Core Content Classification in General Practice/Family Medicine (3CGP/FM): a proposal for a complementary classification system in GP/FM (original) (raw)
Related papers
2017
The Francophone Coordination Center for Training in General Practice (CCFFMG) (www.ccffmg.be)(French) is in charge of organizing the public release of the End-of-Study works (Master thesis) in General Practice/Family Medicine (GP/FM) . This work is carried out at the end of the Master of Specialty of the Departments of General Practice of the Free University of Brussels (ULB), the Catholic University of Louvain (UCL) and the University of Liège (ULg). A dedicated website (www.mgtfe.be) offers an online copywriting guide. This site provides also a description and instruction manual for a GP/FM indexing system discussed in this document. This experimental system, based on the assembly of the International Classification of Primary Care, second version (ICPC-2), and a new contextual classification called Q-Codes version 2.5 is intended to help the manual indexation of the Master Thesis. The package, called Core Content Classification in GP/FM (3CGP), is now available in 8 languages (en...
The European journal of general practice, 2018
While documentation of clinical aspects of General Practice/Family Medicine (GP/FM) is assured by the International Classification of Primary Care (ICPC), there is no taxonomy for the professional aspects (context and management) of GP/FM. To present the development, dissemination, applications, and resulting face validity of the Q-Codes taxonomy specifically designed to describe contextual features of GP/FM, proposed as an extension to the ICPC. The Q-Codes taxonomy was developed from Lamberts' seminal idea for indexing contextual content (1987) by a multi-disciplinary team of knowledge engineers, linguists and general practitioners, through a qualitative and iterative analysis of 1702 abstracts from six GP/FM conferences using Atlas.ti software. A total of 182 concepts, called Q-Codes, representing professional aspects of GP/FM were identified and organized in a taxonomy. Dissemination: The taxonomy is published as an online terminological resource, using semantic web techniqu...
The international classification of primary care--an update
The Journal of family practice, 1989
The International Classification of Primary Care (ICPC) has become a standard all over the world. It became a standard tool to classify the important elements in the Electronic Patient Record (EPR) of the GP: reasons for encounter (RFE) reflecting the patient's view, process of care (decision, action, intervention or plans) reflecting the care process, and the assessment (diagnosis or health issue) reflecting the doctor's view. ICPC-2 is fully compatible with structuring data in the episode of care model and it's reflecting the essential elements of each patient/provider encounter. To implement ICPC-2 in the EPR a Thesaurus has been developed in Belgium with double encoded clinical labels. The implementation is now mandatory for labeled EPR systems in Belgium. The use of ICPC 2 may improve the accessibility and use of on-line Expert systems and Guidelines.
The International Classification of Primary Care (ICPC-2): an essential tool in the EPR of the GP
2006
The International Classification of Primary Care (ICPC) has become a standard all over the world. It became a standard tool to classify the important elements in the Electronic Patient Record (EPR) of the GP: reasons for encounter (RFE) reflecting the patient's view, process of care (decision, action, intervention or plans) reflecting the care process, and the assessment (diagnosis or health issue) reflecting the doctor's view. ICPC-2 is fully compatible with structuring data in the episode of care model and it's reflecting the essential elements of each patient/provider encounter. To implement ICPC-2 in the EPR a Thesaurus has been developed in Belgium with double encoded clinical labels. The implementation is now mandatory for labeled EPR systems in Belgium. The use of ICPC 2 may improve the accessibility and use of on-line Expert systems and Guidelines.
Family Practice, 1996
The International Classification of Primary Care (ICPC) has now been available to the family medicine community for a decade as the main ordering principle of its domain. Research data and practical experiences with ICPC, as well as the development of new concepts in family medicine, have resulted in new applications. The structure of episodes of care to be included in a computer-based patient record has been further developed and refined. ICPC as the ordering principle of patient data is now available in 19 languages. Its conversion structure with the International Classification of Diseases (ICD-10) allows the highest possible level of specificity in a patient's problem list necessary in patient care, while the compatibility of the ICPC drug codes with the Anatomic Therapeutic Chemical Classification Index allows the systematic inclusion of data on prescription.
Structure of the Q-Codes semantic knowledge base in General Practice/Family Medicine
2015
Coding abstracts of communications of GPs during congress allows more efficient exchange of information through a specific indexing process. Coding with Core Content Classification in General Practice/Family Medicine (3CGP/FM), an association of ICPC and of a new tool called Q-Codes means identifying the main concepts the writer is willing to share in his/her contribution. This is called 'text classification' or 'topic list building' in computer science and 'qualitative data analysis' in cognitive science. The GP is dealing with issues concerning the patient and with issues concerning the management of the job. Symptoms, diagnosis and process are what we will call clinical activities. General management as well as ethical or quality related issues are up to what we will call non-clinical or managerial activities. Clinical activities will be identified in the abstracts by the use of the International Classification of Primary Care second edition, electronic, version 5 (ICPC-2 e ver5). Managerial activities will be identified in the abstracts by the use of the Q-Codes, version 2.1, 2015 which we are explaining now in detail.
Family Medicine & Primary Care Review, 2018
Background. General Practce/Family Medicine includes approaches to the biological, technological, behavioural, sociological and anthropological domains. Objectves. To document the domains addressed in the fnal assignments of the Integrated Master’s Degree in Medicine at the Faculty of Medicine, University of Coimbra, in the area of GP/FM. Material and methods. Observatonal study of the ttles of fnal assignments, between 2008 and 2017, granted by the Faculty of Medicine of the University of Coimbra. A domain analysis using as codes the Internatonal Classifcaton in Primary Care-2 and the Q-Codes, a context classifcaton in Primary Care, year of elaboraton and gender of author was carried out for each ttle of fnal assignment. A descriptve and inferental analysis was performed through parametric and nonparametric tests. Results. 169 papers were analysed, 23.1% writen by male students, with a positve overall growth dynamics (Δ = +7) between 2008 and 2017. Q-Codes were registered 276 tmes,...
Analysis of definitions of General Practice/Family Medicine and Primary Health Care
British Journal of General Practice, 2017
Background: There are numerous definitions of general practice/family medicine (GP/FM) and primary health care (PHC), but the distinction between the two concepts is unclear. Aim: To conduct a terminological analysis of a set of definitions of GP/FM and of PHC, to clarify the commonalities and differences between these two concepts. Design: Sets of 20 definitions were collected in two 'bags of words' (one for GP/FM and one for PHC terms). A terminological analysis of these two collections was performed to prioritise the terms and analyse their universe of discourse. Method: The two collections were extracted with VocabGrabber, configured in two 'term clouds' using Wordle, and further explored for similarities using Tropes. The main terms were analysed using the Aristotelian approach to the categorisation of things. Results: Although continuity of care (characterised by a person-centred approach and shared decision making) is common to both sets, the two sets of definitions differ greatly in content. The main terms specific to GP/FM (community, medicine, responsibility, individual, problem, and needs) are different from those specific to PHC (home, team, promotion, collaborator, engagement, neighbourhood, and medical centre). Conclusion: Terminological analysis of the definitions for GP/FM and PHC shows two overlapping but distinct entities, necessitating a different taxonomic approach and different bibliographic search strategies. How this fits in There are numerous definitions of GP/FM and PHC. The governance of these concepts is related to their use in two distinct organisations: the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA) and the World Health Organization (WHO). In GP/FM textbooks and bibliographic retrieval systems, there is often confusion between these concepts. A clear understanding of the similarities and differences between the two concepts is needed for the organisation of medical training, for the development of the
2018
Sharing the results of research with General Practitioners (GPs) is crucial for the survival of the discipline of General Practice / Family Medicine (GP/FM). The production of abstracts in GP/FM probably exceeds 15,000 per year worldwide. Each abstract often represents two years of work for its authors and is expressed in local languages. Only 45% of them are published in indexed medical journals. Usual indexing systems like MeSH are not multilingual nor adapted to the particular field of GP/FM. Consequently, these abstracts are lacking bibliographic control and more than half of the research presented by GPs at congresses is lost. Considering the absence of appropriate domain-specific terminologies or classification systems, we propose a new multilingual indexing system. The existing International Classification of Primary Care (ICPC) is currently used for clinical purposes and has now been expanded with a taxonomy related to contextual aspects (called Q-Codes) such as education, r...
Objectives: To describe the worldwide use of the International Classification of Primary Care (ICPC) and other classifications in primary care settings and to identify details of ICPC use in each country. Methods: A research survey with a questionnaire requiring self-completion was emailed to members of the WONCA International Classification Committee (WICC) and family physicians (FP) from each country recognized by the United Nations (UN). Results: We obtained the e-mail addresses of representatives from 109 countries and received 61 responses (out of 259 requests sent) to the questionnaire from 52 different countries; 30 were obtained from Europe, 8 from Asia, 7 from America, 6 from Africa, and 1 from Oceania. In 34 countries (17%), a version of ICPC was available in a national language. ICPC was used in primary care setting in 27 countries (14%), but it was a mandatory standard in only 6 (3%). Assessment of the topics accounted for in the clinical records showed that 10 countries used ICPC to classify the patient's reasons for encounter and diagnosis, while just 5 countries used ICPC to classify the patient's reasons for encounter, diagnosis, and processes of care. Of the 24 countries responding that the use of ICPC for clinical records was not promoted in primary care, 19 used the 10 th edition of the International Classification of Diseases (ICD), 3 used other classifications, and 2 did not use any classification. Conclusions: Although the response rate to the questionnaire was low, we concluded that ICPC use is not widespread globally. Even for those countries reporting the use of ICPC in primary care, it is usually not a mandatory standard. Abstract Keywords: International Classification