics Relationships Availability Marc Jamoulle CAMG-UCL 2009 Seminop Brussels, August 27, 2009

3BT SNOMED-CT ICD LOCAS

From mind to machine Lost of redundancy ICPC as ordering principle in PHC P19.004

From concepts to terms Z12 ICPC LOCAS (or ICPC+) 700 rubrics 5.000 entries I20.9

ICD 15.000 items 15000627 3BT 50.000 entries Snomed-CT 300.000 entries 247683002 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 Incl : tic douloureux post-herpetic neuralgia S70

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 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

R21.0031

R21.0041

R21.0051

R21.0061

R21.0071

R21.0081

R21.0091

DOULEUR DE LA GORGE INFLAMMATION DE LA GORGE ROUGEUR DE LA GORGE SYMPTOME OU PLAINTE LIEE A LA GORGE GORGE SECHE HYPERTROPHIE DES AMYGDALES SYMPTOME OU PLAINTE LIEE AUX AMYGDALES GONFLEMENT DES AMYGDALES P18.0021 USAGE/DEPENDANCE CHRONIQUE D'AMPHETAMINE P18.0031 USAGE/DEPENDANCE CHRONIQUE DE BENZODIAZEPINE P18.0061

P18.0081

P18.0101

P18.0111

P18.0121

P18.0131

P18.0141

USAGE/DEPENDANCE CHRONIQUE DE MEDICAMENT INSOMNIES SECONDAIRES A UNE CONSOMMATION CHRONIQUE DE MEDICAMENT USAGE/DEPENDANCE CHRONIQUE DE METHADONE USAGE/DEPENDANCE CHRONIQUE DE BARBITURIQUE AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE MEDICAMENT AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE BENZODIAZEPINE 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 I20.0

I20.1

Angina pectoris Unstable angina

Angina: . crescendo . de novo effort . worsening effort Intermediate coronary syndrome Preinfarction syndrome

Angina pectoris with documented spasm

Angina: . angiospastic . Prinzmetal . spasm-induced . variant

I20.8

I20.9

Other forms of angina pectoris

Angina of effort Stenocardia

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 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

Classifications Ordering principle and epidemiology Terminologies Human-computer interface [email protected]

http://trix.docpatient.net