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

4. 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. N01 TRIGEMINAL NEURALGIA G50.0, G50.8, G50.9 Criteria : unilateral paroxysms of burning facial pain aggravated by touching triggerpoints, blowing nose or yawning, without sensory or motor paralysis Incl : tic douloureuxpost-herpetic neuralgia S70 Excl : neuralgia NOS N99 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. 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. R21.0021DOULEUR DE LA GORGE R21.0031INFLAMMATION DE LA GORGE R21.0041ROUGEUR DE LA GORGE R21.0051SYMPTOME OU PLAINTE LIEE A LA GORGE R21.0061GORGE SECHE R21.0071HYPERTROPHIE DES AMYGDALES R21.0081 SYMPTOME OU PLAINTE LIEE AUX AMYGDALES R21.0091GONFLEMENT DES AMYGDALES P18.0021 USAGE/DEPENDANCE CHRONIQUE D'AMPHETAMINE P18.0031 USAGE/DEPENDANCE CHRONIQUE DE BENZODIAZEPINE P18.0061USAGE/DEPENDANCE CHRONIQUE DE MEDICAMENT P18.0081INSOMNIES SECONDAIRES A UNE CONSOMMATION CHRONIQUE DE MEDICAMENT P18.0101USAGE/DEPENDANCE CHRONIQUE DE METHADONE P18.0111USAGE/DEPENDANCE CHRONIQUE DE BARBITURIQUE P18.0121AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE MEDICAMENT P18.0131AMNESIE SECONDAIRE A LA CONSOMMATION CHRONIQUE DE BENZODIAZEPINE P18.0141SYMPTOME OU PLAINTE LIEE AU SEVRAGE DE LA CONSOMMATION D'UN MEDICAMENT

9. © MJ/20029 Distribution of the 624 P diagnosis, same health centre Liege, Belgium, on 10440 episodes, 1999 Medicinal drug dependency The workload in mental health in GP/FM Medicinal drug Drug addiction P03 P76

10. 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-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. I20Angina pectoris I20.0Unstable angina Angina:. crescendo. de novo effort. worsening effort Intermediate coronary syndrome Preinfarction syndrome I20.1Angina pectoris with documented spasm Angina:. angiospastic. Prinzmetal. spasm ‑ induced. variant I20.8Other forms of angina pectoris Angina of effort Stenocardia I20.9Angina pectoris, unspecified Angina:. NOS. cardiac Anginal syndrome Ischaemic chest pain

14. 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. IBUIICPCICDLabel DutchLabel FrenchTermo Português 10000516A06R55 bewusteloosheid aanval perte de conscience perda de consciência

16. 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

19. marc@jamoulle.comhttp://trix.docpatient.net ClassificationsTerminologies Ordering principle and epidemiology Human-computer interface