1. © Marc Jamoulle/20011 Health Information System in GP/FM 3 ICD versus ICPC

2. © Marc Jamoulle/20012 Evolution of some medical classification systems ThoughtConceptTargetExpression EssentialistHippocraticInside/outside The 4 humors ScientistBiomedicalProvider centered ICD serie / Braun / ICHPPC ScientificBiopsychoso cial Patient centered RFE, IC-process-PC, ICHPPC-2d DSM-IV-PC / WHO- PHC ComputerInformationHealth information system RCC/prop.dictionaries/ SNOMED Complexity and time frame New clinical method in GP/FM Patient/family and social environment PHC HIS ICPC and episode based methodology

3. © Marc Jamoulle/20013 The four humors BloodWET Black bile Yellow bile Phlegm COLD DRY HOT Copied from Unani, Greco-Arab medicine [French] ISBN 2-84445-015-6 Prof. A. Ahmad Hamdard University Karachi, PkHamdard University Fire Air Water Earth

4. © Marc Jamoulle/20014 ICD and ICPC ; two structures ICPC (WONCA) Conceptual construct About health problems Patient centered Structural basement ICD (WHO) Historical construct About diseases Provider centered Linear basement

5. © Marc Jamoulle/20015 ICD and ICPC; differences in managing information ICPC Tool for decision in uncertainty Patient based Geographical Reasons for encounter, fear and complaints ICD Diagnosis nomenclature Medicine based Etiological Process codes for convenience Both a mixture of appreciation and process codes

6. © Marc Jamoulle/20016 ICD et ICPC; evolutional ICPC (WONCA) ICPC-1 1987 ICPC-2 1998 ICPC-2-E 2000 (electronic version) Future ICPC-3 (2010?) ICD (WHO) ICD-1 to ICD-10 National adaptations (ICD10 CM versus ICD10 AM) WHO Family of Classification

7. © Marc Jamoulle/20017 All included in UMLS All crossed with Snomed-Ct ICPC ICD9 ICD10 ICD and ICPC ; partial overlap

8. © Marc Jamoulle/20018 ICD and ICPC; copyright and availability ICPC Copyright owned by WONCA Clear rules for commercial use Electronic version available on WICC website in En, Fr, Nl ICD Copyright owned by WHO Governemental agencies Only English electronic version available on the WHO website Both by products of transnational organisation

9. © Marc Jamoulle/20019 ICPC 18902001 21 categories partial overlap 15.000 occurrences 17 chapter, +/- 700 rubrics Exhaustivity/exclusivity 19702001 ICD

10. © Marc Jamoulle/200110 WHO/WICC copenhagen meeting Spring 2001 noted the advantages that could arise from the inclusion of ICPC-2 in the WHO FC as a classification for general practice. ICPC-2 includes reason for encounter classification missing from ICD-10 ICPC-2 complements the ICD-10 limitations in describing primary health care activities Implications of ICIDH-2 for relevant areas of ICPC-2 Consideration of ICD-10 rubrics that map to more than one ICPC-2 code

11. © Marc Jamoulle/200111 Practical view on ICPC, ICPC-2, definitions, inclusion, exclusion criteria and corresponding ICD Codes On the WICC web site http://www.ulb.ac.be/esp/wicc/a1en.html