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Terminology and ICPC in EPR

Terminology and ICPC in EPR. The Belgian challenge: a link between analogue doctors and digital machines in a bilingual country. M.Verbeke M.D. Ghent University. Why a national terminology?. Language Terminologies reflect local Politics Ethics Tradition Religion Social organization

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Terminology and ICPC in EPR

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  1. Terminology and ICPC in EPR The Belgian challenge: a link between analogue doctors and digital machines in a bilingual country M.Verbeke M.D. Ghent University

  2. Why a national terminology? • Language • Terminologies reflect local • Politics • Ethics • Tradition • Religion • Social organization • Standardization of qualifiers • Different national use of data Brussels Workshop on Health Terminologies

  3. Terminology without classification Like paint without painting or color without picture

  4. Classifications in health care • Grouping of concepts and analysis of data • Primary care ICPC-2-R: covers 80% of the morbidity • Specialist care ICD-10: more granularity • ICF: description of functioning • ICHI: procedures under re-construction • General plan of classifications needed Brussels Workshop on Health Terminologies

  5. Compounds of Belgian bilingual thesaurus • Vocabulary • Bilingual Clinical labels • Classifications Brussels Workshop on Health Terminologies

  6. Vocabulary • Keywords • Independent content for each language (Fr/Nl) • Patient oriented terms • Doctor oriented terms (jargon) • Synonyms or equivalent terms • Link between thoughts and clinical label • Flexible adaptation Brussels Workshop on Health Terminologies

  7. Clinical labels • Concepts: “units of thought” • Fixed meaning • Bilingual: 100% reciprocity • Including procedures • Linked by IBUI to vocabulary • Long term: all diagnostic and clinical procedures Brussels Workshop on Health Terminologies

  8. Vocabulary French Vocabulary Dutch n n IBUI 1 47037 Double encoded ICPC/ICD 1 n 1 1 1 Clinical label French = Clinical label Dutch n ICPC 686+39 Under construction n 11363 ICD ICF RIZIV/INAMI procedures 1510 (ICHI) Brussels Workshop on Health Terminologies

  9. Why • Encoded information? • classifications with accurate granularity • Structured information? • EPR structure: enables exchangeable data Brussels Workshop on Health Terminologies

  10. Encoded information (1) Codes linked to ICPC indexed “EBM Guidelines” and other expert systems • Online available • During patient contact • Appropriate guideline • Very accurate information as decision support • Language independent link Brussels Workshop on Health Terminologies

  11. Encoded information (2) • Use of ICPC codes in EPR • Prevention module • Risk calculator • Workflow and automating processes • Creation of alerts and warnings • Creating views in the EPR with appropriate information in function of doctors’ need • Billing systems Brussels Workshop on Health Terminologies

  12. Encoded information (3) • Enables • Retrieving tool for epidemiological studies • Sharing information with other primary health care providers or specialists (ICPC-ICD-ICF link) • Retrieving tool for social security and insurance • Evaluating and improving quality of care Brussels Workshop on Health Terminologies

  13. Structured information • Necessary for exchangeable data • Belgian Government provided structural model • Guaranteed for all “labeled” software systems • Episode based information with ICPC philosophy • RFE • Procedures • Assessment • Guarantee for correct data use by software system. Brussels Workshop on Health Terminologies

  14. Topics for discussion • National or European terminology • Challenge of multilingual systems in Europe • Importance of appropriate classifications Brussels Workshop on Health Terminologies

  15. Developing team Ghent University Jan De Maeseneer Diëgo Schrans Sven Deroose Marc Verbeke Paul Van Hove Brussels University Michel Roland Michel Dejonghe Nadine Kacenelenbogen Bernard Dendeau Federal Government Marc Bangels Luc Nicolas Brussels Workshop on Health Terminologies

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