1. MJ/20051 ICPC : recent advances, research & teaching Marc Jamoulle, Gilly, Belgium. Jean Karl Soler, La Valette, Malta. Laurent Letrilliart, Lyon, France. Jan De Maeseneer, Ghent, Belgium Dimitris Kounalakis, Heraklion, Greece WICC members Wonca Europe, KOS, Sep.7, 2005 WICC, Heidelberg, Sep. 6, 2006

2. MJ/20052 Wonca International Classification Committee WICC has 40 members from 23 countries. Membership is voluntary and based on personal involvement in the classification field. Members, mainly GPs, communicate through web log and mailing list. They meet once a year

3. MJ/20053

4. 4 The aim of WICC is to: Develop, update and distribute systems which enable international communication about the work with patients in general/family practice.

5. MJ/20055 Main fields of research: ICPC Wonca Dictionary of General Practice Coop Wonca charts Dusoi-Wonca

6. MJ/20056 17 chapters 15 somatic 1 Psychologic 1 Social 3 components coming from 3 gathered classifications Symptoms and complaints ProcessDiagnoses R F E C Reason for Encounter Classification IC-Proces-PC International Classification of Process in Primary Care ICHPPC ICHPPC-2-d International Classification of Health Problem in Primary Care 1& 2 edition, defined & ICPC ICPC 2 Revision and inclusion of criteria and definitions ICPC 2 R Revised transcoding to ICD-10 Towards ICPC 3 1974 1981 1983 1985 1987 1998 2005 1974 1979 ICPC story 

7. MJ/20057 ICPC is an ordering principle For nosography of health problems Conceptual grid of problem allowing comprehensiveness About high prevalence problems Patient centered »Based on body system For structure of health information SOAP & Episode based allowing continuity Linked to other classifications for information exchange

8. MJ/20058 ICPC 1974 Designed by GPs for paper and pencil research in GP/FM & PHC to be used in statistical & epidemiological studies 1990 Fit perfectly with the need of ordering information in EMR (to be used with controlled terminologies)

9. MJ/20059 ICPC as a quality assurance tool Medicine can be harmful to your patients' health. Analyse what you do using ICPC, and protect your patient from harm

10. MJ/200510 Comparison of chapter P diagnosis of two family doctors each in solo practice Courtesy of Dr Joseph Huberty, Ciney, Belgium A new insight in GP practice allowing quality assessment and alternative teaching process

11. MJ/200511 200 Primary care practitionners in 5 years Courtesy of Dr Alejandro Lopez, Buenos aires

12. MJ/200512 ICPC & Information needs in the health system Implies opening of the rubrics of ICPC Implies use of classified terminologies »ICPC Plus / Encode FM / SNOMED/ 3BT Implies transcoding with main other tools ICPC/ICD carefully followed since the beginning ICPC admitted in the WHO family of Classification Implies ethical background

13. MJ/200513 Z25 ASSAULT & HARMFUL EVENT bewitchment bewitchment with pig's liver damage from malediction desecration of grave by witches dupa spells evil influence ns harm from fighting harm from troublesome spirits harm from war harm from witchcraft harm from witches' familiars makgoba bewitchment negative condition ns possession by spirits possession by bad spirits possession by evil spirits Cridland JS,.Koonin S. Use of traditional medicines towards a classification. S.Afr.Med J 2001;91:489-91 Example of opening of an ICPC rubric Implies opening of the rubrics of ICPC

14. MJ/200514 October 2003 First WICC & WHO-FIC working meeting Implies transcoding with main other tools ICPC accepted as a member of the Word Health Organisation Family of International Classification

15. MJ/200515 WHO-FIC WHO Family of International Classification »ICD diseases »ATC drugs »ICF functions »ICPC health problems »ICHI Interventions

16. MJ/200516 Advances in terminology Dutch Thesaurus ICPC / ICD ENCODE – FM (Canada) ICPC – PLUS (Australia) 3BT Biclassified Belgian Bilingual Thésaurus ICD / ICPC ICPC linked to UMLS metathesaurus SNOMED / ICPC working group

17. MJ/200517 Ethical aspects Developing tools for health information system is not an innocent game  Ongoing discussion in WICC  Charter of medical information published by the CISP Club (French speaking ICPC fan club) http://www.wbcispclub.be/chart.htm

18. MJ/200518 Availability ICPC 2 R From Oxford University Press ICPC 2 pager From KITH web site ICPC 2 E From Wonca / WICC web site www.globalfamilydoctor.com/wicc www.kith.no

19. MJ/200519 Thank you marc@jamoulle.com