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] [test = δοκιμή] <= εξέταση ούρων –Clinical examination => [examination = εξέταση] [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