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ICPC-2 roadmap in Greece and a greek EPR based on ICPC/ICD10/ATC

ICPC-2 roadmap in Greece and a greek EPR based on ICPC/ICD10/ATC. Dimitris Kounalakis WICC member. History of classifications in Greece. ICHPPC-2 Defined in Spili, Crete ICPC-1 in Thessaloniki & Crete ICD-9 (Hospitals, PHCCs, etc) ATC ICPC-2 / ICD10 in Crete. Why ICPC-2 ?.

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ICPC-2 roadmap in Greece and a greek EPR based on ICPC/ICD10/ATC

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  1. ICPC-2 roadmap in Greece and a greek EPR based on ICPC/ICD10/ATC Dimitris Kounalakis WICC member

  2. History of classifications in Greece • ICHPPC-2 Defined in Spili, Crete • ICPC-1 in Thessaloniki & Crete • ICD-9 (Hospitals, PHCCs, etc) • ATC • ICPC-2 / ICD10 in Crete

  3. Why ICPC-2 ? • It is clinically relevant to primary care • Supports the uncertainty inherent in primary care. • Deals with the temporal evolution of clinical problems. • Small number of codes • Only symptoms & diagnosis found in primary care • Classification • Inclusion/exclusion criteria • Supports mapping to ICD10 • facilitates all aspects of clinical practice and administration. • Allows the use of ICD-10 in real-life

  4. ICPC-2 Translation: Methods • Bilingual translator, use existing translated nomenclature which is widely accepted. • Translated NHI MeSH in Greek Language • ICD-9 Greek translation • Pilot study to use it and evaluate it for the greek primary care setting. • Identify Greece’s needs for future ICPC versions

  5. ICPC translation: Problems • Most english words can be translated in more than one greek words. Which is the correct? • pain => πόνος, άλγος • Pregnancy => εγκυμοσύνη, κύηση • Exact translation -> words with different meaning in every day's life • urine test => [test = δοκιμή] <= εξέταση ούρων • Clinical examination => [examination = εξέταση]<= κλινική εξέταση • Gold standards do not agree • Greek ICD9 ≠ Greek translation of NHI MeSH

  6. ICPC today & future • ICPC is proposed as the classification in primary care (Greek ministry of Health) • ICPC license: free for research only • EPRs with ICPC in Greece ???

  7. Transhis for Windows • Based on transhis [Transitie Project] University of Amsterdam [Prof Henk Lamberts] • ICPC-2 / ICD10 / ATC classifications • MS Windows / MySQL database / (Delphi) • Works in a standalone PC or Central archive in network with password authentication • Use of key shortcuts and mouse for navigation • Use of a minimal dataset with user customized forms • Info for the doctor / reminders / drug info • Export of data Developing an Appropriate EPR System for the Greek Primary Care Setting, D. Kounalakis, C Lionis, I Okkes, H Lamberts, Journal of Medical Systems, June 2003

  8. Transhis: Current status • Continuous additions and updates • Diagnosis support info • More functions • More customized forms • On-the-job training tool

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