1 / 19

Intended for Main characteristics Relationships Availability

Clinical classifications and terminologies in health care in Belgium ; towards Interoperability ?. Intended for Main characteristics Relationships Availability. Marc Jamoulle CAMG-UCL 2009 Seminop Brussels, August 27, 2009. S3. ICPC. LOCAS. ICD. 3BT. SNOMED-CT.

dutch
Download Presentation

Intended for Main characteristics Relationships Availability

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Clinical classifications and terminologies in health care in Belgium; towardsInteroperability? • Intended for • Main characteristics • Relationships • Availability Marc Jamoulle CAMG-UCL 2009 Seminop Brussels, August 27, 2009

  2. S3 ICPC LOCAS ICD 3BT SNOMED-CT

  3. ICPC as ordering principle in PHC From concepts to terms From mind to machine Lost of redundancy ICPC Z12 700 rubrics LOCAS (or ICPC+) P19.004 5.000 entries ICD I20.9 15.000 items 3BT 50.000 entries 15000627 Snomed-CT 300.000 entries 247683002 From classification to description

  4. ICPC : classification • 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

  5. ICPC examples 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

  6. http://www.content-info.org/

  7. LOCAS & LOCAS-2 : coded terminology • 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)

  8. Locas-2 examples P18.0021 USAGE/DEPENDANCE CHRONIQUE D'AMPHETAMINE P18.0031 USAGE/DEPENDANCE CHRONIQUE DE BENZODIAZEPINE P18.0061 USAGE/DEPENDANCE CHRONIQUE DE MEDICAMENT P18.0081 INSOMNIES SECONDAIRES A UNE CONSOMMATION CHRONIQUE DE MEDICAMENT P18.0101 USAGE/DEPENDANCE CHRONIQUE DE METHADONE P18.0111 USAGE/DEPENDANCE CHRONIQUE DE BARBITURIQUE P18.0121 AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE MEDICAMENT P18.0131 AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE BENZODIAZEPINE P18.0141 SYMPTOME OU PLAINTE LIEE AU SEVRAGE DE LA CONSOMMATION D'UN MEDICAMENT

  9. Distribution of the 624 P diagnosis, samehealth centre Liege, Belgium, on 10440 episodes, 1999 P03 Medicinal drug dependency Medicinal drug Drug addiction P76 The workload in mental health in GP/FM

  10. ICD-10: nomenclature • 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)

  11. ICPC+ 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

  12. I20 Angina pectoris I20.0 Unstable angina Angina: . crescendo . de novo effort . worsening effort Intermediate coronary syndrome Preinfarction syndrome I20.1 Angina pectoris with documented spasm Angina: . angiospastic . Prinzmetal . spasm‑induced . variant I20.8 Other forms of angina pectoris Angina of effort Stenocardia I20.9 Angina pectoris, unspecified Angina: . NOS . cardiac Anginal syndrome Ischaemic chest pain ICD-10 example

  13. Typical mortality table (ICD-9)

  14. 3BT: coded terminology • 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)

  15. 3BT Example

  16. SNOMED_CT: coded terminology • 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

  17. SNOMED-CT example

  18. Classifications Terminologies Ordering principle and epidemiology Human-computer interface marc@jamoulle.com http://trix.docpatient.net

More Related