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What is the International Classification of Primary Care? Biaxial, alphanumeric classification of primary care problems and related actions 17 chapters [A-Z]: body systems Components in each chapter: symptoms and complaints [01-29] diagnostic / screening / preventive services [30-49] medication / treatment / procedures [50-59] test results [60,61] administrative [62] referrals, other reasons for encounter [63-69] specific diagnoses [70-99] Organized into episodes of care

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  • What is the InternationalClassification of Primary Care?

    Biaxial, alphanumeric classification of primary careproblems and related actions 17 chapters [A-Z]: body systems Components in each chapter:

    symptoms and complaints [01-29] diagnostic / screening / preventive services [30-49] medication / treatment / procedures [50-59] test results [60,61] administrative [62] referrals, other reasons for encounter [63-69] specific diagnoses [70-99]

    Organized into episodes of care

  • ICPC

    Produced by the WONCA International Classification Committee (WONCA = World Organization of Family Physicians)

    first published 1987 by Oxford University Press; second revision was published in 1998

    2nd revision was accepted within the World Health Organization Family of International Classifications

    3rd Revision in Development

  • key features of ICPC

    Incorporates patient voice in Reason for encounter (RFE)

    Symptom diagnoses where appropriate

    Accommodates social problems (chapter Z)

    Episode-based - can track process of care for problem over time

    Limited granularity of basic code set based upon prevalence of diagnosis

    NOT A TERMINOLOGY - mapped to standard terminologies, classifications

  • Maps and windows for ICPC

    ICPC-2-R to ICD-10

    ICPC-2-R to ICD-9-CM

    ICPC-2 to SNOMED-CT primary care reference termset (refset) created by the IHTSDO GP/FP working group

    windows from ICPC to: CPT, SF-12, WONCA/COOP charts work on ATC-codes, ICF

  • Transhis

  • ICPC

    R78 Final Diagnosis

    Acute bronchitis Prevalence

    27.8% OR (post prob)

    20.03

    R02 Shortness of breath 12.7%

    R98 hyperventilation 11.7% 24.47

    R96 Asthma 10.4% 57.09

    R74 URI 8.6% 1.84

    R75 Sinusitis 2.9% 0.82

    R96 Pneumonia 2.8% 13.16

    RFE shortness of breath in 25-44 yo N=973 episodes.

    Source: EFP / Dutch Transition Project database

  • ICPC Final Diagnosis Prevalence OR (post prob)

    R78 Acute bronchitis 30.4% 7.25

    R02 Shortness of breath 14.6%

    K77 Heart failure 10.5% 15.13

    R Emphysema/COPD 4.8% 21.14

    R98 Hyperventilation 4.8% 12.92

    R81 Pneumonia 4.3% 5.21

    R96 Asthma 3.5% 4.0

    RFE shortness of breath in 65-74 yo N=788 episodes.

    Source: EFP / Dutch Transition Project database

  • Comorbid conditions in men 45-64 (n=613) and men 65-74 (n=547) with diabetes

    Diagnosis % 45-64 % 65-74

    Hypertension 22.8% 28.8%

    Hyperlipidemia 13.2% 10.8%

    Ischemic heart disease 8.0% 14.1%

    Low back pain 8.0% 4.6%

    Sleep problems 5.2% 6.8%

    Depressive disorder 3.9% 4.6%

    ED/impotence 3.4% 1.8%

    Heart failure - 7.1%

    Source: EFP / Dutch Transition Project database

  • Primary Care Data Model

    Annals of Family Medicine, 2015https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508165/

    https://na01.safelinks.protection.outlook.com/?url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508165/&data=02|01|[email protected]|6f0ba225963845c7339208d4b1b5b281|7dd12bd6325a411f8fedb8004b6f2a52|0|0|636328841912351647&sdata=fueaTtyWbGGGEOmQy1NSvMU1QbaN7AvpDSeA60TRZqs=&reserved=0https://na01.safelinks.protection.outlook.com/?url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508165/&data=02|01|[email protected]|6f0ba225963845c7339208d4b1b5b281|7dd12bd6325a411f8fedb8004b6f2a52|0|0|636328841912351647&sdata=fueaTtyWbGGGEOmQy1NSvMU1QbaN7AvpDSeA60TRZqs=&reserved=0

    What is the International Classification of Primary Care? ICPCkey features of ICPCMaps and windows for ICPCSlide Number 5Slide Number 6Slide Number 7Comorbid conditions in men 45-64 (n=613) and men 65-74 (n=547) with diabetesPrimary Care Data Model


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